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Breast Fat Grafting Sydney

Breast Fat Grafting is a surgical procedure where fat is removed from one or more areas of the body and transferred to the breasts to adjust volume and shape. Unlike a traditional Breast Augmentation, which uses implants, this procedure relies on the body’s own tissue.

The fat is typically taken from areas such as the abdomen, outer thighs or flanks using Liposuction. It is then carefully processed and positioned within the breast tissue to achieve the desired contour.

Reasons for Considering Breast Fat Grafting

Breast Fat Grafting is a surgical procedure that uses a person’s own fat to modify breast volume and shape. It may be suitable for individuals who prefer an option that does not involve breast implants.

  • Uses an individual’s own fat to adjust breast volume and shape
  • May suit those who already have some breast fullness but would like a modest increase
  • Provides results that reflect the person’s existing breast tissue characteristics
  • Fat is typically taken from areas such as the abdomen, outer thighs or flanks using Liposuction

Does not involve the use of implants or foreign material

Considerations for Breast Fat Grafting

Breast Fat Grafting may be considered for individuals who meet specific clinical and personal factors. These can include:

  • Adequate body fat: Individuals need sufficient fat available for removal from areas such as the abdomen.
  • Understanding of outcomes: This procedure is designed for mild changes in breast volume. Traditional Breast Augmentation with implants may be considered for those seeking a more significant change.
  • Desired breast appearance: This procedure may be considered by individuals seeking subtle adjustments in breast volume and shape rather than a marked change.

Your Initial Consultation with Dr Dona

During your initial consultation, Dr Eddy Dona will assess whether Breast Fat Grafting may be an appropriate option for you. This appointment also provides an opportunity to discuss your medical background and expectations in detail. Topics typically include:

  • Your areas of concern and treatment preferences
  • Your medical history and any previous procedures
  • An examination to determine whether there is sufficient fat available for transfer

If the procedure is considered appropriate, Dr Dona will explain the surgical approach, outline associated costs, and discuss relevant recovery information, risks, and possible complications so that you can make an informed decision about how to proceed.

Breast Fat Transfer Techniques

A Breast Fat Transfer involves two operations. The first surgery is Liposuction. The second surgery involves processing and grafting the fat to the breasts.

LIPOSUCTION SURGERY

Liposuction surgery is a procedure that removes fat deposits from areas such as the abdomen, thighs or hips. It involves several steps to safely and efficiently extract body fat.

  1. Tumescent Liposuction: First, a saline solution containing a local anaesthetic and a vasoconstrictor (to reduce bleeding) is injected into the treatment area to loosen the fat cells. This makes removal easier.
  2. Power-assisted Liposuction: a cannula with a vibrating tip is inserted into the area through an incision (approx 4-5 mm). This is used to break up fat and is extracted from the body.
  3. The extracted fat is collected into a sterile, sealed container and is ready for transfer to the breasts.

The above method ensures that the collected fat remains viable for transfer.

FAT TRANSFER SURGERY

Once the fat is harvested and purified, it is prepared for injection into the breast tissue. The injection technique used is critical to the success of the fat transfer. Therefore, specific syringes and cannulas are used to deliver the fat to the desired region. Typically, there are two considerations in the fat delivery:

  1. Micro-droplet delivery: The fat is injected in small amounts throughout the breast tissue, ensuring even distribution and incremental increases in breast volume.
  2. Layering delivery: Fat is applied in thin layers to enhance breast shape, enabling greater precision.

Ultimately, the fat transfer is delivered in a way that ensures it is uniformly and evenly spread over the desired area, maximising the chance of survival.

Both methods focus on minimal scarring and promote fat cell survival by ensuring they receive an optimal blood supply, thereby increasing their chances of survival.

HYBRID BREAST AUGMENTATION (IMPLANTS + FAT TRANSFER)

Occasionally, some patients benefit from a combined procedure, using breast implants with some additional fat transfer to further refine and customise the results.
Although this is not for everyone, it is an option for a small group of patients. However, it’s important to note that most women are happy having silicone breast implants alone. Assuming the right implants are chosen and the surgery is performed well, there should be no need for a fat transfer at the same time.

Will I Lose Some Fat in My Breasts After Surgery?

After Breast Fat Transfer surgery, it is normal for some of the transferred fat cells not to remain long-term. The amount of fat that stays can vary from person to person and depends on several factors, such as the characteristics of the transferred fat and the healing process.

Over time, the remaining fat cells generally stabilise, and the final result becomes apparent once healing is complete.

Factors That Influence Fat Retention After Breast Fat Grafting

Several factors can influence how well transferred fat cells remain after Breast Fat Grafting. These include:

  • Fat tissue condition: Fat that is healthy and minimally damaged is more likely to remain viable after transfer. Therefore, appropriate Liposuction techniques and the handling of fatty tissue are vital.
    Donor site: The area from which fat is taken may play a minor role. Common donor sites include the abdomen and flanks, and, in some cases, the outer thigh.
    Avoiding nicotine: Substances containing nicotine can affect blood flow and may impact the healing process. Avoiding nicotine products before and after surgery is vital for recovery.

Appropriate fat volume: How much fatty tissue survives depends on several things, including the amount of fatty tissue injected. The more fatty tissue injected, the lower the percentage of it survives. As a general rule, Dr Dona does not provide more than 100-150mls of fatty tissue per breast.

In general, fat cells taken from healthy tissue and handled appropriately are more likely to remain stable once transferred. However, all fat transfer procedures result in some degree of fat loss, as a portion of the transferred fat cells do not survive and are gradually reabsorbed by the body.

