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Fat Grafting with Breast Augmentation

1,063 views · Published 17 January 2018 · 3:01 · Indexed 5 October 2026

Channel: The Plastic Surgery Channel · 2018 · Howto & Style

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Obtain the perfect breast shape and size with implants plus fat transfer. Dr. Christine Hamori and Dr. Brad Calobrace discuss fat grafting and how it can be used to enhance breast augmentation.

Fat grafting continues to be a tremendously popular modern procedure for patients and surgeons alike. For patients, the magic of having unwanted fat in bodily areas removed and added to areas where they would benefit from volume is huge. For surgeons, fat is an incredible tool used to add nuance and “finish off” procedures, as well as, in some procedures, outright recontouring a body with just a patients’ own fat.

Questions abound from patients on how far surgeons can take fat. A popular one poses whether it is possible to skip out on implants and utilize fat exclusively for breast augmentation. Board certified plastic surgeons Dr. Christine Hamori of Boston and Dr. Brad Calobrace of Louisville discuss the possibilities.

WHAT IS FAT GRAFTING AGAIN?
Fat grafting is sometimes known as fat transfer, a name that describes the technique quite literally. “Fat grafting is when you transpose fat from an area where you have a good amount of cells to an area that you don’t have so much fat,” explains Hamori. “You can very carefully put in a strands of fat so it can be vascularized and live in a different spot in your body.”

The word “magic” is often utilized when discussing fat grafting considering, for patients, the idea of moving fat from one area to another is a dream scenario. Some patients may not even be aware of the possibilities, and may receive a pleasant surprise when their surgeon offers to utilize the fat removed via a small liposuction procedure to boost other areas. This has gotten many patients thinking about other possibilities, especially those associated with the breasts. If it’s possible to recontour and add volume to the buttocks with fat, why not the breasts?

MODERN BREAST AUGMENTATION AND FAT GRAFTING
Breast implant technology has grown alongside fat grafting in the modern tool chests of plastic surgeons. More options and variability are achieving more individualized results than ever before – results that may last for decades and decades. Still, some patients are concerned with the idea of implants in their bodies and begin to wonder if they can skip implants all together in favor of volume from fat. “My strong opinion is, the still gold standard for an augmentation is a breast implant,” shares Calobrace. “It still does the best, it has the best variability – they can make sizes much bigger than fat grafting can. They last a long time; patients can maintain their implants for many years, often 15, 20, 25 years, with really low complication rates. And with, relatively, a guaranteed result.

Modern breast implants work great.

 

Patients looking to dodge implants are often more of the middle-aged crowd, says Hamori. They’re thinking a bit harder about potential surgeries, and perhaps their maturity has them more cautious about the idea of implants. They may read headlines about breast augmentation with fat and think it is possible, and hope to find a surgeon who agrees.

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