Will auto augmentation give me fuller breasts? (Photo)

Thank you for your question. Auto augmentation is commonly performed to reposition your existing breast tissue to create fuller upper poles. In addition, fat can also be grafted to the upper poles to provided added fullness. It is best to have an in-person examination with a board certified plastic surgeon to discuss specific details of the procedure. Hope this helps and good luck!  

Although auto augmentation can be done with a breast reduction, the results aren't fantastic. If you are looking for some more upper pole fullness and don't want an implant, speak with your surgeon about fat grafting. It could be a good alternative for you. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Thanks for your inquiry. Using your own breast tissue in the lift pattern can enhance the upper pole, but the volume often settles. You could proceed without an implant and always add an implant or fat grafting in the future to augment the upper pole.  

You need a breast lift with tissue reduction. The tissues initially will look fuller, but gravity usually wins out and the upper breast fullness decreases with time. You may eventually want a small implant to give fullness to the upper portion of the breast, but I ask my patients to wait a few months before doing this to allow the swelling to go down so that we can evaluate the true shape of the breast. Not all patients elect to have an implant after living with their better sized and shaped breast.Be sure to get a couple of opinions from board certified plastic surgeons.

The technique of auto augmentation uses your breast tissue in hopes of filling out the upper part of the breast. Although it doesn't provide the same fullness as implants it can help provide some fullness. It does fade over time though an as long as your expectations are realistic it should help 

Based on your photos I think that you could get a nice result with more of a mastopexy with a small amount of reduction if you want to have a little less volume to carry around, but still maintain a full upper pole.  The more that you reduce your over all volume the more likely you will be to lose upper pole volume.  You should meet with a plastic surgeon to discuss exactly what your goals are after surgery and look at some postop photos to show what their average patients look like with similar issues.  Best of luck on your journey.

Auto augmentation is an approach that can be combined with a breast lift or breast reduction. It uses your own tissue to add more upper pole fullness to the breasts. It is different than a fat transfer. As you already are interested in a reduction it makes sense to explore the option of auto augmentation versus an implant. I've included a video on this approach that I hope you find helpful.

Auto augmentation can be part of a reduction but the results are not amazing and they do fade with time. As an alternative to implants you should consider fat grafting.  ThIs can give significant upper pole fullness much more reliably.  I wood talk to a board certified PS in your area to help you determine the amount of volume change you need to help decide what will work best for you.Good luck!

Thank you for your question.  If you are requiring a breast reduction, the reduction can be performed in such a way to reposition some of the tissue in the upper pole for some additional fullness.  In addition, fat grafting can be performed to the upper pole of the breast to increase fullness.  Discuss these options with your board certified plastic surgeon if you really want to avoid the use of an implant.  Best wishes!