Fat transfer (second fat transfer!) and fat just doesn't want to stay!
Doctor Answers 4
Breast Fat Transfer/ Breast Augmentation/Breast Implants/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision
Breast Fat Transfer
Fat transfer for breast augmentation
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Fat transfer vs implants for breast augmentation
Fat transfer for breast augmentation has become very popular for the advantage of virtually no scars, all natural result, and the removal of fat from a stubborn area. The biggest downside to fat transfer is that, of the fluid injected, not all of it is viable fat cells. There can be damaged fat cells or liquid (blood, oil, saline from the solution used to minimize bleeding). All of these will resorb over a few weeks and not contribute to permanent volume. The care with which fat is harvested, processed, and grafted is so critical to the success of the procedure. The cells need to be placed drop by drop to get best survival. The fat must be processed properly to get rid of impurities. Without a tremendous amount of attention to detail the fat survival rate will be low. Perhaps some people's fat is just not as hardy for surviving the process.
I usually tell my patients to expect around 50% (60% at the upper limit) of the fat to survive. When we look at the amount that can be placed then the maximum augmentation in one setting is approximately 50% larger than the size of the original breast after all is said and done.
I have tried machines that purport to have 70%+ survival. The manufacturer wants to sell it to me. They mention the rapidity that I can remove fat and put it in. That sounds great. The truth is, I have found that painstakingly performing the procedure by hand produces better fat survival.
Dr Rodger Shortt
Oakville Plastic Surgeon
Director of Cosmetic Surgery Training &
Assistant Clinical Professor,