What Technique is Best for Grafting Fat for Breast Augmentation?

im planning to do fat transfer to augmentation. However there are a lot of different methods to graft fat. which is the best method to graft fat without killing them?

Doctor Answers 7

Fat grafting

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The fat needs to be harvested using gentle techniques  without the use of ultasound or lasers and then strained so the pure fat can be reinjected

New York Plastic Surgeon

Fat Grafting the Breast

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      Fat grafting success is largely technique dependent.  Laser, energy, or heat sources used to harvest the fat may cause harm to the fat.  The fat is harvested with low suction, separated by one of several methods, and then reinjected through multiple small volume, multiple plane passes. 


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I still think that this is a terrible operation. If you want bigger breasts get breast implants, saline or silicone. In 10 years you will be unhappy  you had fat grafts put in your breasts. That is my personal opinion.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Fat grafting for breast augmentation

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Fat grafting is being performed by some surgeons for primary breast augmentation.  There are many different techniques and some use the BRAVA system with it to potentially enhance the take of the fat. 

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast Fat Grafting Techniques.

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Hello Emily, thanks for the question.

The MIAMI protochol has show very good results for breast fat grafting in both breast reconstruction and cosmetic breast augmentation.  This involves using a Brava unit (external suction cups) before and after surgery to improve fat take.  This is most important if the patient has young tight breasts.  If the tissue is not as tight than the external expander (the Brava Unit) can be omitted.  The best techniques involve harvest of fat, purification, and immediate grafting with small cannulas with very little fat grafted per tunnel that cannula is placed into the breast.  Immediate fat grafting (rather than freezing and storing for future fat grafting) provides more live cells that are undamaged, and I feel increases the amount of take of the procedure.  Also, injecting small amounts of fat per tunnel, and having more tunnels per procedure also increase take in that the fat cells are better surrounded by blood vessels able to feed and incorporate these fat cells permanently. 

Best Wishes!

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Best technique for Breast Augmentation via Fat Grafting

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Many experts believe that the best results are obtained by external expansion of the breast skin in order to enhance the blood supply of the breast and render it more soft and supple to more easily receive the grafted fat. This is commonly achieved using a breast pump device that is worn at least 10 hours a day for up to 4 weeks prior and after each fat injection session. Although the grafting can be performed without this pump, the results are not likely to be as successful and it is considered essential to optimize the outcome.

The fat is aspirated from the abdomen or thighs using a syringe method or modified suction technique.  The fat is typically purified and then transferred to smaller syringes where it is injected into the desired areas.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Which method for fat grafting?

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Hello Emily. Thanks for your post. The reason there are many variations of techniques for fat grafting is that they basically all work. The success of a technique also seems to be related to the operator. Therefore, find a plastic surgeon with experience who can show reproducible results with his/her technique. Best wishes. Dr. Aldo.

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 215 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.