Fat transfer to breast updates.
I do believe that every good plastic surgeon continues to refine their technique with every patient. As far as a global change in the technique...NO. Retention is secondary to the nature of the procedure. We know that ~30-50% of the fat survives the transfer after 3-6 months. The perfect amount of fat transfer varies from patient to patient, but it has been my experience that 250-300cc is a nice amount. Remember not every patient is a good candidate for this procedure. The best candidate is someone who has perky breasts with minimal to no ptosis and desires a small increase in size (~1 cup size).
A good technique in the proper patient. I do not recommend fat transfer for large augmentations- I find implants to be more predictable and reliable. Usually, 150-200cc of fat does well, remember take is not 100%. Fat grafting is useful for upper fullness and can be added to a breast lift.We use Vaser ultrasound liposuction to harvest fat and use a spinner during our preparation for transfer. We overcompensate knowing approx 2/3-3/4 or less should stay. An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.