Breast augmentation with your own fat (breast lipofilling)

Breast augmentation is one of the most popular requests of the fair half of humanity. They write about this everywhere - in glossy magazines, on women's forums and, of course, on the pages of plastic surgery clinics themselves. The Medial Clinic receives your requests every day, so today we are diving into this burning topic and trying to understand all the subtleties and nuances. And there are quite a lot of them...

At one time, the topic of fat transfer from one area to another caused a real stir, which has not subsided to this day. The idea of ​​“lose weight in some places and gain volume in others” looks not just tempting, but even magically bewitching. Of course, one of the most obvious areas for the “relocation” of adipose tissue is the breast. Therefore, the question of choosing a breast correction technology is especially acute: lipofilling or mammoplasty? In other words, many patients who decide to undergo breast correction have a dilemma: use their own biomaterial (fat) or implants?

In the case of breast correction using implants, we are talking about mammoplasty. If the patient’s own fat tissue is used to enlarge the breast, this operation is called lipofilling or lipotransfer.

Advantages of this operation

Breast lipofilling is notable for the fact that:

• You can not only increase the volume, but also adjust the shape, as well as eliminate asymmetry. This is especially important if a woman is generally satisfied with her size.
• No traces. The fat is pumped out and injected using a thin cannula. The instrument does not injure the skin, so the intervention will be invisible.
• Natural beauty. In addition to the fact that the operation does not involve scars, it gives the most natural result: both visually and to the touch. This is one of its key advantages over implants.
• Possibility to hide seams from implantation. Sometimes lipofilling is also used to level the surface in the places through which they were inserted into the mammary gland.
• There is no need to change the implant every 7 years. However, adipose tissue tends to dissolve. Therefore, although the procedure has a cumulative effect, it will need to be repeated to achieve it.
• Low cost. Compared to the augmentation procedure using implants.

But it is important to understand: plastic surgery using adipose tissue allows you to enlarge your breasts by one size, no more. Therefore, the method is suitable for those women who want to make small changes to the appearance of their bust. Also, the procedure is possible only if the woman has a sufficient amount of fat deposits to carry it out.

Indications and contraindications

Indications:

• desire to make the breasts a little fuller, fuller;
• asymmetry of the mammary glands;

Contraindications:

The procedure is not recommended in the following cases:

• cardiovascular diseases;
• problems with the respiratory system;
• arterial hypertension;
• inflammation;
• acute forms of skin diseases;
• oncology;
• pregnancy and lactation;
• the beginning of the menstrual cycle.

Breast lipofilling. Augmentation with own fat

Breast lipofilling is an increase in breast size and correction of its shape using your own fat cells.

Breast lipofilling helps:

• hide the contours of the implants
• reduce the interthoracic distance
• reduce asymmetry,
• fill contour defects
• fill the pits after sectoral resection of the mammary gland,
• increase breast size,
• restore breasts after removal due to tumor

For breast lipofilling, fat cells are most often taken from the area:

• Anterior surface of the abdomen
• Lateral surfaces of the abdomen
• Outer thighs
• Inner thighs
• Knee joint areas

The collection of fat cells is carried out using a special apparatus and special blunt-ended cannulas through skin punctures (in the area of ​​liposuction) of 2-5 mm. After special processing and fractionation, viable cells are injected into the breast area using a cannula with a diameter of 1.4-2 mm.

Advantages of breast augmentation using lipofilling:

• Possibility of fine modeling of the desired breast contours
• Possibility of correction of small pits
• After breast lipofilling, there will be no foreign bodies left in the body.
• There can be no allergic reactions to your own tissue
• No large cuts or seams
• Fat cells are harvested from places where they are in abundance - the contour of the donor area is improved
• The result of the operation is forever. Successfully surviving fat cells will remain in the breast area forever. You lose weight - fat cells decrease in size, but not in quantity. If you gain weight - the volume returns
• Fat cells do not wear out and will not need to be replaced over time.
• No risk of contracture formation
• No risk of shifting/overturning
• Recovery after breast lipofilling is faster and easier than after installation of implants.
• Lipofilling hides implants well and makes the breasts more natural to the touch
• Breastfeeding function is not impaired

Disadvantages of breast fat grafting:

