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  • By Patty Kovacs, Editor-at-Large, Makemeheal.com

    Want to increase your breast size and slim down your mid-section at the same time?

    After years of medical research, specialty trained plastic surgeons are successfully increasing a woman’s breast size using the patient’s own fat along with fat stem cells. This revolutionary plastic surgery procedure is opening a new frontier in breast augmentation and causing interested patients to look more closely at their options.

     

    For years, saline and silicone implants have served as the most viable method for breast augmentation patients, but inserting saline or plastic into one’s body is considered by some women as a procedure that poses health concerns. While saline or silicone implants are ‘foreign objects’ placed into the body, innumerable studies and FDA approval declare both saline and silicone implants to be safe. Breast augmentation and liposuction were front runner plastic surgery procedures for 2008, and are proving to continue to be so in 2009.

    Breast Augmentation, Fat Transfer

     

    The relatively uncommon fat grafting breast augmentation procedure has women everywhere buzzing about the benefits of this seemingly more natural breast enhancement option. So what’s a woman to do? First, decisions mean options and options are a good thing. Present clinical evidence does not conclude that fat grafting is safer or better than saline or silicone implants, but the idea of taking one’s own fat and repositioning it to augment the breasts is rapidly capturing the attention of medicine, consumers, and the media. I decided to take a more careful look into this procedure as the beauty buffet of breast augmentation procedures is likely to bring a feast of pros and cons and confusion is best converted to clarity.

     

    Autologous fat grafting, also known as fat transfer (AFT), is a procedure in which fat cells are harvested from one part of the body and injected into another. It’s gaining acclaim rapidly. Proponents of fat grafting breast augmentation say it can be very effective in enhancing the size and appearance of the breasts using one’s own tissue. The procedure can also soften the appearance of existing implants and hide visible rippling which is particularly apparent in very thin women with a bony chest wall and little skin or fat with which to work.

     

    The process typically increases breast size by one cup size. Recovery time is argued by opponents to be less than with traditional implants, as both the breast and donor site must heal. Also, patients need to have an adequate supply of excess fat for the procedure. Opponents claim it can take up to six months or more for breast shape results to complete post surgery as opposed to implants where recovery and results appear in six to eight weeks. But the surgeons with whom I spoke expressed short recovery following the fat transfer procedure claiming their patients could return to work in only a few days.

     

    Fat Transfer, Breast Augmentation

    Methods for tissue harvest and tissue injection have been refined. Fat cells are carefully removed by a specialized liposuction procedure using numerous syringes and transferred to the breast via dozens of minutely small injections. This technique results in increased survival of the fat cells. There remains debate over how much of the transferred fat remains long-term, but the doctors with whom I spoke said it could possibly last a lifetime, unlike implants which are recommended to be replaced at least every ten years.

     

    The procedure can be very effective in enhancing in enhancing the appearance of the breast for breast reconstruction. Fat grafting breast augmentation can also soften the appearance of existing implants, particularly in very thin women who experience visible rippling with their implants.

     

    Augmenting the breast with the body’s own fat first became popular in the 1980s; however, both ASPS and ASAPS initially cautioned its members against the technique because of side effects such as oil cysts, calcification, and tissue scarring. The calcification in particular made it difficult for mammogram readings to distinguish between calcifications associated with breast cancer and calcifications associated with fat transfer.

     

    A renewed clinical interest in fat grafting for both reconstructive and aesthetic purposes has emerged and surgical proponents of the procedure are calling it the wave of the future in aesthetic breast enhancement procedures.

     

    I decided to go straight to the top and speak with Dr. Mel Bircoll, retired Board Certified Plastic Surgeon and Chief of Plastic Surgery at the former Beverly Hills Medical Center, a prestigious facility which catered to the upper crust of Beverly Hills, on the site of what is now the Peninsula Hotel. Dr. Bircoll, an icon of medicine and the first doctor to perform liposuction in North America in the latter 1970’s, now resides in Bel Air and remains active on advisory boards for fat transfer procedures and stem cell research.

     

    Breast Augmentation, Fat Transfer

    “My esteemed clientele were so pleased with the progressive face lift procedures I performed in the 60’s, 70’s and 80’s, they kept asking me, ‘Dr. Bircoll, can you take it from here (thighs) and place it here (breasts)?’ To accommodate their pleas I introduced the first fat transfer procedures in the United States in 1984,” Dr. Bircoll declared.

