What are the advantages and disadvantages of fat grafting ?

  • Fat grafting is a technique that has been around for a long time, but more recently growing in popularity.

  • Fat is one of most well tolerated fillers available. Its natural­appearing result lasts a long time, and is considered very safe.

  •  Perhaps most importantly, it spares the patient the inherent risks associated with breast implants. 

  • There are three obvious advantages for the use of fat grafts for breast augmentation. 
    • You achieve larger, natural feeling breasts without the need for an implant. 
    • There are no large scars on the breasts.
    • Areas of fat on your arms, back, abdomen, or thighs that are resistant to exercise and dieting, are sculpted and reduced in size. 

  • There are disadvantages, too. The amount of fat that survives the transfer procedure is not 100%. The permanence of the fat is determined after about 4­6 months. 
    • Surgery takes longer than a standard breast augmentation with implants, because the liposuction and fat processing portion of the procedure adds extra time. 
    • The breast size increase is limited to the availability of the donor fat and the space available within your own breasts. Don’t expect to increase your cup size from an A to a D after one surgery. If this type of an increase is your goal, the natural breast augmentation may be accomplished by staging your surgeries. 
 What is a Breast Augmentation with fat transfer?

Breast augmentation with an autologous fat transfer is a natural breast enhancement procedure that is done without the use of implants.  Unwanted fat is taken from elsewhere on the body and injected into the breast site. Because some of the fat that is injected into the breasts during the procedure is reabsorbed by the body, the initial results may appear different than anticipated. Dr. Chao inserts more fat than necessary to compensate for the fat that doesn’t survive, which can be 20% or more. Patients are typically very satisfied when they see the enhanced contours of their breasts, which look and feel natural. 

Click here for traditional breast augmentation information.

 Breast Augmentation with Fat Transfer

Chao Plastic Surgery | Latham, NY

Who should consider Breast Augmentation with Fat Transfer?

- Women who prefer not to get breast implants or desire a more “organic” or natural enhancement to their breasts. 

- Patients who have areas of unwanted fat elsewhere on their bodies. 

How is the procedure performed?

The procedure is done on an outpatient basis and is performed under general anesthesia. 

The procedure is done is three main steps;

  • Liposuction: Dr. Chao removes the unwanted fat from the agreed upon areas of the body such as the abdomen, hips, “saddlebags”, or thighs.
  • Purification: The fat cells collected during the liposuction procedure are purified, removing fluids and any damaged fat cells. This step ensures only healthy fat is used for your augmentation. 
  • Augmentation: Dr. Chao injects the purified fat cells into the breasts with tiny specialized cannulas, making sure the enhanced contours maintain a natural appearance. 

The liposuction is performed with a technique called tumescent liposuction. During this procedure, Dr. Chao injects a tumescent solution containing local anesthetic directly into the treatment area. This technique eliminates pain and reduces bleeding during the procedure as well as greatly reducing postoperative pain and bruising. 

What is the recovery period like?

The recovery involves at least two separate surgical sites, the area where the liposuction was performed as well as the breasts. Patients are required to wear a special compression garment to keep pressure on the skin where the liposuction was performed. This is worn for several weeks. No drains are required. Bruising, swelling, and mild to moderate discomfort are to be expected. Most patients should plan to take a week or two off from work. Dr. Chao gives you a more detailed timeline based on your specific procedure. Dr. Chao recommends resting after your procedure, however it isimportant to move around your house or take short walks to promote circulation , which is an important part of your healing process. Normal physical activity is discouraged for the first 2-­3 weeks, strenuous activity should be delayed even longer. Individual results and experience may vary.

Jerome D. Chao, MD FACS

13 Century Hill Drive

 Latham, NY 12110

p 518.203.2582  f 518.203.2583