How much bigger can one go when using a fat transfer method for Breast Augmentation? (Photos)

Question

I know this is a relatively new procedure, it seems it doesn't always last very long, and you cannot go a lot larger. I am an 'A' cup, and maybe not quite that! Very flat chested since breastfeeding two children, but luckily not saggy, just zero tissue. I'd like the perfect 'C' cup of course!

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. For those women who prefer a "Natural Breast Augmentation" without implants, fat grafting is a safe, natural, and minimally invasive approach that offers low-maintenance, long-term improvement in size and contour. After harvesting the fat from your body, we purify and enrich the fat before injecting it in the desired areas to improve volume and shape.
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Kenneth Hughes, MD · Answer

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.  Multiple transfers would be required for additional cc's.  In general, the abdomen and thighs are preferred donor sites bur fat from other areas can be used.
Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival.  Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. I typically transfer from 250 cc to 400 cc or so per breast.  Thinner patients are outstanding candidates in my opinion, because the fat transferred is extremely resistant.  
Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations. You would need a consultation with a board certified PS who is an expert to fat transfer to determine the available fat stores.

Daniel Barrett, MD · Answer

Dear  Dreamingofchange31,
Fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. However, you are right, fat transfer can increase the size of breasts for one bra cup size so you will most likely be B cup. You 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

Rebecca Novo, MD · Answer

Fat transfer varies between every patient. You must have enough fat on your body to be harvested and then transferred to the desired area. Also, Fat transfer is typically done to going up half a size to one cup size. I would recommend doing an in person consultation with a plastic surgeon to develop an appropriate treatment plan.

Connie Hiers, MD, FACS · Answer

With most fat transfers, you may achieve one half to one cup in size. The smaller your breast is, the less fat it can hold. The fat has to be transferred into breast tissue, not just under the skin. If you want a C cup, you might do better with implants.

How much bigger can one go when using a fat transfer method for Breast Augmentation? (Photos)

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