Breast augmentation by Lipofilling

Breast augmentation with autologous fat: Information at a glance

duration of the surgery approx. 1,5 hour, surgery under general anesthesia
anesthesiageneral anesthetic
hospital stayoutpatient
Post op6 weeks sports bra
socially acceptableimmediately, exercise after 2 weeks
Costsfrom 5.500,00€ + anesthesia costs per procedure

Natural breast enlargement without implants

Many women want a natural breast enlargement, without silicone implantsBreast augmentation with your own fat fulfills this wish, as it increases the breast gentle way shapes and enlarges without the use of foreign bodies. The result: a breast that feels soft, moves naturally and looks aesthetically harmonious.

Who is breast augmentation with autologous fat suitable for?

  • Ideal for women who want a gentle, natural enlargement.
  • Double aesthetic improvement through breast augmentation & liposuction.
  • No long-term implant care or risks from foreign bodies.
  • Faster healing and barely visible scars

Requirements for breast enlargement with your own fat?

  • Healthy breast: No abnormalities in past mammograms.
  • Sufficient autologous fat: Approximately 500 cc of fatty tissue per breast is required.
  • No additional weight gain necessary: ​​fat can be taken from different areas of the body.
  • Realistic expectations: A breast enlargement of up to one cup size is possible.

Important: The procedure is natural, but technically more complex than breast augmentation with implants. Since fat cells are sensitive, two treatments are usually necessary to ensure a permanent result.

Advantages of breast augmentation with your own fat

  • natural result: The breast feels like its own tissue.
  • Minimally invasive: No cuts or foreign bodies, no risk of capsular fibrosis.
  • Faster recovery: Shorter healing time compared to implant surgery.
  • Additional advantage: Can be combined with liposuction.

Procedure for breast augmentation with autologous fat at the Plastethics Clinic

We clarify all questions and the complete course of treatment with our patients in advance during a detailed consultationIt must be clarified, among other things, whether there are any pre-existing conditions or sensitivities that speak against the anesthesia or the procedure in general. In any case, the breast must be examined for possible cancer - a mammogram before and one year after the procedure is therefore mandatory.

The operation takes place in several steps:

fat removal (liposuction):

  • Gentle water jet-assisted liposuction for a high survival rate of fat cells.
  • Simultaneous body contouring through liposuction on the abdomen, hips or thighs.
  • Minimally invasive technique – only small scars (approx. 3 mm) remain.

Fat processing:

  • The removed fat is cleaned and processed in a special lipocollector.
  • The gentle method preserves the fat cells in their natural structure.

Fat transplantation into the breast:

  • The purified fat is injected into the breast using a fine cannula.
  • The glandular tissue remains untouched, so the ability to breastfeed is preserved.
  • Depending on the desired size, two procedures are usually necessary to achieve the best possible result

Risks and Disadvantages of Breast Augmentation with Autologous Fat

  • Fettabbau: Some of the injected fat can be reabsorbed by the body, which is why a second treatment may be necessary.
  • Limited volume increase: A maximum of one cup size is possible – for larger changes, implants are the better choice.
  • Minor calcifications: Calcifications occasionally occur, but are usually inconspicuous.
  • General surgical risks: swelling, bruising, infections or uneven fat distribution are possible.

aftercare and healing

  • wearing one sports bra for 6 weeks on the suctioned areas of the body.
  • Swelling and minor bruising are normal but will subside quickly.
  • No exercise, sauna or diets for at least 6-8 weeks to make it easier for the fat cells to grow

Frequently asked questions about breast augmentation with autologous fat transfer in Berlin

In breast augmentation using the patient's own fat – also known as lipofilling or lipotransfer – fat tissue is harvested from another area of ​​the body (e.g., abdomen, hips, thighs), processed, and injected into the breasts. No foreign materials are used – no silicone, no implants. The result feels like natural breast tissue because that's exactly what it is.

The biggest difference compared to implant surgery lies in the achievable volume: with autologous fat transfer, an increase of up to one cup size is realistic. Those desiring more volume are better off with an implant. Conversely, lipofilling carries none of the risk factors associated with implants: no capsular contracture or implant rupture.

Breast augmentation with autologous fat transfer is particularly well-suited for women who desire a subtle, natural-looking enhancement and are averse to foreign materials. A prerequisite is sufficient autologous fat tissue – we require approximately 500 cc of fat per breast to have enough transplantable tissue after processing.

This method is less suitable for very slim women without sufficient fat deposits, for patients desiring a significant increase in breast volume of several cup sizes, and for women with unclear breast findings or recent changes shown in mammograms. We will discuss this in detail during your consultation.

A mammogram or ultrasound before the procedure is medically mandatory – not a mere formality. It serves to accurately document the current baseline condition of the breast. Background: Transplanted fat cells can lead to small calcifications over time, which become visible in a later mammogram. With a clear baseline finding, the radiologist can reliably classify such changes and distinguish them from suspicious findings. A follow-up examination one year after the procedure is important for the same reason.

The fat can be taken from various areas of the body – typically the abdomen, hips, thighs, or back. Which area is best depends on where sufficient fat tissue is present and where you would like to contour your body anyway. This is one of the charming side effects: you lose weight in an area that bothers you and gain it in the area you desire.

After extraction, the fat is purified in a special lipocollector – blood, fluids, and damaged cells are filtered out. In my clinic, we use water-jet assisted liposuction (body-jet® procedure) because this method is particularly gentle on the fat cells. The better the survival rate of the extracted fat cells, the more stable the final result. The fat is then injected evenly into the breasts in small amounts using fine cannulas – layer by layer and from different directions to ensure good blood supply to the cells.

This is crucial for the survival of the fat cells. Every fat cell needs a connection to the surrounding blood vessels to survive long-term. If too many cells are injected at once, the inner cells don't receive sufficient blood flow and die – which can lead to fat cysts or calcifications. Layered injection in small portions maximizes the engraftment rate and thus the quality of the long-term result.

Yes. Many patients opt for a second session after the initial procedure to refine the desired final result or achieve greater volume. At least three to six months should pass between procedures to allow the transplanted fat to fully integrate and for the result to be assessed. Each additional procedure is billed separately.

The transplanted fat, once it has successfully taken, remains permanently. It behaves like normal body fat – meaning that significant weight loss can also cause the transplanted volume to decrease, while weight gain can cause it to increase accordingly. Maintaining a stable body weight is therefore the most important prerequisite for a long-lasting, aesthetically pleasing result.

This is the biggest advantage over implants: The result feels exactly like natural breast tissue – because that's what it is. The breast moves naturally, changes with weight fluctuations like natural tissue, and has no palpable capsule. For many patients, this is the decisive reason for choosing this method.

Light everyday activities are possible after a few days. You should wait at least 6 to 8 weeks before resuming sports – and even then, start cautiously. The reason: Strenuous physical exertion increases metabolism and can impair the survival rate of the transplanted fat cells during the critical engraftment phase. Please also avoid diets or significant weight loss in the weeks following the procedure.

Yes. Because the glandular tissue of the breast remains completely untouched with this method – the fat is only injected into the surrounding tissue, not into the glandular tissue itself – the ability to breastfeed is not affected after lipofilling. This is another advantage over certain implant incisions that can affect the glandular tissue.

last updated on 17.02.2026

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