Combination Breast Augmentation - Silicone Gel Implant & Fat Transfer?

Question

I am planning to get breast Aug in the summer of this year and after researching several doctors I found one in Spain Dr Aslani that combines a silicone gel implant along with fat transfer to achieve the most natural looking breast.I have looked at all of his before & afters and am in LOVE! but I do not want to leave the states just for this procedure.I live in Ohio and was wondering if there are any doctors here or close to me that offer this procedure as well?

Kenneth Hughes, MD · Answer

Fat transfer for contour irregularities or rippling or for volume discrepancy is a good utilization of the technique.  A breast augmentation with implants alone frequently produces a very nice result without the need for any fat grafting adjunct.  You could certainly fat graft the areas superficial to the implant, but the benefit of this approach for a primary augmentation would be little.  You must also consider risks of fat necrosis which would produce a less than desirable result than an implant augmentation alone.Kenneth Hughes, MDLos Angeles, CA

Robert Frank, MD · Answer

While there are procedures that start abroad and find a home here in the states, there are a thousand that fizzle before our patients ever hear of them. There MAY be docs doing what you want, but the vast majority of us are using fat primarily for correction of thin areas or areas of irregularity. Does that make it the RIGHT way to go? Not necessarily but it does give you something to ponder...

Timothy Connall, MD, FACS · Answer

This is a common procedure in my practice and the results can be impressive.  However, many patients do very well with breast implants alone, so there needs to be a specific goal in mind to be addressed with the addition of fat.  I like to use fat in combination with implants in patients that have poor cleavage that will not be optimally improved with implants and to fill the lower half of the breast in patients with constricted lower breasts.You don't need to travel to Spain to find a qualified surgeon.  I suggest you look for a board certified plastic surgeon with experience in the procedures close to your home.

Peter E. Johnson, MD · Answer

Fat transfer at the time of augmentation might be attractive if the natural breast cover is very thin and there is a concern the implant might show through. Consultations here in the US might help you compare.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question. Leaving the US where we have the most advanced medical care system in the world is not a good idea. Standards are different in foreign countries, and especially with fat transfer you will need follow up.Send an email to Dr Dan Delvecchio in Boston-he is an expert at fat transfer and should be able to advise you.

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Combination Breast Augmentation - Silicone Gel Implant & Fat Transfer?

Answers (7)

Answer: Augmentation with fat transfer

Answer: Augmentation with fat transfer

Answer: Breast Augmentation with implant and fat

Answer: Breast Augmentation with implant and fat

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Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.