• With breast augmentation using implants, the result of the operation is more predictable.
• The unreliability of the result - you can never say how many fat cells will take root and remain in the breast in a year.
• “Let’s plant more fat” does not work in this case - when large volumes are transplanted, the percentage of surviving fat cells decreases.
• Fat cells that have not taken root are resorbed.
• If in some place there are a lot of fat cells that have not taken root, they form cysts (oleomas, oleogranulomas), areas of scar tissue under the skin. By touch, these areas are difficult to distinguish from breast tumors. When these areas come to the attention of oncologists, they can be mistaken for tumor processes and taken to the operating room. And only histology after surgery to remove them dots all the i’s.
• Breasts enlarged with lipofilling sag (ptosis) much faster than breasts enlarged with modern polyurethane-coated implants.
• There is a risk (approximately 1 in 16,000 fat transfers worldwide) of unintentional intravascular fat injection, even when using blunt fat injection cannulas. Fortunately, few surgeons have encountered this complication, but when injecting into deep layers and introducing large volumes, this risk is higher.
• With large numbers of unaccustomed fat cells, cavities with dead fat cells may form and suppurate.
• Although this is without incisions, it is still an operation that has general surgical risks (bleeding, inflammation, anesthesia risks, etc.)

Before breast lipofilling, a standard preoperative examination + ultrasound of the mammary glands is performed.

During one procedure, the breast usually increases by 0.5 - 1 size. For stable breast enlargement by 2 sizes, 2-3 breast lipofilling procedures are required with an interval of 1-2 years. The minimum interval is 6 months.

The cost of breast augmentation using lipofilling at the Health Factory MC in Rostov-on-Don consists of the cost of liposuction (see price list) + 15,000 rubles (the actual cost of fat tissue grafting).

The cost of breast lipofilling surgery includes:

• the cost of the breast lipofilling operation itself,
• anesthesia,
• stay in the ward for 1 day,
• compression underwear
• medications that will be prescribed to you in the postoperative period
• examinations by a plastic surgeon in the postoperative period.

Additional costs not included in the price of breast augmentation using lipofilling:

• Preoperative examination

• If desired, you can purchase an additional set of linen

Sincerely, your plastic surgeon, head. Department of Plastic Surgery MC "Health Factory" Clinic Rostov-on-Don, Zelenkova Natalya Vyacheslavovna

Progress of the procedure

After all preparatory measures, a procedure is carried out, which consists of the following steps:

• Anesthesia. The operation is performed under general anesthesia. Previously, the woman’s body is examined for tolerance to the drug used.
• Adipose tissue sampling. For this purpose, places such as the thighs, abdomen and buttocks are used.
• Introduction of the collected material into the mammary glands. A thin cannula is used during collection and insertion.

Next, the woman is transferred to another ward, where, under the supervision of an anesthesiologist, the patient recovers from anesthesia.

Technique for injecting fat into the breast area during lipofilling

To inject fat, punctures are made in the chest area so that fat can be injected in at least two planes. Typically, punctures in the skin are performed in the submammary fold (3-5 punctures), at the border of the areola and skin (2-3 punctures), and in the axillary region (1-2 punctures). After the operation, barely noticeable scars remain on the skin at the puncture sites.

Breast lipofilling. Fat injection

Breast fat grafting is performed in such a way as to ensure maximum survival of fat cells. The transplanted fat cells must be provided with a blood supply. Fat is injected under the muscles, into the muscle area and into the subcutaneous fat of the breast. Fat cannot be injected into the mammary gland itself.

Intramuscular injection of fat

Injection of fat into subcutaneous fat

Fat is injected with 5, 10 or 50 ml syringes. On average, 100 to 250 ml of fat is usually required per breast. The duration of the breast lipofilling operation is from 2 to 4 hours, depending on the volume of the operation.

At the end of the operation, a special Microform tape is applied to the breast skin, which serves as a protective barrier and is removed 5-7 days after the operation. The tape creates a slight compression of the fat, which eliminates the movement of fat under the skin and improves its healing.

Rehabilitation

At first, it is important to follow these recommendations:

• sleep only on your back for a week after surgery;
• exclude physical activity for the first three weeks;
• avoid overheating;
• use ointments and creams prescribed by your doctor for speedy regeneration.

In total, the rehabilitation period is a month. The final effect will be visible approximately three months after the operation.

Achievements in aesthetic medicine help a woman create harmony between her inner and outer beauty. Our clinic skillfully brings this idea to life, helping you become even more beautiful.

Rehabilitation and result

The results of breast lipofilling are visible immediately and remain forever. The breasts look natural and feel no different from natural ones. The risk of complications after the procedure is minimized, since the body’s own adipose tissue takes root almost 100% and is not rejected by the body.