     

    How did he come up with the first successful fat transfer procedures in North America? Dr. Bircoll explained that fat transfer procedures were going on as early as 1890, but that the procedures did not produce tissue that could be oxygenated; thus, the fat transfer tissue would die. He figured if he could inject a small enough quantity into the center of vascularized tissue, each minutely small quantity would get its oxygen supply and survive. Breathing room meant survival of the fat cells and that meant success. His procedure is the very foundation of today’s multiple micro injections procedure for successful fat transfer. Each of the micro injections receives oxygen and the procedure, when done properly, brings outstanding results, he reports. Fat is successfully removed from the patient’s own body and placed into the patient’s breast, all using the person’s own fat, creating a naturally enhanced breast with no foreign implant.

     

    One of Dr. Mercoll’s select students is Board Certified Dr. Todd Malan of Scottsdale, AZ, now a teacher of Dr. Bircoll’s method and Founder of the signature breast augmentation procedure, the “Natural Breast Augmentation.”

     

    Dr. Malan explained to me, “The method for harvest and injection of the patient’s tissue is a highly refined approach. But we’ve achieved success unlike any other fat transfer breast augmentation procedures. Procedures previously performed in the 1980s provided only 50 per cent of fat cells surviving. The procedure we perform today maximizes fat stem cells to provide an 85-90 percent survival of the cell. We implement a method of harvesting the fat cells that places little to no trauma on the harvested fat and allows the aesthetic enhancement to last (potentially) a lifetime. Fat cells are carefully removed by liposuction using syringes and transferred to the breast via dozens of micro injections. The ‘Natural Breast Augmentation’ technique results in greatly increased survival of the fat cells, and though there remains debate over how much of the transferred fat remains long term, we see no reason to believe it is not for life.”

     

    Dr. Malan has trained only six surgeons in the United States due to the precision and surgical expertise required to perform the procedure correctly. One of his elite students, Dr. August Accetta, of Huntington Beach, CA (www.accettamd.com) told me he is amazed regarding patient satisfaction and success with the procedure.

     

    “Finally my patients who have long desired breast enhancement but did not wish to have implants due to their not wanting a foreign substance in their body nor on their breast wall, comment that the procedure has offered them a wonderful, full, all natural, utterly beautiful breast enhancement and they’re elated. It’s a tedious procedure requiring meticulous attention to every detail and should only be performed by a highly trained specialist, but the end results can be astonishingly natural and beautiful,” acclaims Dr. Accetta.

     

    He says there are four primary reasons for patients to request Natural Breast Augmentation: First, general augmentation. Second, restoration to pre- pregnancy breast size, shape, and appearance. Natural Breast Augmentation is also performed to correct embarrassing size discrepancies, and, lastly, restoration following surgical lumpectomy procedures.

     

    “As long as the fat is injected in the correct way, the patient will be overjoyed that her breasts look and feel 100% natural,” said Dr. Accetta. “This is the very first procedure to allow doctors to use everything nature gave us to help a woman obtain that perfect hourglass figure… naturally!”

     

    In 2007, the highly respected medical association, American Society for Plastic Surgery (ASPS) , formed a Fat Graft Task Force to conduct an assessment regarding the safety and efficacy of autologous fat grafting (AFT). I spoke to Dr. Karol A. Gutowski, Chair for the ASPS review, about the results of the study.

     

    “We looked at studies from around the world and concluded that while there are a lot of concerns, there’s much evidence showing positive results from this procedure. We actually couldn’t find strong evidence showing why not to perform this procedure for breast augmentation, but we also didn’t conclude this is the best technology there is for achieving certain specific goals, say for breast reconstruction. The standard now for breast augmentation is implants which has its pros and cons; same is true for fat grafting. Unfortunately, we have no formal studies comparing the two. Maybe in the near future as we could use more information and studies on this.”

     

    While there is one registered prospective clinical trial (BRAVA, clinicaltrials.gov ID:NCT00466765) and other non-registered prospective trials involving fat grafting to the breast, no randomized controlled trials were identified during the literature search.

