Do you need your pay twice for a breast fat transfer to go from A cup to C/D cup?

Thank you for your inquiry! The fat is transferred during one procedure. The amount of fat that can be transferred depends solely on how much fat can be removed from other areas of the body. If there is not enough fat that can be transferred to achieve desired goals, implants can be added for volume. I recommend scheduling a consult with a board certified plastic surgeon like myself and we can create a surgical plan to best achieve your goals!

Dear leahhxx,
usually if you have two surgeries you will need to pay for each procedure separately. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

In general, you are correct that this will likely take two separate procedures. It is likely that it will require two separate OR/Anesthesia fees that cannot be changed as this is typically based on either the time allotted or the type of procedure being done. However, your surgeon may decide to divide the fees depending on his or her preferences. I would keep in mind however that it is really two separate procedures, as you will typically harvest fat from two separate areas so as to not deplete one area of fat and create contour irregularities and ensure enough quality fat for the transfer. Therefore, even though the end goal of the same, the two procedures truly are separate.

If you are size 32 or 34, each 100 cc is one cup size change. If you are size 36 or 38, each 200 cc is one cup size change. For example, if you are size 32 then you would need 150 cc to change one cup size because not all the fat survives. To go from an A to a C would require a total amount of 300 cc of fat, at a minimum. However, it is very difficult to place that much fat in one setting. Often times you will need 2-3 sessions. You also need a duration of time between the surgeries rather than doing them in rapid sequence. The price of procedures are usually are usually based on time and would have to pay each time.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. In general that really depends on how the consult and quote is structured. Going from an A cup to a C/D cup is a significant increase and would not be able to be accomplished in a single surgery. As such at least two procedures will be required. This would have to be discussed with your surgeon as to how they would charge you for the procedure. But generally, cosmetic surgical procedures are charged by time, so if you’re having two surgeries, that would be around double the cost of a single procedure. Whether the surgeon charges you for both procedures at the same time upfront, or for each individual surgery, it’s up to whatever you and the surgeon agree on.

The amount of fat that can be placed into tissue is restricted by numerous factors. The recipient area needs to be sufficient to allow graft to receive a blood supply and survive. What the 'maximum amount of graft' is for a given area is based on surgeon experience, and multiple rounds are required to achieve a desired result. Another restriction on graft volume is pressure. If the tissues are tense after a given amount of graft placement, then no more graft should be placed. Fat grafts have no structural rigidity, and cannot expand tissues that have tight elasticity. So, even after a first round, you may be surprised that you did not even reach a B cup. Any subsequent round would require the tissues to regain some laxity before adding more graft, something that may take some time. In fact, I know of no published data of fat grafting to a breast that increased the size of the breast from a A to C, nevermind a D. So, yes, you would need to pay for each surgery and no change in size would be guaranteed. Your best option is breast implants, which are safe, predictable, have a quick and easy recovery, have a far lower complication rate than multiple sessions of liposuction without risk of donor site defects, and achieve a shape that is aesthetically pleasing.

There are no standard rules for what you are asking. You probably would get charged twice and there’s a good chance that you can’t get as large as you want. Fat transfer is unpredictable so I don’t even do it

Most surgeons charge per surgery. You will have to pay surgical fees and anesthesia fees twice if two surgeries are done. You might even need 3 surgeries and still not be a D. Implants will achieve a more stable size.

Each time you open the operating room that supplies the medication the staff, the anesthesiologist all have to be paid so if you want to increase your size by 3 cups sizes, you would need two surgeries in the minimum. So each surgery has a fee associated with us virtual with her more virtual explanation.