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FAQ: Frequently Asked Questions about Breast Augmentation with Fat Transfer

Kelly Vasileiadou
3. November 2023
How does liposuction work, how the injection into my breast? How long do results last and can I still breastfeed afterwards? Women who are interested in breast augmentation by fat transfer often have many questions. In this FAQ I answer the most urgent of them.

As an experienced aesthetic surgeon, the well-being and satisfaction of my patients is of particular concern to me. I frequently receive questions about breast augmentation using autologous fat – a procedure that links naturalness with aesthetics. Many of my patients are interested in this innovative method as it is a particularly gentle way of breast augmentation.

But with the decision come many questions that understandably need to be answered. Therefore, I will address the most frequently asked questions of my patients below. This will give you the best possible basis for making a good decision and choosing the right treatment.

Q: What is breast augmentation with fat transfer anyway? 

A: Breast augmentation with fat transfer is a surgical procedure in which fat tissue is suctioned from other areas of the body, usually the abdomen or thighs, and then injected into the breasts. This procedure offers a more natural alternative to breast implants because no foreign material is introduced into the body. Fat transfer can improve both the volume and shape of the breast. Since the transplanted fat comes from the patient’s own body, there is usually no rejection of the tissue.

Q: What are the advantages of breast augmentation with fat transfer compared to implants?

A: Unlike implants made of silicone, for example, fat transfer is more natural, with no foreign bodies. It results in an overall softer, more natural feel and does not cause implant-specific complications because the body’s own tissue is used. The procedure can also be used to correct breast irregularities.

Another advantage is simultaneous liposuction in other areas, which can be used to improve body contour. However, breast augmentation with fat transfer is limited because not as much volume can be added as with implants. Read more about the differences between breast augmentation with autologous fat and breast augmentation with silicone implants in the article linked here.

Q: Am I suitable for breast augmentation with fat transfer?

A: The main precondition for breast augmentation with autologous fat is that you are healthy and have sufficient body fat for liposuction. In addition, it is essential that you have realistic expectations. The fat transfer procedure is not suitable for drastic breast augmentation.

Q: How does the exact procedure of liposuction work?

A: Breast augmentation starts with fat removal through liposuction. The liposuctioned fat is processed and later injected into the breasts. In this way, you can generate volume and achieve your desired shape. For liposuction itself, a cannula is inserted into the fat layer, generating heat by laser. As a result, fat cells are liquefied and removed. Areas of the body such as the abdomen, legs, hips, back of the knees, buttocks and arms are suitable for fat removal.

Q: How is the autologous fat inserted into the breast?

A: The suctioned and prepared fat is transferred into special injection syringes. I then use fine needles to precisely inject the fat into the breast tissue in various layers. Through careful, even distribution, I ensure an aesthetically pleasing shape.

 For an optimal result, I work closely with the patient. In this way, I ensure that we achieve the desired breast size and shape. The entire procedure is performed under sterile conditions and requires the highest level of precision.

Q: What risks and side effects should I be aware of? 

A: Risks associated with breast augmentation by fat transfer include infection, asymmetry, irregularity, and the possibility that some of the transplanted fat may be absorbed. In cases of such fat absorption, multiple sessions may be required to achieve the desired result.

Q: How much fat do I need to significantly increase my breast size? 

A: My experience shows: The amount of fat needed varies from patient to patient and depends on their individual goals and the amount of fat tissue present in each case. Typically, liposuction involves the removal and injection of several hundred millilitres to one litre of fat per breast to achieve visible results.

Q: How long does the healing process take for breast augmentation with fat transfer?

A: The healing process usually takes several weeks. The first few days are often accompanied by swelling and mild pain. It may take several months to fully heal and achieve the final result.

Q: How long do the results of breast augmentation with fat transfer last? 

A: The results are usually long lasting. However, there may be some depletion of the transplanted fat (resorption). The shape of the breast may also change slightly over time. Experience has shown that a healthy lifestyle helps to maintain the beautiful result as long as possible without loss of volume.

Q: Are there any scars from the procedure?

A: Only small incisions are required, once for the liposuction and once for the injection. Thus, scars are usually minimal and rather inconspicuous. In addition, most are in hidden locations. During our consultation together, I will address your needs and expectations.

Q: Will I have pain and how will it be treated?

A: Moderate pain is normal after the procedure. This can be controlled with pain medication. Patients can usually tolerate this pain well and it subsides over time.

Q: What is the cost of breast augmentation with fat transfer?

A: Costs vary greatly depending on location, surgeon and individual requirements, including liposuction. Consideration is given to the procedure itself, hospital stays, anesthesia and possible aftercare costs. The overall cost of breast augmentation with fat transfer is lower than placing implants. However, multiple sessions are often required.

Q: What physical limitations will I have immediately after the procedure? 

A: Strenuous activities and sports should be rather avoided during the first weeks after the surgery. Of course, I will give you specific aftercare instructions to take home after the procedure, which will support the healing process as best as possible.

Q: Can I continue breastfeeding after breast augmentation with fat transfer?

A: The impact on breastfeeding ability may vary. In some cases, breastfeeding remains possible after the procedure. However, there is no guarantee of this. Therefore, it is important that we address any questions you may have about breastfeeding during your personal consultation.

Q: Are there alternatives to breast augmentation with fat transfer? 

A: Yes. Breast implants are an alternative option for breast augmentation. As a surgeon, I am happy to explain the advantages and disadvantages of both methods and help you discuss them to make the best decision for your individual needs.

About Dr. Kelly

Dr. Kelly Vasileiadou

Specialist FMH for Surgery
Beauty is not perfection. Refining your face or body image to enhance or restore your natural beauty – that is my mission. Your trust commits me to providing you with excellent medicine and exceptional care. My team and I work tirelessly to satisfy you. That’s what I stand for with my name.

Schedule your appointment with Dr. Kelly® today.

Before you decide on a treatment, you have the great opportunity for a personal consultation. Our goal is to care for you not only medically, but also from person to person.

Dr. Kelly® | Aesthetic Surgery and Medicine
by Dr. Kelly Vasileiadou

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CH-6333 Hünenberg See

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