However, it is important to understand that breast lipofilling allows you to increase your bust by no more than one and a half sizes. At the same time, it is always possible to achieve a completely natural shape of the mammary glands, making them not only more voluminous, but also more elastic and toned. Fat tissue is distributed in the breast without any problems, this happens evenly, that is, there is practically no risk of asymmetry occurring after surgery.

How safe is lipofilling in the breast?

Lipomodeling is a delicate and low-traumatic way to create ideal shapes. Due to the use of its own material, it is absolutely safe. Fat is completely compatible with the human body.

Plastic surgeon Svetlana Rabotenko provides consultations in Zaporozhye and Dnieper. The specialist accepts patients from Dnieper, Kharkov, Odessa and other cities of Ukraine free of charge.

To make an appointment, just contact the administrator by phone: +38(096)214-03-33, or leave an online request for a call back.

Who is the procedure suitable for?

Breast augmentation with your own fat is suitable for girls who want to regain their shape after pregnancy, breastfeeding or losing weight. The method is ideal:

• to slightly enlarge and improve the shape of the mammary gland. You can enlarge the gland by 0.5-1 size;
• to correct asymmetry - sometimes the technique is combined with breast lift (mastopexy),
• with age-related changes - for example, ptosis;
• to “smooth” the implant border when contouring after mammoplasty.

It is important to understand that the procedure requires preliminary collection of a sufficient amount of adipose tissue. Therefore, it is not suitable for thin girls. Indications are always determined during a face-to-face consultation with a plastic surgeon.

Note that in some cases, breast lipofilling is combined with the installation of implants.

Advantages and disadvantages of breast lipofilling

Advantages of breast lipofilling:

• Even after processing in a centrifuge, your own fat is not perceived by the body as an antibody and does not cause rejection;
• The possibility of allergies is excluded;
• Breast lipofilling allows women to realize their dream of collecting excess calories in the breast area;
• Breast lipofilling is a mixture of liposuction and breast augmentation, in other words, it corrects several areas at the same time: it reduces the full ones and enlarges the breasts, giving a comprehensive improvement in appearance;
• No postoperative scars;
• Low invasiveness and fast postoperative recovery;
• Greater mobility, which allows different amounts of fat to be injected into each breast to achieve the effect of symmetry or breast shape correction;
• Improving the quality of the skin in the breast area, its rejuvenation, which no implant can provide.

Disadvantages of breast lipofilling:

• Inability to change breast size radically, for example, from size 1 to size 4. The maximum increase using this method is 1.5-2 sizes.
• Cell survival rate is no more than 80%, in some cases less than 50%. As a consequence, the need for a repeat procedure.

Breast augmentation using your own fat is used in some cases as an addition to previously performed breast endoprosthetics, when the implant was installed under the mammary gland, and if there is a lack of fat tissue, it is easily palpable. In general, breast lipofilling can be performed simultaneously with other plastic surgeries due to the minimal damage to the body caused by surgery.

Cost of breast lipofilling surgery in Moscow clinics

The cost of breast lipofilling in various plastic surgery centers and clinics in Moscow varies from 100,000 to 400,000 rubles. The price of breast lipofilling at the clinic of Dr. Maxim Osin is 200,000 rubles.

Sign up for a consultation with a plastic surgeon, a specialist in the field of mammoplasty - Dr. Maxim Osin. You will be satisfied with the simultaneous breast augmentation with your own fat and figure correction. Reviews with photos “before” and “after” breast lipofilling with fat are the best confirmation that as a result of the operation at Dr. Osin’s clinic, an amazing result will be achieved.

The information on the site was personally verified by plastic surgeon Maxim Aleksandrovich Osin; if you have any additional questions, call the phone number listed on the site.

Benefits of Breast Augmentation with Fat

“Everything is yours - everything is native.” Your own adipose tissue takes root well, excluding allergic reactions and rejection.

Rejuvenating effect. The transplanted fat contains stem cells. Thanks to this, it has an overall rejuvenating effect. The elasticity of the skin increases, the contour of the bust becomes proportional.

Volume and new body lines. Since fat sampling involves liposuction, the girl achieves two goals in one procedure: enlarges her breasts and reduces volumes where she did not like them.

Stable result. The effect after surgery is lifelong. The main point is to maintain a stable weight. Unfortunately, losing more than 5 kg of weight can play a cruel joke - the bust will “disappear”. Also, age-related changes are not reflected in the best way on the bust.