Autologous Fat Transfer (Fat Transfer to Breasts)

what is a fat transfer to breasts ...

Breast surgery does not always involve the use of implants. For individuals seeking a modest adjustment to breast volume using their own tissue, fat transfer to the breast (also known as autologous fat grafting) offers a specialised alternative.

types of fat transfer to breasts ...

Fat grafting is a recognised surgical technique used in breast procedures. Each procedure is tailored to the patient’s needs, with an emphasis on symmetry, proportion, and integration of the grafted tissue.

Primary Fat Transfer to Breast Surgery

Fat grafting can be used as the sole method of increasing breast size for those seeking changes without implants. This may suit individuals who have adequate donor fat and prefer an option using their own tissue.

Revision or Secondary Augmentation/Surgical Review

In some cases, patients with existing implants may experience issues such as visibility of implant edges or differences between the breasts. Fat grafting may be used to address these changes by adding soft tissue where needed to support a more balanced outcome.

Addressing Tissue Irregularities after Previous Surgery

Following earlier procedures (such as lumpectomy, implant removal, or reconstruction), some patients may notice uneven areas or tissue loss. Fat grafting allows for targeted placement of tissue to help increase symmetry.

Hybrid Procedures

Although fat grafting is often performed as a stand-alone technique, it can also be used alongside breast implants. This approach may be considered when the use of both techniques could assist in achieving the intended outcome.

am I a suitable candidate ...

Not all individuals are candidates for fat grafting to the breast. A personalised consultation with a surgeon is essential to assess anatomical considerations, discuss your goals, and determine whether this technique is appropriate for you. You may be considered suitable for this procedure if:

  • You are seeking a modest increase in volume: Fat transfer typically results in an increase of approximately half to one cup size per session. It may be appropriate for those who are looking for a slight change rather than a significant size increase.
  • You prefer not to use implants: Some individuals choose this method because they are seeking an approach that does not involve introducing synthetic materials into the body. Fat grafting uses the body’s own tissue and may appeal to those wanting an alternative to traditional augmentation.
  • You have adequate donor fat: Successful fat grafting requires sufficient fat to harvest from areas such as the abdomen, flanks, thighs, or hips. Your surgeon will evaluate your fat distribution to determine whether this is feasible.
  • You are in general good health: Non-smokers and individuals without significant medical conditions typically experience more predictable healing. Skin quality also contributes to surgical planning.
  • Your expectations are informed and realistic: Some of the transferred fat will be reabsorbed by the body over time. Final results develop gradually, and additional procedures may be required for those seeking further volume.
  • You are not pregnant or breastfeeding: Hormonal changes during these periods affect breast tissue and may alter outcomes.

Fat transfer to the breasts is typically performed in a fully accredited hospital setting under anaesthesia. The procedure is completed in three key stages: fat collection, processing, and reintroduction. Each step is carried out by your surgeon for consistency and individualised attention throughout the surgery.

Anaesthesia and Tumescent Infiltration

In most cases, general anaesthesia is used to support patient comfort. Once anaesthesia has taken effect, a tumescent liquid (a mixture of saline, local anaesthetic, and a vasoconstrictor) is infused into the donor areas (generally the abdomen, thighs, or hips). This mixture helps loosen fat cells, reduce bleeding, and support a more controlled removal process.

Fat Collection (Liposuction)

Using a Microaire power-assisted device, our surgeons perform liposuction through small incisions. This technique allows for careful fat extraction while maintaining cell viability. The goal is to harvest suitable fat while also shaping the donor areas in line with the surgical plan.

Fat Processing and Reintroduction

The collected fat is then prepared by removing excess fluid, damaged cells, and blood. Our surgeons do not use stem cell filters, which may reduce usable volume and add unnecessary cost. The fat is then injected into the breasts in even layers using cannulas. This layered approach supports consistent placement and helps promote cell survival.

Final Steps and Aftercare

Incisions may be closed with sutures or left open, depending on the surgical plan. A compression garment is applied to the donor areas to help manage swelling and support healing. Our surgeons provide individualised post-operative care instructions and perform all aspects of the procedure themselves.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Recovery from fat transfer to the breasts is generally well tolerated. However, it’s important to remember that healing occurs in both the donor areas (where fat was removed) and the breasts (where fat was injected). Recovery timelines can vary depending on the extent of the procedure and individual healing responses. Your surgeon will provide personalised aftercare guidance to support your recovery and address your specific needs.

