Would you be awake for the breast fat transfer?

Doctor Answers 8

Awake surgery

Personally I'm not a fan of doing liposuction and fat grafting with the patient awake. In cases of small transfers, certainly that is a possibility. It depends on how much. I would definitely discuss this with your plastic surgeon. Best of luck to you. 

Annapolis Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast Fat Transfer/ Breast Augmentation/Breast Implants/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision

Thank you for your question. No, I perform the procedure under general anesthesia.  About 60-70% of the grafted fat survives.  At 6 months you will have a good idea of your results. Some women have a second or third procedure which continues to increase your volume safely. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery. Best of luck! Dr. Schwartz Board Certified Plastic Surgeon #RealSelf100Surgeon

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

Would you be awake for the breast fat transfer?

Many physicians will do this to save money on anesthesia, but in many cases, you will need to harvest at least 600 cc of pure fat to perform the procedure.  The liposuction of this amount of fat may be 3 liters of lipoaspirate, and most patients cannot tolerate this with just local anesthesia.  Also, the injection of the fat can be painful as well.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

General or MAC anesthesia

The best type of anesthesia depends on the patient, procedure and surgeon. Please see a board certified plastic surgeon for in person evaluation.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 124 reviews

Fat transfer

Fat transfers can be done awake, however, the Lidocaine volume used to numb might limit the amount of fat transferred. Also, with local anesthesia, there is a limitation of the amount of local anesthetic that can be used. If you want several areas treated with liposuction, you might want to choose general anesthesia.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

Prefer to have the patient asleep

Thanks for the great question. Like the others have stated, although it is possible to perform face grafting under local anesthesia, I prefer to perform these types of procedures with the patient asleep. It is much more comfortable for the patient to be asleep for these types of procedures. Best of luck!

~Dr. Sieber

David A. Sieber, MD
Bay Area General Surgeon
5.0 out of 5 stars 35 reviews

Fat transfer breast augmentation

Dear Aamira21,

Although it is possible to be awake for a fat transfer breast augmentation, it is not usually recommended.  Large surface areas of the body are difficult to fully anesthetize with local anesthesia.  If you do choose this route, be prepared for some discomfort.  Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 48 reviews

Would you be awake for the breast fat transfer?

Good Afternoon

Thank you for your question.  Because fat has to be harvested from one or more areas (liposuction) and then injected into the breasts, this procedure is commonly done under general anaesthetic.  This can very from surgeon to surgeon, however as always, be sure to consult with a Board Certified Plastic Surgeon for your best and safest outcome.

Best of Luck,

Dr. K.

Julie Khanna, MD, FRCSC
Ontario Plastic Surgeon
4.9 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.