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

 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