Natural breast augmentation is a cosmetic surgery procedure where fat is liposuctioned from different parts of the body and transferred to the breast. This creates an overall increase in volume and fullness but the amount of volume that you can obtain with a single transfer is around one cup size and the overall shape of your breast remains essentially the same, just fuller. This is ideal for patients who do not feel comfortable having a breast implant or those who want to have a natural looking shape. It does not create a round shape like an implant, especially in the upper pole or allow you to go up multiple cup sizes. If your breast tissues are dense or the skin is very tight, there are even more limitations on the volume. With this procedure as with all fat transfer procedures, the technique for harvesting and transferring fat is extremely important. The fat that is transferred is living tissue so it is critical to maximize fat survival for the best possible results. I use a gentle multi-phase liposuction and fat transfer technique that has very high fat survival and minimizes complications.

At your consultation, I will evaluate your personal anatomy to see if you are a candidate for this procedure. You will need to have enough fat to donate from other areas of your body to have enough volume to add to your breasts. As every woman has their own perspective of what shape they would like, I recommend you bring some pictures of breasts you like so I can get a better idea of what look you are hoping to achieve and give you an honest and realistic opinion of what a natural breast augmentation can accomplish. I will also give you a lot of information as to what to expect after your surgery during the recovery phase.
Patients should be close to their goal weight before having surgery. For best long term results it is advisable that weight is stable after surgery (without a lot of yo-yoing up and down). As I’ve mentioned before, plastic surgery is not an exact science. Every person has a unique anatomy and their own idea of what their body goals should be. This is why consultations are vital so we can work together to create the best possible plan, customized for your personal needs and goals.
I will do a detailed consultation, take a complete medical history and conduct a careful examination and develop a customized plan based on your anatomy as well as your aesthetic goals. I consider age, overall health, emotional well being, as well as expectations for surgery when evaluating a candidate for this procedure. Patients who are obese (BMI 30 or greater) or who smoke have a significantly higher risk of wound healing problems. I require patients to have stopped smoking for anywhere from 2 months to a year depending on their smoking history before having surgery. To minimize the possibility of excess bleeding, you will need to avoid taking drugs containing aspirin, anti-inflammatories, alcohol, or herbal medications two weeks before surgery. You will receive a complete list of medications to avoid and detailed instructions before surgery. I consider the preparation before surgery and your understanding of how to take care of yourself critical to having the best possible results so myself and my staff will walk you through each part of the process every step of the way.

For your comfort and safety, natural breast augmentation will be performed under general anesthesia. In rare cases where only a few areas of fat are liposuctioned this procedure can be performed under local anesthesia. I believe that every part of the surgical team is essential to having a perfect and smooth surgery so every part of my extended team is focused during surgery, and pays attention to every detail. We will all ensure that as you enter the operating room and are gently placed under anesthesia you will feel relaxed and calm and excited. During the operation we will all be focused on keeping you warm, comfortable, and cared for. During the surgery, I am gentle and and respectful and ensure a positive and calm environment around you. I will also place a numbing solution in your abdomen so you will not feel pain even though you are under anesthesia.
After placing the numbing solution, I make small (less than 4mm), discreet incisions in the areas to be treated. I will show you where all these incisions will be placed prior to surgery. I have developed a special multi-staged technique that removes fat in an even and gentle fashion. The details of this and why it is important will be explained to you in your consultation. A thin liposuction cannula is inserted in a small incision and attached to a suction machine. The procedure may take an hour or several hours, depending on how many areas are involved. I take pride in creating even, symmetric, and natural looking results. I take extra time and care with every single stroke and motion and with the shaping of the body. Too often I see liposuction performed over-aggressively resulting in bumps, irregularities, injuries to the skin and tissues that are often irreversible. Like everything else, liposuction requires meticulous attention to detail and artistry to create the best possible results. The fat that is harvested is gently washed and then carefully injected into the tissues of the breast to create the desired volume.
Like any fat transfer procedure, results are extremely technically dependent and the fat must be harvested extremely carefully and gently and placed very precisely and without overstuffing the tissues, creating too much pressure that might kill the fat. I consider this surgery and all body sculpting surgeries to be an art. I will take the time to turn you in different directions, evaluate your body from different angles, and re-shape you in a way that is proportionate and feminine. The fat that survives transplantation will give long-term results and with a proper healthy diet and exercise, the liposuctioned areas will preserve their shape.
A natural breast augmentation With fat transfer takes anywhere from three to five hours depending on the number of areas that fat is harvested.

Recovery from natural breast augmentation with fat transfer is relatively easy. A few hours after surgery you should be up and walking around. Many of my patients return to work a few days after surgery. I have developed a gentle liposuction technique that has minimal pain and a quick recovery. Swelling and some bruising is normal the first two weeks. You will wear special garments that are measured for your body and provided to you to apply pressure, minimize swelling and provide support while healing. These garments also assist in retraction of the skin. I use dissolvable sutures so they don’t need to be removed.
Following liposuction, the scars, which are extremely small, may be a little red. Over the next 6-12 months they slowly fade. You will start scar treatments around 2 weeks after surgery. I will discuss scar care in detail with you and also provide you with scar medications and products. The scars will be almost invisible.
My patients are extremely happy after breast augmentation with fat transfer to the breast. They don’t have to worry about any side effects or maintenance associated with having an implant and they have removed fat from their problem areas essentially moving it to their breast for volume. Their breasts have a fuller but natural shape which is what they desired.