Hi.

Did anyone of you here have or looked into breast augmentation with fat? I had small implants (200cc) done 15 years ago and now they need to come out and I consider getting the volume replaced with fat cells from my belly and maybe from the legs - some surgeons say it is a good idea since I would not have to worry about the implants again, others say it is nonsense and does not last long but might cause some problems instead. Seems a bit like an ideological divide there and I would like to try to find what is the reality of it.


Greetings

I don't have a clue if it's done but Jenny said that almost half of it's reabsorbed after surgery. Depending on the final size you desire, it might be best to have the fat moved in several procedures instead of just one. This would reduce the skin stretching and allow for better placement.

Hi, Anja

I recently read an article on this subject that does seem promising. I can't give you a link as I'm 435 posts short of the privilege, but if you want to google it the the title is "Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF)" by Masanori Ohashi  et. al.

According to the article the breast size after the removal and augmentation procedure decreased by less than one cup size in the six-month follow-up period.

If it helps, the description on DDr. Karl-Georg Heinrich's web site (in Austria) suggests he under "certain specific conditions" uses a similar technique. (I know nothing about him, and just mention the fact as a case in point—while many surgeons do require the implant removal and augmentation to be spaced apart, it can also be done in a single session.)

Yeah, I looked in to it. As Dena mentioned, retention isn't great, but it can be improved. There is a process by which the fat is extracted and stem cells are collected. The stem cells are then added to the fat and implanted where needed. The idea being that the stem cells help create a vascular system which reduces loss..

Ok, thanks. Did anyone get this herself here? I know it is done a lot for other body parts like moving fat from belly to hips or butt, which is something quite a few trans women do to improve body shapes, but apparently for the breasts its more complicated?

I am aware of the loss (seems to often be 30-40% but can be more if things are not going well), but since I only need 200cc it would be manageable if 300 cc are implanted. Some say the loss is 100% after 4 years though, this would be inacceptable.

I'm interested in doing that myself.

I notice that PAI in Thailand do it, but I've  never heard of anyone who's done it.

http://pai.co.th/fat-transfer-to-breast/

I've found a couple of other papers, but these are more about correction rather than augmentation.

The Role of Fat Grafting in Breast Reconstruction.
https://www.ncbi.nlm.nih.gov/pubmed/26116937

Treatment of congenital unilateral hypoplastic breast anomalies using autologous fat grafting: A study of 11 consecutive patients.
https://www.ncbi.nlm.nih.gov/pubmed/26049613

It is possible to download the papers, but probably not from those links.

I checked the Article on "Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF)"
The pictures in it were not really convincing to me - the patients definitely have lost a lot of breast volume by changing the implants for fat - even though the same volume of fat was used. I guess one has to clearly overcompensate and use 2x as much fat as the implant volume was.