Breast augmentation with autologous fat: fulfill your dream
There are various methods to enlarge the breast. Would you like to be able to wear any dress you like? Do you feel unattractive because of small breasts? Do you have inhibitions about showing yourself naked to your partner? CenterPlast recommends the use of autologous fat to shape the desired breast if it suits the patient’s wishes and conditions.
Opt for a breast that you feel completely comfortable with:
- Finally being able to wear low-cut dresses
- Bringing the body into balance through the right proportions
- Increasing attractiveness through breast augmentation
- Being able to do without annoying push-up bras
What our patients say
Information at a glance
Operation duration
1 hour
Anesthesia
Twilight sleep
Hospitalization
Outpatient
Costs
Aftercare
6 weeks
Thread tension
Self-dissolving threads
Socially acceptable
after 2 weeks
Additions or alternatives
Hybrid breast augmentation / Breast augmentation with implant
What is breast augmentation with autologous fat?
During an autologous fat breast augmentation, the surgeon first gently aspirates your fat cells using microcannulas. The cells are then cleaned, filtered and carefully injected. A gentle surgical method ensures that the transplanted autologous fat grows and the contour of the breast is improved. The transplanted autologous fat cells also serve to increase volume. After consultation, the surgeon will harvest the autologous fat from the following areas of your body:
- Belly
- Inner or outer thigh,
- Po region or
- the inside of the knees.
A minimally invasive and modern method and the right aftercare ensure that the transplanted fat cells heal. Nevertheless, the body breaks down a certain proportion of the cells naturally. Treatment with autologous fat can achieve an increase in volume of up to 30 to 50 percent. If you are aiming for a breast augmentation with your own fat by two cup sizes, you will need two appointments. To achieve the desired result, the treatment can be repeated after three months. Even after breast augmentation with implants, more than one operation is usually necessary. The limited lifespan of implants and the changes in breast tissue make further surgery necessary in the course of life.
The contours of the breast can be corrected in a targeted manner with autologous fat treatment. The décolleté in particular, i.e. the transition from the breast to the neck, is given more fullness by autologous fat treatment. The proportions of the breast become more harmonious and youthful. The enlarged breast looks and feels natural.
Procedure for breast augmentation with autologous fat
Preparation
Before starting the procedure, the surgeon marks the breasts and the liposuction areas in a standing position. They are given medication that relieves their anxiety and at the same time reduces their sensitivity to pain. If you are not sleeping deeply anyway, the most you will feel is that something is happening on the surface of your body.
The OP
The surgeon injects the marked areas to remove the fat tissue cells (“tumescent technique”). Fine microcannulas are used to inject the tissue and suction out the fat. The skin incisions of two to three millimeters are hidden in skin folds. After the tissue has been infiltrated and loosened, the surgeon removes the excess autologous fatty tissue under vacuum using an aspiration cannula. The fine cannulas are inserted via several openings and guided in a fan shape to achieve a uniform suction pattern. The suctioned fat tissue cells are cleaned and filtered. The surgeon then inserts the fat tissue cells into the breast.
After the procedure
The duration of the operation is approximately 90 minutes. The autologous fat method is an outpatient procedure and can also be performed without general anesthesia, in twilight sleep or under local anesthesia.
After the procedure, you will be monitored in a separate recovery room. Once you are fully awake, you may drink something and, depending on how you feel, eat something. At the end of the surgery day, follow-up appointments are arranged.
What do I need to consider before and after a breast augmentation with autologous fat?
Please note the following recommendations for the aftercare of autologous fat treatment.
- Always sleep on your back or side, as pressure on the upper body can interfere with the healing of the transplanted cells.
- Use preformed bras without underwires. These prevent excessive pressure on the treated areas.
- Smoking should be avoided if possible. The toxins slow down wound healing and the healing of the transplanted fat cells is disrupted.
What are the risks of breast augmentation with autologous fat?
Of course, surgery is always associated with certain risks. Liposuction and fat grafting can cause irregularities in the contours. However, the risk associated with this plastic aesthetic procedure is lower than with classic liposuction, which is used to remove fat deposits from the thighs or hips, for example. The transplanted fatty tissue can die if the supply of nutrients and oxygen to the breast is too low.
General risks (inflammation, thrombosis) and the risk that the fat tissue cells will not heal are increased in smokers. Unhealed fatty tissue can liquefy and accumulate in cavities (oil cysts). In rare cases, this fluid must be removed by a puncture with a hollow needle. Larger oil cysts can lead to lime salt deposits.
The early detection of breast cancer is not affected by autologous fat treatment. There is no fact-based evidence that autologous fat treatment promotes the development of breast cancer. A blockage of the bloodstream by the injected fatty tissue is theoretically possible (fat embolism). However, there are currently no reports of fat embolisms in the context of breast augmentation with autologous fat in the world literature.
Nine advantages of breast augmentation with autologous fat compared to breast augmentation with implants
Breast augmentation with autologous fat
Breast augmentation with implants
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
Breast augmentation with autologous fat
Up to 280 ml per breast can be used, depending on body type. In young, healthy non-smokers, at least 70 percent are retained.
