Breast fillers are the correction of breast size. For this, the patient’s fat tissue is used, which is injected into the breast area. The hips, buttocks and abdomen act as a donor area. The adipose tissue obtained during the first stage of the procedure is processed in a special way, after which it is injected into the area of the mammary glands, forming a new shape and increasing the size of the breast. Breast augmentation with fat injections is technically known as natural breast augmentation.

In fat injections for breast augmentation, the woman’s excess fat is used instead of the “silicone” artificial breast to enlarge the breasts. Fat is removed by liposuction from an area of the body that has excess and then injected into the breasts to reach the desired size.

Currently, plastic surgeons believe that there are two safe ways to enlarge breasts: silicone implants and autologous fat, but no method is perfect. Both methods have their advantages and disadvantages. In this article, we will talk about the advantages and disadvantages of breast augmentation with fat injection, and whether fat can be injected after breast augmentation with silicone.

What is breast augmentation with fat injection?

Breast augmentation is a method of increasing breast size. Self-fat injection for breast augmentation includes suctioning excess fat from other parts, cleaning it and filtering it, then it is injected into the breast during the fat injection process.

Breast augmentation with fat grafting is called “stem cell breast augmentation.” The fat taken through liposuction contains stem cells, but stem cells cannot be injected into the breast alone and breast volume cannot be expected to increase. Therefore, fat is injected along with stem cells to give the breast a round and full shape.

Before considering the use of breast augmentation with fat injection, it is also necessary to consider the possible long-term effects. Breast augmentation with fat injection has one advantage, the patient’s fat cells are guaranteed to be accepted by the body. Breast augmentation and reshaping using own fat is natural and therefore safe. But it is important for patients to use the natural abilities and capabilities of the body rather than inserting foreign implants into the body.

Autologous fat injection for breast augmentation can be performed both as a method of correcting the shape and size of the breast independently and as a companion procedure to liposuction. And if liposuction is somewhat painful and requires at least four to five weeks of rehabilitation, fat injections for breast augmentation are easier to apply (thanks to the injection technique). And the combination of these procedures allows you to simultaneously get rid of the accumulation of adipose tissue in problem areas, and bring the shapes that need correction closer to the ideal. For example, the removal of hip fat stores may be accompanied by breast augmentation using the patient’s own fat tissue.

In case the patient wants to enlarge her breasts using fat grafting, the thighs and abdomen area become the donor areas. The patient’s own fat grafting procedure becomes more effective. So when removing fatty tissue from a patient’s problem area, maintain the same pressure inside and outside the cells in order to maintain the integrity of the cell membranes. In addition, the negative consequences of adipose tissue oxidation upon direct contact with air have become known. Today, the fat cells that are planned to be used for lipofilling are carefully protected from contact with air.

How is fat transferred to the chest?

Breast augmentation with fat transfer has become a very popular option for women who want to avoid breast implants and the risks and care associated with them. Breast augmentation with fat transfer consists of two steps. The first step is to remove fat from the fat areas using Vaser liposuction, which also means correcting the excess areas. The next step is to gently apply fat injections to shape and enlarge the breasts in a natural way. During the operation, more fat is placed in the desired area because there is some absorption or melting of fat in the body after the operation. Rapid transfer of fat after removal is the most important key to keeping fat alive.

Recovery after breast augmentation with fat injection

Recovery time from liposuction is usually only a few days. Fat transfer to the chest results in minimal pain. You’ll likely have a slight amount of swelling and bruising around the incisions, but you won’t feel much pain during this time. Pain relievers can be taken for the first three to four days to feel more comfortable.

There may also be slight chest pain from the injection, but this discomfort is expected to be short-lived. Most activities can be resumed after about four days, but vigorous exercise should be avoided for at least two weeks to give the treated area enough time to recover. During this time, you should not sleep on your face, so as to avoid undue pressure on the chest.

Advantages of breast augmentation with fat injection

The benefit of breast augmentation with fat grafting is that there is no need for silicone implants because the woman uses her own fat. Once the recovery period is over after the injection, the breasts will look normal. Fat injection is also beneficial in terms of not leaving scars. There is no visible scar in the breast area.

Fat injection is very effective, especially in breasts that are asymmetric in size. In addition, if the breast sagging is low, fat grafting alone may be sufficient. In addition, it has been observed that the injected fat is more permanent.

