Combination Breast Augmentation - Silicone Gel Implant & Fat Transfer?

  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

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...

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.