Breast augmentation with implants
Implants of 180 to 350 ml are generally used for a harmonious enlargement.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
The aim is to use as much of the patient’s own fat as possible. The desired size can thus be achieved with a smaller implant of 200 to 250 ml.
Breast augmentation with autologous fat
The autologous fat can be inserted individually where it is needed. Lateral differences or irregularities can be corrected in a targeted manner.
Breast augmentation with implants
An implant is inserted approximately in the middle of the respective half of the chest. The height and width can be varied. The shape is usually ergonomic. There are no customized implants.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
The autologous fat is used to emphasize a beautiful and natural décolleté and to compensate for irregularities or a funnel chest.
Breast augmentation with autologous fat
No visible scars remain on the breasts.
Breast augmentation with implants
An augmentation with implants leaves a 4 to 5 cm short scar in the underbust fold or around the nipple.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
As with breast augmentation with implants.
Breast augmentation with autologous fat
The enlarged breasts look completely natural.
Breast augmentation with implants
Larger implants may be palpable or visible from the side, especially in slender patients.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
By using the patient’s own fat, smaller, less visible implants can be inserted. The implant is less visible or palpable under the autologous fat.
Breast augmentation with autologous fat
The breast feels natural and soft. The chest naturally follows the body movements when standing and lying down.
Breast augmentation with implants
The breast may appear firmer, especially with larger implants. The shape of the implant changes only slightly when switching from standing to lying down.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
The larger proportion of autologous tissue makes the breasts look more natural.
Breast augmentation with autologous fat
Patients who have undergone autologous fat treatment recover more quickly than those who have undergone breast augmentation with implants. At the same time, the patient benefits from liposuction in certain “problem areas”.
Breast augmentation with implants
Recovery depends on the position of the implant, but takes about five to ten days longer than with autologous fat treatment.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
| By using the patient’s own fat, the implant can be placed over the pectoral muscle. Recovery is then shorter than in the position under the pectoral muscle. |
Breast augmentation with autologous fat
If you want a moderate augmentation, one appointment is sufficient for a breast augmentation with autologous fat.
Breast augmentation with implants
In the case of breast augmentation with implants, it may become necessary to change or remove the implants in the course of life.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
The removal of a small implant above the pectoral muscle is more manageable than the removal of a large implant below the pectoral muscle.
Breast augmentation with autologous fat
Changes in the breast tissue after breast augmentation with autologous fat can usually be easily differentiated from other diseases by experienced radiologists using an ultrasound examination and/or a mammogram.
Breast augmentation with implants
After breast augmentation with implants, the U.S. Food and Drug Administration (FDA) recommends an MRI scan after three years and every two years thereafter.
Breast augmentation with implants and autologous fat (hybrid breast augmentation)
As with breast augmentation with implants.
Frequently asked questions
According to the World Health Organization, adults with a body mass index (BMI) below 18.5 kg/m2 are underweight. Many believe that breast augmentation with autologous fat is not possible due to the relatively low body fat percentage. Many slim women with small breasts are underweight, and many are concerned about breast augmentation when thinking about their own bodies. A study by Chiu was published back in 2014, proving that breast augmentation in underweight women can be performed safely and with good results. The fat cells can be taken from the abdomen, waist, hips, thighs or calves. On average, over two hundred milliliters were injected per breast. An increase in breast circumference of almost four centimeters was achieved. Almost ninety percent of patients were satisfied or very satisfied with the result. This is also consistent with our experience.
Breast augmentation with autologous fat is the most ideal procedure for patients who want a moderate breast augmentation and a natural result. 300 to 400 ml of adipose tissue is required to obtain the adipose tissue cells. This corresponds to an increase of one cup size. Small fat deposits on the stomach, inner or outer thighs, buttocks or inner knees are sufficient for this.
Visit our main female breast page to find out what to expect during a breast surgery consultation.
If you would like to find out the price of a breast augmentation with autologous fat, try our price calculator now. In just a few clicks, you can find out how much this breast surgery will cost.
You will certainly have found numerous reviews on our homepage in the lower section. You can find specific patient testimonials, reviews and experience reports on breast augmentation with autologous fat on the testimonials page.
AUTHOR
Dr. Stéphane Stahl
We provide you with extensive expert knowledge in order to select the best possible treatment path together with you.
Privatdozent Dr. med. Stéphane Stahl is the former Director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at Lüdenscheid Hospital. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin.
He passed the European specialist examination for plastic and aesthetic surgery in 2011 and the German specialist examination in 2012. This was followed by further specialist qualifications and additional qualifications (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officer, hand surgery) as well as prizes and awards.
In 2015, he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, sought-after expert witness and regular speaker at specialist congresses. Following a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery.
His authorship includes numerous articles in prestigious peer review journals and standard surgical textbooks.
You might also be interested in
Personal advice
We take time for you and offer you customized advice and treatment for your individual result.