     

    As the procedure continues to grow in demand, numerous surgeons are creating their own ‘signature’ or trademark procedure of the fat transfer breast augmentation. In reply to safety, proponents argue that sophisticated radiology and modern digital mammography equipment of today can better distinguish cancer cells from benign ones when examining dense breast tissue. Advocates state that fat grafting breast augmentation does not compromise accurate mammography readings any more than implants, and, in fact, most of them feel the procedure means far less mammographical compromise than implants. Opponents suggest more research is needed before concluding that the procedure’s benefits outweigh risks.

     

    The process typically increases breast size by one cup size. Recovery time may be less than with traditional implants, as both the breast and donor site must heal. Patients need to have an adequate supply of excess fat for the procedure.

     

    Opponents claim it can take longer for results to take shape after the procedure as opposed to implant procedures. There remains debate over how much of the transferred fat remains long term. Formal clinical trial evidence does not exist to suggest that fat grafting is safer or better than saline or silicone implants.

     

    The American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) urge consumers to proceed carefully with any breast enhancement procedure.

     

    As with all aesthetic surgical procedures, research the facts, I want to emphasize how important it is to consult only with a Board Certified Plastic Surgeon, compare the stratum of fat transfer breast augmentation procedures, and examine carefully all before and after procedure results.

    Patty Kovacs, Make Me Heal Editor

    Patty Kovacs, Editor-At-Large at Makemeheal.com, is a published author and beauty expert. Patty is the Executive Producer/Host of The Health and Beauty Revolution Show on wsRadio. Her 800+ interviews include over 450 New York Times best-selling authors. Patty

    See Patty’s Websites: www.pattykovacevich.com

    Patty Kovacs and Lois W. Stern are the co-founders of Coast to Coast – Eye on Beauty Newsletter. Check it out!

    Coast To Coast, Patty Kovacs, Lois W. Stern

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    Comments

    62 Comments so far

    1. Camille on May 11, 2009 11:28 am

      Hi — this was a really interesting to read.

      I work with a plastic surgeon and it seems to me a little premature to be comparing AFT augmentation to implants just yet –
      My understanding was that while new techniques like refining the fat before injecting it, and using liposuction techniques that tend to keep the fat cells intact can help encourage the fat to stay healthy, there are still no guarantees (fat necrosis is another concern). From what I’ve heard, this is still in many ways an “experimental” procedure.

      It looks like your docs have been performing it for a while, though, so maybe they’re just ahead of the game?

      One surgeon in Canada was recently penalized for performing this procedure with terrible results on patients, but if I’m remembering rightly he lacked the appropriate qualifications in the first place. Maybe this is just one more area where we’ll see better legislation and safety guidelines develop once the technology is farther along?

      My surgeon’s blog post on this topic (from last november): http://www.cosmeticsurgerychronicle.com/stem-cells-pasadena-breast-enhancement/

    2. Nativa on May 11, 2009 12:23 pm

      Oh, puhleez!
      Adding extra fat for ‘volume’ has nothing to do with real breast augmentation via implants.
      And the results of this technique are just pathetic. I mean just look at it…

    3. Deb on June 7, 2009 6:49 am

      i think they look very good. they look natural, plus the patient gets to lose a little weight in other places. that’s a win win. i’m even more interested using fat with implants to make them look and feel more natural. i’m getting ready to have it done myself.

    4. Jalita on June 25, 2009 10:09 pm

      Thanks for sharing with us, I was thinking of surgery. And through your help I came to know about the proceedure. Thanks again.

    5. leelee on June 29, 2009 9:12 am

      I think it is really bothersome that your Dr. reference’s aren’t ASPS board certified. . .this is a interesting new procedure, but before you post an article about it make sure you references are valid! This is how people get hurt.

    6. Kait on August 11, 2009 2:42 pm

      I had implants for 26 years altogether. I had them removed. I then had fat transfer and am very pleased with the results. Implants were hard, cold and fake; now I have natural-feeling, bouncy, sexy breasts. Plus, my saddlebags are gone.

    7. Lena on August 23, 2009 12:39 am

      Asia is already doing it.. i think North America should do it too, i notice they did not say how long it lasts… it is NOT a perminent thing… only lasts for about 2-3 yrs.. and the fat cells die

    8. brokergrl on August 28, 2009 4:35 pm

      Lena, that is because it was stated, if performed incorrectly yes they can die. However, if you go through it again, you will see that it is not temporary either as noted by Dr. M.

