Autologous breast augmentation (also known as lipofilling, autologous fat transfer or fat grafting) has become very popular in my practice among women who want an alternative to breast implants. More natural breast augmentation results can also be achieved with the combination of silicone breast implants and fat transfer which is called composite or hybrid breast augmentation.

Increasingly my patients choose to have their implants and capsule removed and when possible, have the breasts augmented with their own fat. Fat transfer can also be used to correct a breast asymmetry.

A fat grafting procedure transfers fat from areas in which you have excess fat, such as the abdomen or thighs, and injects it into other areas such as breasts, face and scars. This safe, long-lasting, well-tolerated procedure produces natural-looking results.

 The main advantages of autologous breast augmentation include:

  • Breasts feel soft and natural
  • Small and well placed incisions
  • Own fat used
  • Low complication rate
  • High satisfaction rate
  • Excellent tool to correct breast asymmetry
  • To date research suggests that this technique is safe to use and that experienced breast radiologists can tell the difference between transferred fat and other changes on mammograms

The main disadvantages of fat transfer include: 

  • Modest enhancement (usually one cup size)
  • Some fat is reabsorbed
  • Dependent on the amount of fat available
  • More than one session may be required
  • Breast lift needed for ptotic breast

 Overall, fat transfer can help create a more shapely and natural looking appearance in areas that have lost volume due to ageing, scarring or weight loss.