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Breast Augmentation

Fat Transfer Breast Augmentation

Women have always wanted to move fat from their waist or thighs to their breasts. Now it is possible! Dr. Coleman has the world’s longest published experience in breast enlargement with a woman’s own fat .  He has presented his results at the most prestigious plastic surgery meetings in Europe and the United States. The lectures introduced the use of his trademarked technique of fat grafting, LipoStructure®, for breast augmentation and reshaping to create a long-lasting and natural result.

Plastic surgeons have transplanted fat to the breast since 1895 but the results have been variable depending on the technique used, the surgeon, and the individual patient.  In 1995, Dr. Coleman began injecting fat into the breasts using special instruments he developed for fat grafting. Now, Dr. Coleman is able to transfer body fat to the breasts to create a completely natural augmentation that has every indication of being permanent. They use fat grafting to the breasts as an alternative to implants for augmentation, to “fine tune” breast reconstruction after lumpectomy or mastectomy, and to disguise the edges or rippling of existing silicone gel and saline implants.

Fat grafting to the breast consists of two procedures performed on the same day: first, harvesting the fat and second,  placement of the fat into the breasts. To begin, a substantial amount of fat is removed manually (by hand, without the use of machines) with a Coleman harvesting cannula connected to a small syringe. Then, the harvested fat is specially processed via centrifugation to separate out the unwanted components (blood, oil, water) .  Next, the fat is injected meticulously through four tiny incisions using blunt Coleman infiltration cannulas.

In terms of recovery from fat grafting to the breasts, we generally suggest that patients take a week or 2 off to recover, as they will be swollen, bruised and uncomfortable, particularly in the donor sites. Most patients will be able to return to full normal activities in about 3 weeks.

Fat transfer to the breasts has many advantages over implants, but the major advantages are:

  • Fat is a completely natural substance that comes from your own body
  • Harvesting of the fat can be used to enhance your shape
  • The breast can be sculpted and shaped
  • There are minimal incisions with this procedure, which reduces the possibility of scarring
  • Fat grafting to the breasts can be used to disguise breast implants that do not look natural
Before and After

Seven year follow-up after one fat grafting procedure

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8 years 9 months after one fat grafting procedure. Please note that the patient had a 10 pound weight loss and feels that she maintained a two cup size difference.

Breast augmentation using the LipoStructure technique takes much longer than traditional breast augmentation. The fragile fatty tissue must be harvested slowly and gently. The fat is then placed into the breast not only so that it will create an aesthetic, natural appearance, but also so that the newly transplanted fat has a chance to survive. The two procedures (harvesting and placement) usually take more than 3 or 4 hours.

Our overriding concern with injecting fat into the breast has been to avoid any problems with future breast cancer detection. As with any breast procedure, calcifications and lumps can occur. Breast studies, including physical examination and mammograms, are used to monitor every patient diligently. However, there is no evidence that fat transfer to the breast is less safe than any other breast surgery. Large studies have begun over the last few years to study fat grafting to the breast.

Obviously, surgeons with extensive experience in grafting large volumes of fat to the body are most likely to obtain the best results. Dr. Coleman warns that fat grafting to the breast should only be performed by a board certified plastic surgeon experienced not only in fat grafting, but also in the anatomy and aesthetics of the breast.

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Before and After

32 year old after two sessions of fat grafting.

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