Autologus Breast Augmentation

Women who desire a small to moderate increase in breast size and who also have areas of excess fat are typically good candidates for autologous breast augmentation. If you are interested in an increase of more than 1 cup size, this may not be the appropriate option for you.

The advantages for patients considering breast augmentation with fat transfer:

No breast incision
Fat cells are “harvested” and then transferred to the breast through tiny needle sites
No breast implant “downsides”
Complications from implants may include leakage and/or capsular contracture
No need for implant “maintenance” –
Breast implants will likely need replacement in the future (10-20 years), whereas the results of fat transfer after graft “take” are long-lasting without the need for future surgeries.
Liposuction is a necessity
The fat cells used for autologous fat breast augmentation are “harvested” from areas of relative excess including the abdomen and thighs. These areas can be sculpted and shaped as part of the breast enlargement with fat procedure, yielding cosmetic benefits to both the harvest sites and the breast contour.

Things to consider:

  • Autologous augmentation requires the use of BRAVA tissue expansion system for several weeks prior to procedure
  • The breast size increase is limited to the availability of the donor fat and the space available within your own breasts.
  • Maximum enlargement is usually one cup size and there is no “lift”
  • Fat survival is unpredictable
  • Fat injections may interfere with breast screening
  • Lean women are not good candidates
  • Strong compliance and motivation is required

Additionally, Dr. Sabry will discuss in detail the nuances of how autologous fat transfer for breast augmentation impacts routine breast surveillance

Dr. Sabry prescribes the BRAVA system for a designated time before surgery to promote acceptance of fat grafts to the breast. The best fat transfer results are achieved when the grafted fat cells are placed in close proximity with a rich blood supply. The BRAVA system is a bra-like vacuum-based external tissue expander. Worn on the breasts for a designated time before surgery the breasts are “expanded” and blood supply is recruited. It has been found that the use of the BRAVA expansion system before autologous fat grafting leads to significantly larger breast augmentation with higher graft survival and minimal necrosis.  The results of fat transfer to the breasts may be more reliable and long lasting after appropriate engorgement and recruitment of blood supply.

Fat harvesting is performed using liposuction techniques through tiny needle access sites. The fat required is aspirated by hand to gently remove the fat cells and to maximize fat graft “take”. The harvested fat is purified meticulously then transferred through small needle sites to the breast.  Dr. Sabry transfers the fat with a delicate technique and finesse, and carefully threads the harvested and purified fat cells into multiple planes of the breast to promote the best contour and breast augmentation results. The surgery can be performed using local or general anesthesia and may last anywhere from one to five hours depending on the amount of fat needed and desired outcome.

You will go home in a comfortable surgery bra with adjustable straps. Most patients feel tired and sore after surgery, but this is easily managed with medication and usually passes in a day or two. Many patients return to work within the week. Any post-operative pain, swelling and sensitivity will diminish over the first few weeks. Augmented breasts will reach their final shape in two to three months. Dr. Sabry will see you for post-operative visits during your recovery. He and our staff will answer any questions you may have about your recovery, as well as your overall health and well-being.

Complications following autologous breast augmentation surgery are uncommon and usually minimal. Under Dr. Sabry’s expert and meticulous care all measures are taken to minimize the potential.  They may include infection and soreness at the harvest site and the breasts, surface irregularities, palpable lumps, bleeding, fluid collection, temporary numbness and pigmentation changes.