    9. ras on September 16, 2009 10:22 am

      i want to know if with this procedure i can increase my bust size by more than one cup?? i was considering implants but this sounds so much safer…only wish i could increase 3 cup sizes !!!

    10. Sophia on September 22, 2009 11:32 am

      Yes I would like to know if whether they can actually increase by more than one cup size, as I have read in recent newspapers (ie the Times (UK), The Independent, The Guardian etc) that the procedure can in fact increase your bust size by up to 3 sizes! Which is correct? Does this all depend on how much fat you have in the areas fat is to be taken from in the first instance?

    11. Pam Byrne on October 5, 2009 3:01 pm

      this is really interesting and makes sense and would like to know if any surgeons are looking for guinea pigs!!!

    12. Linda on October 25, 2009 5:09 pm

      As a 12 yr old. surviving a horse accident, the surgeon explained that he had taken breast tissue to help my abdominal area. Now as a 60 yr.old , having nursed my babies successfully, my far from looking 60 years old body has excessive fat accumilation in the abdominal area. I want to know if I could possibly be a good candidate for this surgery. It’s been a lifetime of having to defend my almost B cup size.

    13. Linda on October 28, 2009 10:27 am

      Does anyone need guinea pigs for a freebie??????? Fantastic…2 for one!!

    14. Kait on October 28, 2009 6:57 pm

      Fat transfer doesn’t stick out like fake breasts do, but they are natural and can look really good for natural breasts. If you desire the high profile, va-voom chest, not for you.
      I was wondering too…Dr. Accetta is a dermatoligist accoring to the website.

    15. Cindy on November 5, 2009 7:05 pm

      I don’t have enough extra fat to do the transfer but I am very interested. Does anyone know if the fat could be transfered from my mother to me? Is this a possibility?

    16. Mary on November 17, 2009 8:24 am

      How much does this procedure cost? Are you asleep or awake for it? Is it performed in Canada?

    17. F.A. on November 30, 2009 6:18 pm

      you can not transfer the fat from one person to another, but you would be surprised how they can find the fat -they can take it from multiple areas. I had it done and I am pleased with the results. It costs around $5000

    18. F.A. on November 30, 2009 6:19 pm

      Also, I was asleep – but they can do it while you are awake – not sure about Canada. If you are ever in AZ, Dr. Malan is great.

    19. Debra on December 14, 2009 10:10 am

      Is this procedure performed in Las Vegas, NV?

    20. Kelly on December 15, 2009 9:58 am

      Just wondering if anyone has had a negative experience with fat transfer to breasts and also wondering if anyone has had it last more than 5 years. It’s expensive and I don’t want to make the investment if it’s going to dissapear.

    21. ANSHU on December 22, 2009 8:28 am

      this is wondering for me that we can do augmentatin without surgery, but this is new techniqch,so we dont know the side effect of it.

    22. tina on December 29, 2009 5:08 am

      two weeks ago I had fat transfer to the breast and I am very disappointed with the results so far, there is hardly any realy change in size, they looked ok for a week but they are getting near to their original size with each passing day.

    23. KG on January 2, 2010 6:50 am

      is this available in the uk? if so can someone please tell me where/who is offering this surgery?

    24. EG on January 3, 2010 9:23 pm

      Fat transfer to the breast works best when an external suction device is used to make space for the fat. Dr. Khouri from the miami breast center is leader in natural breast augmentation using fat transfer. The device works like a suction cup and makes space between the skin and fat allowing for more fat to be injected. This technique only has a 15% fat loss ratio. Doing fat transfer without this technique is like squeezing something into a tight space…its going to spill out somehow. But with Dr. Roger Khouri’s technique this does not happen. Check out the link.

    25. Gina on January 4, 2010 8:11 pm

      I was wondering if there are any other side effects to fat transfer to the breasts. I read that somewhere that its harder to detect breast cancer…is that true?

    26. lisa on January 8, 2010 12:04 pm

      yes they are doing it in the uk in london

    27. shell on January 10, 2010 12:45 pm

      TINA and KAIT could you please email me the names of your doctors and what state they are in? My friend is looking to do the surgery also, and wants to know who to avoid and who’s doing good work. Thank you! sshyne77@yahoo.com

    28. Laurene on January 11, 2010 4:02 pm

      I had this procedure from Dr. DelVechio in Boston and I went from a 36A to 36DD my breasts are beautiful fantastic and totaly natural looking and feeling no scars etc.

