Replacing exogenous material, like implants, by the patient’s own tissues ensures maximal tolerance and a natural-looking breast augmentation that stays perfectly stable over time. This can be achieved through fat tissue autograft, an ideal alternative for women who do not want implants.
The concept of transferring fat from one body part to another is not new, attempts of this procedure are described in various texts dating from the late 1800’s. However, this procedure wasn’t safe until 1995, when the technique was fully developed by Sidney Coleman, among others. (cf. fiche technique lipostructure SScpre et Sofcpre). A successful fat transfer ensures that the life of fat cells is preserved, allowing them to become fully rooted into the area in which they are implanted. Fat transfer breast augmentation became more popular in 2014, when it was officially proven not to be linked to any risks of breast cancer.
Fat transfer breast augmentation is ideal for women with small breasts and larger thighs, allowing for both undesirable features to be treated simultaneously. This procedure can also be the best treatment for may other cases, such as asymmetrical or tuberous breasts, and shrinking breasts combined with the thickening of the waist, generally in postmenopausal women. This procedure can also be done on women who want to remove their implants and replace it with fat tissue (see current events article: bio-conversion).
The operation is performed under general anesthesia and lasts from one to two hours. For each cup size added (approximately 150 ml of fat), 1500 ml of body fat must be removed, which can make the procedure last longer on women with no excess fat in a specific body part. Liposuction is performed on small amounts of fat at different locations to ensure the best aesthetic outcome, which is what makes this procedure meticulous. The fat is removed symmetrically and evenly using very small needles. It is then purified and injected in small drops around the mammary gland and in the cleavage area.
Bruises will form in the areas operated, but with almost no pain at all. It is best to plan to take a week off from work. I always see my patients at least twice during the first month following the operation, as well as four months later, which is when we sometimes decide to perform another round of the same procedure (often planned since the beginning), to obtain even larger breasts.
The results are permanent after four months. It is important to keep in mind that the fat cells implanted in your breasts will evolve like all the other fat cells in your body, they may grow if you gain weight and get smaller if you lose weight. This is why it is important to maintain a relatively stable weight if you want to maintain stable results. In the end, your new breasts will evolve like any other natural breasts !
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