You may have seen through social media and on recent cosmetic surgery websites, that some medical practitioners are advocating that you can have breast augmentation with your own fat as an alternative to breast implants. Fat transfer has increasingly gained popularity in the last 5 years, particularly as part of breast reconstruction after cancer, where we use it routinely.
However, trying to use your own fat to create an acceptable breast augmentation result is very difficult indeed. Fat is inherently soft, and it is difficult to get the projection that can be reliably achieved with implants. Further, the amount of fat that survives the transfer is unreliable, and is never more than 50 % of that injected.
It means the procedure must be repeated at least once, usually twice. And the extensive liposuction that is required raises the very real risk of irregularities and contour deformities in the areas where the fat is harvested, particularly in slim patients.
Because of these problems, most experienced plastic surgeons would only use fat as an adjunct, or in addition, to an implant, particularly to enhance the ‘cleavage lines’ or to narrow the gap between your breasts.
Beware the practitioner promising perky, natural looking breasts using your own tissue, without the need for implants. In reality, the end result could be saggy, droopy, very expensive, and not wait you expected.
If something seems to be too good to be true, it almost invariably is.
Breast Augmentation Procedures by Mark Ashton:
Professor Mark Ashton is a Melbourne-based plastic surgeon who specialises in breast augmentation procedures using the latest in breast enhancement techniques.
As former Head of Plastic and Reconstructive Surgery at the Royal Melbourne Hospital (2001-2016), Mark enjoys a reputation as one of Australia’s most respected and internationally renowned plastic surgeons.