Immediate Post-Operative Phase (First Week)

  • Rest and Activity: Patients are advised to rest and avoid strenuous activity. Our surgeons advise patients to take short walks to support circulation.
  • Support Garments: Patients will be advised to wear the recommended compression garments as directed by their surgeon.
  • Breast Area Care: The breasts are usually not compressed. It is important to avoid direct pressure on the breasts, such as lying face down, during the early stages of healing.

Short-Term Recovery (Weeks 2–4)

  • Bruising and Swelling: In the donor areas usually begin to subside.
  • Fat Graft Survival: Some of the transferred fat may be reabsorbed by the body during this time. This is expected and factored into your surgeon’s planning.
  • Gradual Return to Activity: Light activities can be resumed, but exercises involving the chest or intense movement should still be avoided unless advised otherwise.

Mid to Long-Term Recovery (1–3 Months)

  • Outcomes: It can take a few months for the final results to become visible, as swelling continues to settle and the transferred fat stabilises.
  • Follow-Up Care: Your surgeon will schedule regular post-operative appointments to monitor healing and progress.
  • Longevity: Fat that successfully integrates with the breast tissue can remain long-term, but outcomes may vary between individuals.

Your surgeon will monitor the settling of the breasts and guide the next steps, including scar management (silicone tape, massage, and topical treatments) and, if a second session is required.

As with any surgical procedure, an Autologous Fat Transfer involves potential risks. During your consultation, your surgeon will discuss possible risks and complications as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Fat resorption: Some of the transferred fat may be reabsorbed by the body, reducing the final volume.
  • Fat necrosis or oil cysts: Small lumps or irregularities may develop where fat does not survive.
  • Infection: Though uncommon, all surgery carries a risk of infection, which is managed with antibiotics if needed.
  • Asymmetry: Slight variations between breasts are to be expected. However, significant asymmetry may need revision surgery/follow-up procedures.
  • Calcification: In rare cases, fat deposits may form firm areas that appear on future breast imaging.

Under AHPRA guidelines, specific prices are not listed online. However, during your consultation with your surgeon, you will receive a clear, individualised quote that reflects your treatment plan.

Pricing varies depending on several factors:

  • Extent of liposuction required: More donor sites may increase operating time.
  • Volume of fat transferred: Larger or multiple sessions affect cost.
  • Hospital and anaesthesia fees: These are determined by the facility and complexity.
  • Follow-up sessions: Additional procedures may be needed for patients seeking further volume.

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How long do fat transfer results to the breasts last?

The results of fat transfer are long-lasting for the fat that integrates into the breast tissue. However, not all transferred fat survives; typically, 60–70% remains permanently. Once established, the surviving fat behaves like other tissue and will change with weight gain or loss, ageing, and hormonal changes.

How much fat do I need to be eligible for this procedure?

The amount of fat required depends on your individual goals and the volume you wish to achieve. Your surgeon will assess areas of your body where fat can be harvested, such as the abdomen, thighs, or hips. Having sufficient fat stores in these donor areas is necessary for the procedure to be feasible. During your consultation, your surgeon will evaluate your body’s fat distribution and discuss realistic outcomes based on your anatomy and expectations.

Can fat transfer to the breasts be done in one session?

Yes, many patients are satisfied with the outcome of a single session. However, because some fat resorbs, a second or even third session may be recommended if additional volume is desired. Your surgeon will discuss this during your planning phase based on your goals and breast tissue capacity.

How soon can I return to exercise after fat grafting to the breasts?

Most patients can resume light physical activity such as walking within the first week. More vigorous exercise and upper body movement are typically delayed for at least 4–6 weeks, depending on how your body heals. Our surgeons provide individualised guidance during follow-up visits.

Can fat transfer alleviate breast asymmetry or irregularities from previous surgery? 

Yes, fat transfer can be used to address volume differences or irregularities following previous breast surgery. By placing small amounts of your own fat into specific areas, your surgeon can help increase overall balance and shape.

During your consultation, your surgeon will assess your surgical history and anatomy to determine whether fat grafting is an appropriate option for your concerns.