Fat Transfer Breast Augmentation in New York City

Breast augmentation with fat transfer allows women to subtly enhance breast size by using a natural alternative to breast implants—their own fat cells. Also known as autologous fat graft breast enlargement, fat transfer breast augmentation is a unique procedure that can achieve conservative increases in breast size by collecting fat from one part of the body and transferring it directly to the breast tissue, naturally increasing breast volume. It should be noted that only very small breast size increases can be anticipated with fat transfer.

Fat Transfer Breast Augmentation Before & Afters

These Fat Transfer Breast Augmentation before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

“As I approach the one-year anniversary of my breast augmentation, I continue to have nothing but the most positive feelings about my "new" self. I constantly think about how Dr. Kolker and the rest of his staff were so very helpful and caring throughout the entirety of my time with them.”

— K.D. / New Jersey

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Fat transfer breast augmentation is an alternative to be considered for very select individuals instead of a typical breast augmentation with saline or silicone breast implants.

For women who desire a small increase in breast size (approximately ¼ cup size), who may also have areas of fat excess for which liposuction treatment is being contemplated, fat transfer breast augmentation may be ideal. For those that desire a greater breast size increase, breast augmentation with breast implants is preferred. There are certainly several advantages to consider with breast enlargement using your own fat cells, which include no incisions (only needle access sites are used), shorter downtime, and no implant “maintenance” (breast implants will likely need to be replaced at some point in the future).

Benefits of Fat Transfer Breast Augmentation

For patients considering breast augmentation with fat transfer, the following may be advantages:

  • No breast incision – fat cells are “harvested” and then transferred to the breast through tiny needle sites
  • No need for implant “maintenance” – breast implants will likely need replacement in the future (10-20 years), whereas the results of fat transfer after graft “take” are long-lasting without the need for implant exchange
  • No breast implant “downsides” – which may include leak or capsular contracture
  • Liposuction – as the fat cells used for autologous fat breast augmentation are “harvested” from areas of relative excess including the abdomen and thighs, liposuction is a necessity; these areas can be sculpted and contoured as part of the breast enlargement with fat procedure.
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The best fat transfer breast augmentation candidates desire an increase their breast volume by approximately one quarter of a cup size. There must also be sufficient fat elsewhere from which to harvest the fat grafts for breast augmentation.

Ideally, women should have a body mass index (BMI, a reliable measure of body fat) of below 25 kg/m2, have a normal mammogram, and no personal or family history of breast disease.

The nuances of the fat grafting procedure, and how autologous fat transfer for breast augmentation impacts routine breast surveillance, must be discussed in detail with a plastic surgeon certified by the American Board of Plastic Surgery, and who has considerable experience with all forms of breast augmentation including breast enlargement with fat transfer. Dr. Kolker will ultimately determine the candidacy of each individual, and will make specific recommendations about the breast fat grafting procedure and its alternatives.

Managing Expectations with Fat Transfer Breast Augmentation

It must be reiterated that only very small increases in breast size can be anticipated with autologous fat transfer. If one’s desire is to achieve breast enhancement of approximately one half cup size or more, breast augmentation with breast implants should be considered.

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Breast enlargement with fat transfer incorporates two procedures that are performed simultaneously—liposuction, which enables the harvest of fat cells, and the fat grafting procedure itself, wherein the harvested fat is carefully prepared and then transferred to the breasts.

During the initial consultation, Dr. Kolker will assess anatomic contour, and will discuss your desires in detail. Areas of excess fat that may include outer thighs, inner thighs, tummy, the lumbar region, and elsewhere will be evaluated, and the regions that will best contribute to fat transfer as well as improved body contour will be identified. The benefits of autologous fat grafting to the breast are therefore twofold, in that body contouring of the “donor site” is a necessity.

Fat harvest is performed using liposuction techniques through tiny needle access sites. Dr. Kolker aspirates the fat required for fat transfer to the breasts by hand, rather than with a suction aspirator, to gently remove the fat cells and to maximize fat graft “take”. The fat is prepared meticulously, and is then transferred through small needle sites to the breast. The fat transfer process requires finesse and delicate technique to carefully thread the cells into multiple planes of the breast to promote the best fat transfer breast augmentation results.

The Brava® System

The best fat transfer results are achieved when the grafted fat cells are placed in close proximity with a rich blood supply within the tissues. To promote a well vascularized “scaffold” for the acceptance of fat grafts to the breast, Dr. Kolker often uses the Brava system. Worn on the breasts for a designated time before surgery (ranging from days to weeks), the breasts are “expanded” in preparation for fat grafting. This process alone will temporarily engorge and enlarge the breasts, although without fat grafts the enlargement would be transient only. After appropriate engorgement and recruitment of blood supply with Brava, the results of fat transfer to the breasts may be more reliable and long lasting.

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for Fat Transfer Breast Augmentation

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