Is it possible to get more cleavage and projection with a fat transfer or do I have to get implants? (Photos)

Fat transfer is a very good option for breast enhancement without implants.  Using liposuction of your abdomen, flanks, and thighs, fat is harvested, purified, and then placed carefully into the breast to add volume.  

Breast fat transfers can improve the cleavage and projection of your breast, but multiple transfers may be required.In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons.  It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer.  The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast.  About 50% of the fat obtains permanence.  

Dear jmaraschino,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Just based on your photos, you appear to have nice sized breasts now. A fat transfer can give up to a cup in volume. Shaping is better done with implants, but some modest improvement can be done with fat. I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.

Set a transfer is a great option for those who wish to add a modest enhancement to the breast. In general it’s not particularly good at shaping breasts but does add a substantial volume increase. Typically we see 1/2 to one full cup as final long-term results. For those who have nice breasts shape to start with and want to increase the size by modest amount this is a great option. For women who seek to develop significant projection or upper pole volume implants are better.Best, Mats Hagstrom MD