    29. tina on January 12, 2010 5:48 am

      I was told you can only go up the maximum 1 cup size, which in my case was probably half a size. it is performed widely across the uk. I cannot have a top up as not enough fat left to be removed so once I have spoken to my surgeon I will let you have his comments. I may end up having implants which is what I wanted originally, but was persuaded to go down the transfer route by my surgeon. I’m still disappointed any my husband says he sees no difference.

    30. donna on February 3, 2010 7:58 am

      I had a breast lift with a small reduction on one side. It was too much, now my surgeon says this is the way to go to even up my breasts. What training should I ask her if she has received. Can any board certified surgeon do this procedure ?

    31. Kait on February 3, 2010 1:56 pm

      Shell;
      My PS was in Denver, am checking into local PS who uses body jet lipo as well for a second fill-up. I had zero fat before, now am small but still some room from the implant stretching my skin.

    32. manna on February 7, 2010 7:13 pm

      Hi, those who live in up north-Canada-! Does anyone know a great doctor who can perform fat transfer in Canada???

    33. Pharmacy on February 8, 2010 3:25 am

      The better your surgeon performs, the less the trauma to your tissues, and the less bleeding during surgery

    34. Polina on February 15, 2010 10:33 am

      I just had a meeting with the doctor in Lodnon to discuss this procedure. To answer few of you questions:
      1) Only your fat can be used – not even your mother’s
      2) Within a year you will know if the fat cells die – from around 20 operations he did, majority just lose 10-20 %, but one person lost 60% – so it is more or less like a macrolane with the benefit of a lipo thrown in
      3) The amount of fat that can be removed and processed for stem cells (that what keeps the fat cells alive and integrated within you body) is only 600 ml in one go, so the breast increase is somewhere1-1,5 sizes.
      Hope it helps – feel free to ask more.

    35. Denise on February 22, 2010 12:57 pm

      My doc said she would freeze my fat and reinject in 2wks? Is any one familiar with this?

    36. Weet on February 23, 2010 4:53 pm

      I want bigger boobs but i dont want implants.. i seen too many bad jobs! i live in canada, are there any good Dr.’s here? and how much money are we looking at? cuz i heard like 20K?! waaaaay too much for me. especially if the results dont even last! Fill me in on wat u girls know! please!

    37. Blaque on March 2, 2010 7:34 am

      I am a man. My male friends had a discussion about this. After looking at some of the pictures everyone admitted that they were more attracted to the fuller breast. A smaller full breast looked better than a large sagging breast. If they were small and sagging forget about it. We also agreed 6 to 1 that the natural breast augmentation looked better than implants. Ladies, we pay closer attention to detail than you think when it’s something we are interested in. Believe me when I tell you we do pay attention to your body. The good, the bad and the ugly.

    38. Tinkerbell on March 2, 2010 2:03 pm

      I just had fat transferred to my breasts. I only wanted to go up one size and have fuller breasts. It has only been two months and I see some difference but I still want them to be fuller, so my doctor is going to use the syringes of my fat that is in the freezer to do the second procedure. Stay tuned!

    39. Texas breast reduction on March 3, 2010 12:46 am

      The history of breast enhancement is very long and sometimes it is filled with success and sometimes with errors and trials. Due to the long history, today we can go for this procedure with confidence and without fears.

    40. makenzi on March 15, 2010 8:35 pm

      hi

    41. makenzi on March 15, 2010 8:39 pm

      Has anyone else had this procedure done from Dr. Del Vecchio in Boston, Ma.? Also i notice here that people talk about loosing a certain % of the fat that was injected; if thats the case wouldn’t that mean that the fat goes right back into your body where you took it from in the first place? Also, what if someone decides to change their diet and start exercising more frequently, would the first thing to go be their breasts? Please people if I could have some answere with people with experience or knowledge?

    42. jimmy on March 17, 2010 1:37 am

      Hi there,could anyone recommend a good doctor in queensland, australia to do such a surgery?
      In Brisbane or the Gold Coast.

