Breast augmentation with autologous fat

Many of our patients already come to us with clear ideas of their breast augmentation. Often, they are looking for a particularly gentle and natural surgical method. For many women this implies the desire not to have an implant inserted and to keep a breast that moves naturally and stays soft. A wish that we like to respect, as a breast augmentation with autologous fat is in principle no problem.

For whom is breast augmentation with autologous fat suitable?

An important prerequisite for breast augmentation with autologous fat is that the breasts show no abnormalities due to previous mammography. In addition, only patients with the appropriate amount of autologous fat are eligible for this procedure. It can be assumed that about 500 cm³ of fatty tissue are needed per breast. In some cases, weight must be increased in advance. At the same time, the skin around the chest has to be stretched, this happens with negative pressure and with the help of a special bra. If an enlargement with implants has already been applied, the stretching treatment is mostly omitted.

What are the advantages of breast augmentation with autologous fat compared to implants?

The procedure can easily be performed in conjunction with liposuction. The prerequisite is, of course, that enough fat is available in the patient – about twice as much fat is needed, as will later be used for the breasts. We use waterjet-assisted liposuction to separate blood and water and clean the fat. Afterwards we inject the pure fat exactly where it should be. For soft and symmetrical breasts the procedure is particularly well suited. In addition, our patients recover much faster compared to conventional implant surgery. Possible disadvantages of breast augmentation with autologous fat: The body may degrade the autologous fat over time. In this case, the procedure would have to be repeated. Also important to know: The breast can be extended with autologous fat only up to a cup size, with implants, the scope for the required cup size is significantly larger.

Only autologous fat for your breasts?

In the treatment we use only the body’s own fat. We see no reason for a breast augmentation with autologous fat and enriched stem cells – in our view, the long-term risks are unclear, the costs are much higher and the results are no better than with the “pure” autologous fat injection. With the help of our suction system, your fat cells stay “alive” and quickly reconnect to their new environment. To optimize the result, you can also add autologous blood treatment in which case you should abstain from anything that causes fat burning. Do not exercise, diet, or visit the sauna for eight weeks.

Risks of breast augmentation with autologous fat

Since it is primarily a liposuction, the same complications may occur. These include waves, bumps, thrombosis, infections or scars. In addition, bruising and swelling have been observed in several cases. The recipient area also carries the risk of wound infection. Smaller calcifications occur regularly, but are fairly evenly distributed and easy to recognize. Overall, however, experts are unanimous in the opinion that the changes are far less conspicuous than, for example, in a breast reduction.

Before and after the procedure

We clarify all questions as well as the complete course of the treatment in advance with our patients in the context of a detailed consultation. It must be clarified, inter alia, whether there are possible pre-existing conditions or sensitivities that speak against the general anaesthetic or the procedure. In any case, the breast must be examined for a possible cancer – mammography in advance and one year after the procedure is therefore mandatory.