• No implants are used.
• There is no surgical scar.
• The person’s fat is used.
• There is a low complication rate.
• Breasts look more natural.
• Patients and doctors are satisfied with the results.

Disadvantages of breast augmentation with fat injection

Compared to breast augmentation with implants, breast augmentation with fat grafting has several disadvantages. Although there are detailed descriptions of how fat is obtained, prepared, and injected, there is no standard technique for autologous breast augmentation. Therefore, you will want to make sure that you are looking for a surgeon with a long and successful history of performing this surgery.

• There is no standard technique, it depends on each doctor’s experience.
• Breast augmentation can be performed by injecting fat with a specific amount of fat.
• A breast lift may still be necessary.
• Fat can be reabsorbed.
• Fat calcifications may affect imaging of breast cancer.
• There must be enough excess fat for fat injection.
• Fat necrosis may occur, manifesting as short-term or permanent rigidity.

Breast augmentation with autologous fat does not repair skin damage, that is, it does not remove stretching and large folds. In women with a very thin figure, it is impossible to perform the operation, because there are no parts of the body from which the necessary amount of adipose tissue for subsequent implantation can be removed without any problems.

Subsequently, significant changes in hormonal levels or body weight can cause breast enlargement or reduction. Breast augmentation with fat injections is usually limited to one cup size. When more fat is injected, it can cause complications because the blood flow will not be sufficient in the first place. A limited amount of fat can be injected because the fat does not have its own blood supply to survive. There is no such limitation in silicone breast augmentation procedures.

What is the required amount of fat when injecting fat?

Adequate Fat Required: A minimum of 1000ml of pure fat is needed to be collected to effectively increase breast size. Skinny women are not good candidates for this procedure.

The fat survival rate after autologous fat transplantation is 60-80%, and the individual (depending on the amount of individual fat and location of the sample) varies greatly. The injection volume should not be too large, otherwise it may cause fat liquefaction and necrosis, which may lead to infection, lumpiness or calcification of the cyst. Therefore, multiple injections (generally 2-3 times) are often needed to achieve better results. Those who are too thin are not suitable for breast augmentation with fat grafting. At present, the use of new adipose stem cells in addition to fat transplantation can effectively increase the survival rate of fat transplantation and maintain volume after transplantation.

Fat injection with stem cells

The transplanted adipose stem cells are mixed with purified fat. Under local anesthesia, about 20 cc is suctioned from the inside of the thigh. The inhaled fat is enzymatically processed to remove adipose stem cells, which are then cultured and cryopreserved. This process takes about 6 weeks. For injection, under local anesthesia, frozen adipose stem cells are thawed, washed, and then mixed with purified fat to perform fat injection.

Adipose stem cells have the effect of differentiating into fat cells and promoting angiogenesis. Adipose stem cells are also contained in the inhaled fat, but the number is said to be reduced to about half compared to the mass containing an equal amount of fat. By adding adipose stem cells, the survival rate is expected to improve.

This treatment is carried out with permission by submitting a regenerative medicine provision plan to the Ministry of Health and Labor based on the “Regenerative Medicine Safety Assurance Act”.

Is it possible to inject fat after breast augmentation with silicone?

If you have had breast augmentation with silicone implants, but are concerned about the unnatural appearance and discomfort to the touch. Even in such cases if the silicone breast augmentation fails, it can be reconstructed with fat.

In breast augmentation with fat transfer, the saline solution is drained into the expander to reduce the weight of the expander and remove it and replace it with fat. Even if a silicone implant is inserted, the space created after the implant is removed will be replaced with fat. Fat replacement of expanders and implants already has a large surface area on the skin, So the fat is easily settled and a great effect can be expected. The main advantages are that you can have natural breasts and that there is no risk of regular implant replacement or rejection.

Is breast augmentation with fat injection a permanent method?

Some of the fat added in breast augmentation with fat injections may start to melt within a few months after the procedure, depending on your body’s activity. While some of the injected fat will melt in the first few months, the remaining fat can remain in the breast for life.

When can I start working after breast augmentation with fat grafting?

Some of our patients can return to work within two days after mammoplasty. Especially people who work at a desk and are not very tired may start to run slowly during the first 2-3 days after surgery. As a general rule, we recommend that our patients rest for the first five days after the operation. You will be ready to return to work 5 days after surgery.