Breast augmentation with fat grafting: how long do the results last, and how much fat is retained?
Doctor Answers 14
Fat transfer to breasts
It is the most natural way to perform breast enhancement today. Depending on your current size now and how much breast tissue you have drives how much you can transfer and enhance. You should have no problem getting to the size you desire; not to mention a BRAVA is not needed. My patients are very happy after this procedure and do great in such a minimally invasive and natural way. Visit my blog or website for more on fat transfer. Best wishes.
I pioneered a permanent fat transfer technique. The "Coleman" technique is known all over the world and practiced by most fat grafting surgeons. My retention rate is about 85% of the refined fat remains permanent. Final results can be seen at about 4 months post op. Dr. Coleman
Breast augmentation with fat grafting vs Implants
Im glad to answer about breast fat transfer. This procedure is an alternative to conventional breast implant augmentation. It sounds very logic to bypass the implant placement to use our own fat to fill the volume of a breast. It actually can be done still not much plastic surgeons advocate this procedure. The reasons are that you need a lot of fat to harvest in order to get a decent volume to fill the breast. For each cup you need a lot of pure fat harvested and sometimes there´s not enough fat to transfer for BOTH breast. Second the distribution of fat is not solid, is semi-liquid, the breast wont look as perky as an implant. Upper pole fullness will lack. An third and most important is very unpredictable how much fat will be left for the final result after approximately 30% will reabsorb. The implant is easy to place, a very quick surgery and the results are preddictable. Hope this answers your question and we will be glad to help you in anything, best regards!!!.
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We are seeing more and more patients opting for fat than implants for augmentation purposes. I would recommend you interviewing doctors that perform this procedure on a regular basis with consistent results.
Breast Augmentation with Fat Grafting
There are many benefits to breast augmentation with fat transfer. If you are looking for subtle, natural-looking results, fat transfer may be a great option. The procedure also does not run any risk for allergic reaction, as the material being used is the patient’s own fat. However, with breast augmentation with fat transfer, some of the fat will dissolve into the body. It is not known how much fat will be dissolved, so patients run a risk there.
With breast augmentation with implants, the patient can be sure that noticeable results will be seen. Breast Augmentation for breast enlargement is still the gold standard. Often since one is taking fat from one place and putting it in another, it may not be possible to get enough fat for the breast augmentation. It is common to place a 300 cc implant in a patient. For a patient wishing to have fat transfers instead of breast augmentation would necessitate at least 600 cc of fat harvested to get 100% take of the fat. It is very unusual to get 100% take of fat during a fat transfer procedure. The fat transfer procedure net is usually between 30-75% take. Therefore it is not uncommon for an individual to have more than one fat transfer operation. I would recommend weighing your options with a board-certified plastic surgeon to determine which choice is best for your individual lifestyle and budget. Good luck!
Fat grafting vs Implants
Fat grafting versus implants
Implants: are less expensive initially, can give you a more dramatic size change, can give you more upper pole fullness...but have the potential issues with capsules, leakage, secondary surgery, and more costs down the road, when future surgery is required.
Fat grafting: more expensive initially, but the fat that survives the transfer (about 65% if you use BRAVA) is yours to keep. No issues with capsules or leakage, and the benefit of liposuction in the donor site area.
Fat that survives the process is permanent
The survival of fat transfer depends on a number of factors that include the surgical technique and the ability of your tissues to accept the fat and help it survive. The amount of fat that can be expected to survive is highly variable ranging from 40 -80%, but studies show that with good technique in combination with the use of BRAVA 70-80% survival can be expected.
Despite some surgeons claims that BRAVA is not required, published studies strongly support the use of BRAVA showing an average of 150cc fat survival per procedure without BRAVA and 250cc average fat survival with BRAVA.
Fat Grafting to Breasts
There is a limit of how much fat can be safely injected into one area. The amount of fat that remains over time is variable from patient to patient. For some patients, more fat or other fillers may need to be transferred in a subsequent surgery to maintain or supplement the desired results.
Comparison between implant and fat transfer breast augmentation is the $64, 000 Question!
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.