Does a second round breast fat transfer cost the same as the first?

Thank you for your great question. The real answer to this is that it depends on the practice and the surgeon. If the second round procedure is identical to the first in terms of time and supplies, then likely those fees should remain the same (OR fees, anesthesia fees, supplies, etc.). The surgeon fee is where there might be some wiggle room. If your surgeon feels like his or her work is exactly the same, they might charge you the same fee. If they feel like because you are a return customer, you deserve a discount on their professional fee, that is up to him or her. Only way you are going to know that is to have a conversation with your surgeon.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Dear AnnonQuestions,Every surgeon has a revision policy. Many involve reduced or even no fees for the surgeon (depending on the situation) while the patient may still be responsible for facility (the use of the operating room, staff, and supplies) and anesthesia fees. Best to go back to your surgeon and have a talk about your concerns again. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Costs can only and reliably be discussed with your individual Practice. Additionally, I am not a proponent of fat transfer as a primary procedure because  the goals can rarely be achieved or maintained. Generally speaking, each surgical procedure has its own individual and separate costs.

 Fat transfer to the breast is a nice way to augment breast volume by a half to almost one full cup size depending on the patient and the availability of fat harvest sites. In general, you really can’t put it more than 200-300 cc of fat at a time (more on larger breasts, less on smaller breasts) as the permanence of the fat decreaseds as more tension is placed on the delicate tissues. Therefore, if you are really looking for a larger increase in volume than one cup size, fat transfer may not be the best option for you. If you need a second transfer, it will most likely be at a reduced rate but still cost several thousand dollars. In general, fat transfers cost more that implant augmentation because they are more demanding procedures and take more time to complete. Hope that helps. Please ask your PS these questions before signing up for any procedure. 

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.  The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast.  
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.   About 50% of the fat obtains permanence.  Costs will vary with the demand for the PS and the difficulty of liposuctioning and transferring the fat to the breast; suggest that you follow you with the PS who performed your first breast fat transfer to discuss cost for the second transfer.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA