Surgical vs non surgical breast fat graft?

Question

Initially I was interested in a traditional breast fat transfer with traditional liposuction, but upon further researching it i grew concerned about the side effects, namely necrosis and liposuction lumps. Is the non surgical option safer?

Alan Gonzalez, MD, FACS · Answer

Hello @ziggy.inc, thank you for your question. A fat transfer surgery to the breasts or buttocks is always safe when performed by an expert. I have no experience with non-surgical fat transfers. All surgical fat transfer procedures involve reshaping the body's shape through the extraction of adipose tissue that is then treated in order to enhance the buttocks. Technique, experience, and technology used by the plastic surgeon determine the success of the surgery. For more information, you should consult one or several board-certified plastic surgeons. Best wishes! Alan Gonzalez MD FACS

Daniel Barrett, MD · Answer

Dear ziggy.inc,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

I’m
Not familiar with this non surgical fat transfer. I’m sure it’s just another gimmick. Conventional fat transfer not so great either

Connie Hiers, MD, FACS · Answer

All fat transfers involve surgery. Implants are still more consistent that fat grafting, but fat grating can be repeated for more volume.

Mats Hagstrom, MD (license on probation) · Answer

I think you may be confused by marketing spin and hype. You cannot have fat transfer without having liposuction. Liposuction has, in fact, changed very little in the last 40 years. I suggest not trying to differentiate various technologies or equipment used as being of any particular importance when it comes to quality body contouring.
The only realistic nonsurgical alternative to Liposuction is fat removal with devices like coolsculpting or injection with chemical fat destruction. Neither of these techniques hello harvesting a fat for fat transfer.
You’re fat transfer results. There are only two variables that are of significant importance. The first is patient’s candidacy , and the second is the Competence of the provider.
I suggest not spending too much time, trying to differentiate between all the spin in height of various brand names and so-called “technological advances”. In reality, Liposuction is still a small state is connected to a source of vacuum and all forms of Liposuction use this same device that’s been around for decades. Heading secondary treatment like ultrasound for laser add Little in comparison to choosing a sufficiently talented provider.
Plastic surgeons have the tools they need to do their job. Weather they can do the job well or not there’s not have to do with their equipment but rather their inherent skill. 
Candidacy is also very important. Some people are simply not good candidates for Liposuction or for transfer or both, and these people will never have quality results regardless of who does the procedure. Other patients are average candidate, and some are exceptional candidates. Only exceptional candidates have the potential to get exceptional outcomes. A patient who is an excellent candidate has the potential to have an excellent outcome, but can also be left disfigured if provider selection is insufficient.
To get a quality assessment and begin vetting plastic surgeons I recommend patients have multiple inperson consultations. During each consultation ask providers to open up their portfolio and show you their entire collection of before and after pictures. An experienced provider should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures.
Best,
Mats Hagstrom, MD

Surgical vs non surgical breast fat graft?

Answers (5)

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