The amount of fat loss varies between individuals but is often around 70 per cent. This variation can also occur between breasts, which may lead to a degree of asymmetry following recovery. These changes are a natural part of the healing process and cannot be precisely controlled. After approximately three months, whatever fatty tissue has survived is now permanent.

Breast Implants and Fat Transfer: Understanding the Differences

Breast enlargement surgery is a well-established procedure for increasing breast volume. Fat transfer to the breasts is another option that may be considered depending on individual anatomy and preferences.Below is an outline of some general differences between these two procedures.

Breast Implants

Key considerations:

  • Allows for a noticeable change in breast size, with a wide range of implant shapes and volumes available.
  • The result is not typically affected by body weight fluctuations.
  • A precise and known volume increase is provided to the breasts.
  • The procedure involves placing an implant through a surgical incision.
  • As with all implant surgery, there is a risk of implant-related complications such as rupture or capsular contracture.

Fat Transfer

Key considerations:

  • Uses an individual’s own fat taken from another area of the body.
  • Typically results in a very modest change in breast volume rather than a significant increase.
  • Some of the transferred fat will not remain long-term, and this can vary between individuals.
  • A stable body weight is essential, as weight fluctuations can affect breast size.
  • More than one procedure may be required to achieve the planned volume increase.
  • As fat is obtained through Liposuction, the associated risks of that procedure also apply.

Recovery and Your Post-operative Care Plan

Before your procedure, you will receive a tailored post-operative care program. This begins shortly after surgery and includes several in-clinic reviews over the following weeks. These visits allow Dr Eddy Dona and the nursing team to monitor your progress, manage wound care and guide you through each stage of recovery.

As part of this process, all patients participate in the HeaLED Program. This program uses Light-Emitting Diode (LED) therapy to help reduce post-surgical pain and expedite recovery.

Weight loss medications and surgery

If you’ve been taking prescription weight loss medication from the GLP-1 receptor agonist class (or dual GLP-1/GIP agonists), there are pre-surgical precautions that must be followed to assist in minimising anaesthetic-related risks.

Travelling for Surgery?

Patients from interstate or overseas can arrange an initial consultation with Dr Eddy Dona via Zoom or in person at the Bella Vista clinic. However, at least one consultation must be held in person before surgery.

For those undergoing Breast Fat Grafting Surgery with Dr Dona in Sydney, our information page for interstate and overseas patients provides details about referrals, accommodation, post-operative care and local transport.

Patients are generally required to remain in Sydney for several days after surgery for in-clinic reviews and post-operative care, which includes LED therapy.

Breast Fat Grafting Frequently Asked Questions

Is Breast Fat Grafting less costly than breast implants?

The overall cost of Breast Fat Grafting and Breast Implant surgery can vary depending on individual circumstances and the surgical plan. In some cases, Breast Fat Grafting may involve multiple procedures to achieve the intended result, which can affect the total cost. A detailed quote will be provided after your consultation with Dr Dona, once your treatment plan has been identified.

Is Breast Fat Grafting less costly than breast implants?

The overall cost of Breast Fat Grafting and Breast Implant surgery can vary depending on individual circumstances and the surgical plan. In some cases, Breast Fat Grafting may involve multiple procedures to achieve the intended result, which can affect the total cost. A detailed quote will be provided after your consultation with Dr Dona, once your treatment plan has been identified.

When will I know the final result?

Changes in breast volume after fat transfer can take time to stabilise. The final appearance gradually becomes clearer as healing progresses over the months following surgery.

How much fat is transferred during the procedure?

The amount of fat used during Breast Fat Grafting varies from person to person and depends on factors such as the available donor fat and the characteristics of the breast tissue. Only an amount considered appropriate for the individual’s anatomy and surgical plan will be used during the procedure.

What about scars?

Breast Fat Grafting does not involve the larger incisions associated with open surgery. Small entry points are made for the Liposuction cannula used to remove fat, and similar small access sites may be created during the fat placement process. These sites generally heal with time, leaving minimal marking in most cases.

How do Breast Implants compare with Fat Grafting

Breast Implants and Breast Fat Grafting are two different approaches to Breast Enhancement, each with distinct characteristics.

Implant-based surgery allows for a more predictable change in breast volume, with a wide range of implant sizes, shapes and profiles available. Implants are manufactured to maintain their form and volume over time.

Fat Grafting, by contrast, uses an individual’s own fat to adjust breast volume. Only a limited amount of fat can be placed during a single procedure, and the amount that remains can vary between individuals. In some cases, more than one procedure may be required to achieve the intended outcome.

Both options have their own considerations, and the most appropriate approach depends on individual anatomy, surgical suitability and desired outcomes.

Potential risks & complications

Every surgical procedure carries potential risks and complications. It’s essential to be aware of these before making any decisions about surgery.

Find out more about the potential risks and complications related to surgery >

Specific risks & complications related to fat transfer

  • Fat necrosis: This is when fat cells die and form lumps under the skin and within the breast tissue, leading to changes in breast shape.
  • Cyst formation: These are fluid-filled sacs which can develop in the breast tissue
  • Asymmetry: There may be unevenness in breast size or shape post-procedure, depending on how evenly the fat is successfully transferred.
  • Resorption: Some of the transferred fat will be resolved by the body. Consequently, the breast size will be reduced. The amount of fat loss can be unpredictable, increasing the risk of breast asymmetry.
  • Infection: Any invasive procedure carries a risk of infection, which can delay healing.

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