Breast Augmentation Using Your Own Fat

(Autologous fat transfer)

Fat transfer is a relatively new procedure involving removal of unwanted fat from certain parts of your body and injecting it back into other sites. It is properly known as autologous fat transfer, ‘autologous’ meaning using tissue (fat) from your own body. This has a particular application in augmenting the breasts, allowing fat from the abdomen, thighs or buttocks to be used instead of synthetic breast implants.

Firstly, small incisions are made in the skin of the fat donor site and the fat is removed from the unwanted area by liposuction. I perform the tumescent technique of liposuction which involves injecting a fluid mixture containing saline, adrenaline and local anaesthetic into the fat deposits minutes before the liposuction begins. This technique has been shown to reduce post-operative bruising and pain and makes it easier to harvest the fat. The fat is then carefully washed, using specialised equipment, to remove any blood, and tiny incisions are made around the edge of the areolae through which the purified fat cells are then injected into the breasts to enhance them naturally.

The operation is usually carried out under general anaesthetic as a day case. The sutures used to close the incisions are absorbable so there is no need for another appointment to take them out. After the operation patients are given antibiotics for five days and I recommend that a pressure garment and a good supportive bra is worn during your recovery. During your appointment with me in clinic prior to your surgery I will remind you of all the details.

Suitable patients for this procedure are those who, for their own reasons, feel that their breasts are too small and who have suitable donor sites from which they wish to lose fat. It is also a useful technique for correction of breast asymmetry, contour correction after breast surgery and contour defects elsewhere on the body, usually caused by trauma.

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