Can I gain 2 or more cup sizes with breast fat transfer?

Thank you for your question. The retained volume of autologous fat grafted for breast augmentation depends on multiple factors. There must be adequate volume of tissue within the breast to receive and revascularize the grafted fat. The greater the initial volume of the breast the greater the volume of grafted fat that may be accepted and retained. There must also be an adequate amount of donor fat available at other body areas. I do not know your height, weight, BMI, but with a bra size of 32A, I would not expect that you are likely to have a large amount of excess fat at potential donor sites. In order to reliably augment each of your breasts by 1 full cup size or 200cc, it would be necessary to graft approximately 400cc of purified, processed fat at each breast. With an A cup initial volume, this would likely be the limit of volume that could be accepted. To obtain a total of 800cc of purified fat, it would be necessary to suction about 1.5 liters of lipoaspirate from donor sites. With these restrictions, I find that for the average candidate for this procedure, 1 cup size increase is an appropriate expectation for a single operation. Provided that there is still an adequate volume of donor fat available, staged procedures can later be performed to achieve a greater augmentation volume increase. Again, as the volume of well vascularized breast tissue enlarges, the breasts will be more capable of accepting a larger volume of grafted fat. I recommend that you consult with an ABPS certified plastic surgeon with experience performing this procedure for a complete evaluation and recommendations on how best to proceed. Best of luck!Dr. Max Polo

No, usually you can only go up by 1 size with a breast fat transfer. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

hello CcSirie  This requires liposuction to obtain the fat, and then the fat is transferred into the breast tissue. It is usually possible to achieve at least one half cup size increase. Additional fat transfer procedures to increase your volume can be done subsequently. #options #candidate

An augmentation sounds like what you may need.  A photo would be helpful, but nothing is more important than an in person consultation with a surgeon. 
Assuming that you don't have much droopiness, it can be done with an implant, with fat grafting or with both. I think that all the procedures are excellent and it really depends on each patient's individual needs to determine which is perfect. An implant is tried and tested.  Most plastic surgeons perform this surgery.  In a nice shaped breast most surgeons can produce a nice looking result.  Choosing the right size is the most important step where less than ideal results can occur.
Fat grafting is a great surgery but better suited for patients that have a nice shape to their breast and are not looking to go that much bigger.  You also need to have enough fat to harvest from another part of your body. Not that many surgeons do this procedure.  It is very time consuming and obtaining the best survival of the transferred fat comes with patience and precision.  Not all surgeons can produce consistent results.  Make sure to go to someone that does a lot of fat grafting if you want to make it worth your while.
The final choice is a combination of an implant and fat grafting.  The implant provides most of the size enhancement.  Fat grafting is then done to provide coverage of your breast so that it looks as natural as possible.  It allows for a fuller breast without looking fake.  It also can be used to give a fuller cleavage for patients that have wide set breasts.  This procedure is very advanced. It is really done by very few surgeons.  Even surgeons that do breast surgery as the main focus of their practise may not have experience with this technique.  I love the results that can be obtained with this combo. It is ideal in thin patients that wants to be fuller breasted without the tell-tale signs of an implant.  With that said, it is not required for most patients.
If you have significant breast droopiness, then a lift can be added to the above procedures as needed.
Hope that helps.
Rodger Shortt, Oakville, Ontario Plastic Surgeon 

This is a very difficult question to answer without pictures. Fat can increase the breast size, but you need a good breast envelope to accept fat and enough donor sites to get fat.What would concern me is that you are concerned about having a subtle result which can sometimes happen with fat grafting. I usually consul patients that if they want dramatic results then implants are the better choice for them.Talk to your board certified plastic surgeon.

Dear Patient: thanks for your question.  I would really appreciate if you could send photos of your breasts, so we can examine and give you a more informed answer.  I have been performing Fat Transfer procedures for over 15 years.  Not all patients are candidates for Fat Grafting to the Breasts.  Depending on how your mammary tissue is, and whether you have enough fat to be grafted, and what areas we will be grafting that fat from.  The most a woman can go up in volume in one sitting would be one cup size.  You could also have a small implant + fat transfer.  And again, photos, and better yet, an in person consultation with experts in Fat Grafting would be essential to determine this.  Do your research and set up several consults with Board Certified Plastic Surgeons.  Ask to look at photos of other patients with your body type to see real results.

A fat transfer to your breasts is an alternative to undergoing a traditional breast augmentation with implants. Generally, the procedure can increase your cup size some if you have enough donor fat to harvest from other areas of your body such as waist, back, flanks and thighs. I have had excellent results with  purified fat transfer to the breast but managing expectations with the patient is key. I recommend an in person consult with a board certified plastic surgeon to address your concerns, discuss risks and form a cosmetic treatment plan that best suits your needs.

The increase in size with each session of fat transfer is 1/2 - 1 cup. Increases of 2 or more cup sizes requires two to four sessions of fat transfer. 

Dear CcSirie,in most cases, fat transfer to breasts is used if you want to get moderate increase in size. Breast implants are better option if the patient wants to get 2 or more cups bigger breasts. Without an examination, it is hard to tell for sure whether you are good candidate for fat transfer.  I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

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. Fat transfer to the breast could improve the fullness of the breast, particularly at the top of the breast. If you want more than a one cup size increase, this may require multiple treatments to reach the size you desire.  
Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA