Can I get fat injections for nipples instead of filler?

Thank you for your query. Fat injections can be used for nipple enhancement and I have done it a few times with good results. More than one session may be required. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Dear realself.fanatic,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Fat transfer to the nipples could be tried but I would not expect much from it. Fat transfer is a hit or miss procedure at best. If you haven’t had children I would worry about the fat damaging the milk ducts

The answer is absolutely. Fat is the gold-standard filler. Fat injections (also known as fat grafting or lipofilling) to the nipples can be performed to address concerns such as nipple atrophy, irregularities, or to enhance their appearance. This procedure involves using your body's own fat harvested from another area (typically through liposuction) and injecting it into the nipples to add volume or improve their shape.

It can be tried, but it does not always work well. I have mainly used it for nipple reconstruction after mastectomies and have gotten fair results. Nipples are designed to shrink and expand and not all fat injected will survive. Try it if you want.

In order for fat transfer to be a viable option there Has to be sufficient host tissue to support the grafted fat. The nipples are going to be a complicated area to graft fat and the chance of having long-term high percentage of fat survival is going to be challenging. Whenever reviewing fat, transfer before, and after pictures, always confirm the time interval of when after pictures were taken. Early fat transfer results can look very impressive but not in any way represent final long-term outcomes. I don’t think fat transfer to the nipples is going to be a high-quality consistent procedure.
You can probably find plastic surgeons willing to try but finding ones who have a proven track record is going to be a different story.
My recommendation is to stick with Fillers.
Best,
Mats Hagstrom, MD