Breast augmentation by fat grafts is a completely natural process that does not use any implants to increase the volume and fullness of the breasts. Though saline implants or silicone implants may still be necessary to accomplish larger breasts, breast augmentation by fat grafting has helped numerous women to achieve a naturally augmented breast. The procedure is a least invasive procedure, which uses the body’s own fat from extra fatty areas like hips, thighs, tummy or butt and transfers it to the breasts to improve the shape and size of the breasts.


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  1. Liposuction is performed on the hips, thighs, buttocks or other areas so a better body contour can be achieved.
  2. The augmented breasts show the most natural results with an added benefit of liposuction in some fatty areas of the body.
  3. It is a least invasive procedure which involves no large incisions unless breast implants are used.
  4. No such serious risks are involved in the procedure since it uses your body’s own fats.

Fat transfer to the breast involves two distinct procedures- harvesting and injections. The fat cells are obtained through several types of liposuction procedures like laser liposuction, ultrasound assisted liposuction or water assisted liposuction. After extracting the fat cells, they are processed and made ready for transplantation. The fat processing includes removing anaesthetics, lipids and medical fluids from the fat. Ultimately the goal is to achieve a healthy fat cell after keeping aside any other tissues. Removing such unwanted substances from the fat cells increases the chances for a successful fat transfer.

However, after processing the fats, they are carefully injected into the space between the skin and the breast capsule in desired areas. The surgeons use meticulous techniques to sculpt the breasts as desired. Using only fat transfer for breast augmentation can produce the least enlargement because some of the injected fat will get absorbed by the body. Therefore, the desired results cannot be achieved in the initial procedures. Approximately, one to three fat transfer procedures must be performed to achieve the desired outcome. It has been estimated that only 60 to 80 percent of the injected fat adds to the volume of the breasts, rest gets absorbed by the body.

The entire procedure takes about four to six hours for harvesting and injection. Patients can normally resume light activities within a week. But strenuous activities and exercises must be avoided for several weeks. Immediately after undergoing the procedure, the candidates mostly experience some swelling, bruising and discomfort at the fat donor site and at the injection site. The minor persisting discomfort can easily be controlled with medication, prescribed by the surgeon. It is very important for the candidates to follow the post-surgical instructions from the surgeon to allow the breasts to heal completely.

With breast augmentation via fat grafting, the shape of the breasts can be improved and the cleavage of the upper breasts may also be enhanced. But only a single bra cup size can be enhanced with fat transfer. So it is very important for the candidates to keep a realistic expectation from the surgery. Candidates who want to achieve a dramatic result must opt for breast augmentation using implants. Though surgeons may choose to combine both the procedures to accomplish a natural appearance.

Larger breasts may also tend to sag due to natural ageing, gravity or fluctuations in weight. Just like other breast procedures, injecting fat into the breasts may also give rise to lumps, cysts, etc. Some of the cysts may be cancerous, however, most of them can easily be eliminated by a simple office procedure.

The fatty tissues must be harvested gently and therefore, the procedure can take longer than breast augmentation using implants. The entire procedure is performed on an out-patient basis with an additional benefit of liposuction of certain areas with extra fat. However, the preparation must be initiated few weeks before undergoing the actual procedure. The surgeon may ask to wear a special external expander called Brava, which will help the body during the fat injections. The changes made in the body will be slow and progressive. The pressure of the expander will help the body to generate new tissues and blood vessels, which will create space for the fat injections.

Before & After

Procedure Surgeon in Mumbai

Procedure FAQs

Q Is it a safe procedure?

Natural fat transfer procedure is safer than any other procedure since it uses the body’s own fat and does not require any foreign substance like silicone or saline breast implants.

QWhat are the side effects of the procedure?

The risks are minimum and temporary, yet it may include complications like the formation of breast lumps, rippling, asymmetry, infection, a formation of cysts, etc.

QWill it leave behind scars?

Since the procedure leaves no incisions, the possibility of scarring is also minimum.

QDoes the procedure hurt?

Breast augmentation via fat transfer is performed under anaesthesia and it is almost a painless procedure. Patients mostly feel minor soreness at the injection sites, which can be managed with medications.

Sameer Karkhanis, MD

Board-Certified Mumbai Plastic Surgeon

Chief Plastic Surgeon & the Director at CCRS is a qualified Aesthetic Plastic and Reconstructive Surgeon. He is Board Certified, with the qualification of DNB Plastic Surgery (Diplomate of National Board). He is an active member of the International Society of Aesthetic Plastic Surgery.


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