    43. Surgery a week ago on April 7, 2010 5:24 pm

      I just had mine done a week ago. I”m kind of upset cuz they have aleady gone down by half and look good but I have a feeling I will continue to lose fat. I chose not to use brava system because I really wanted to get the surgery at a certain time. I should have waited or researched more sooner. Although the brava system doesn’t work for everyone, there is a direct correlation between it’s effectiveness and the amount of fat that stays. IMO it’s worth taking the chance. Also, My left breast was a little smaller than my right which like I never noticed until the doctor pointed it out. He added 50cc extra to the smaller one without asking me! I went from having a barely noticeable difference in size to having a difference I can see :( I have my first meeting with my doctor soon so let’s hope we can talk about what to do now because I have no other fat that’s useable and don’t want implants. I”m probably SOL. I am in Canada and got it done in Toronto. I won’t say my doctors name until I’m 100% done dealing with him. Good luck.

    44. Surgery a week ago on April 7, 2010 6:07 pm

      It’s me again. on the plus note. I took a lot of pictures. I really like the look of the lipo and my boobs are still bigger. I just went into this more wanting the lipo with the boobs as an added bonus. Then after seeing them so big.. I wanted them to stay that way but I still really don’t want fakes! I think that another tip of advice I have to anyone is even after using brava- you know that not all of it will stay. Do yourself a favour and don’t look at your breasts for a week or so if you can help it (showering after a few days like you;re supposed to and curiosity will probably make this damn near impossible lol).
      I really want them to make it possible to transfer from person to person. That way people can save money on their lipo and others can use it for boobs and stuff lol. I wonder why another persons fat won’t work… Like if organs can be transfer and stuff and blood of same type then why not fat? You take a test that checks for disease anyways before getting lipo so how could it be dangerous?

    45. Surgery a week ago on April 8, 2010 8:01 am

      Makenzi,

      There are two reasons I can think of of why a certain % of fat is lost when you put the new fat into your breasts. 1 Many doctors experiment with different techniques to ensure that the most healthy fat is is used (centrifuge, heating and cooling techniques, even some use stem cells to try to jump start more growth). The reality is that some cells that are injected can be damaged and have a lesser chance of survival 2 The new fat in your breasts needs blood to survive. That means that the fat you inject has to start sharing blood with the other fat cells around them. This is why sometimes it is necessary to do more than one transfer and you shouldn’t go putting in large amounts like 800cc in each breast at a time. I wonder if each time your breasts expand successfully your body reacts and develops new blood vessels later on… That would be a nice adaptation :)
      When the damaged or dead fat gets absorbed back into the body I suppose you could gain it back, but this would happen according to your new body’s proportions. You could ask your doctor about eating low fat while recovering however your body is healing and uses extra calories every day in the wound healing process (most of which from carbohydrates).
      The fat isn’t going to go back directly where you took it from but if you do gain or lose weight after, it will happen proportionately the way it normally does. The advantage is that with your new proportions, you have less fat cells in the area you took the fat from. When you reach a certain age (adult?), fat cells are rarely created or destroyed naturally. When you gain and lose weight, it is a result of the fat cells you already have either filling up or emptying.
      I went into surgery at 5’2 weighing 125 lbs. My first few days home I was 130 do to swelling as part of the inflammatory phase in healing. It’s been a week and I’m now 125 again. I am still too sore and not advised to work-out at this time BUT I can and my doctor encourages me to do easy things like walking. He guesses I will be able to resume regular work-outs two weeks after surgery. I plan on losing ten pounds because I had to gain that much to get more benefits from the surgery. I should lose it in proportion to my new body. However it is possible to continue to lose fat for like up to a year or something though my doctor says most people are the new size for sure after 1-3 months. My girlfriend also got this done a few months ago and said she lost most after her third week. I lost a lot already in my first. Everyone is different (I hope I don’t lose anymore!!!!!!)

    46. tina on April 20, 2010 6:03 am

      My breast are exactly the same size only a few months after fat transfer as before the procedure, I definetly think this procedure doesn’t work and wouldnt recommend it.

    47. lynn on May 6, 2010 1:05 pm

      I got this surgery with Dr. Malan 2 years ago and my breasts went from a b to a full c. i have not gained weight since and my breasts are still a c.

      after research i learned that injection with frozen fat is not as successful. the success of this procedure depends greatly on the technique – equipment used, where and how fat is injected, etc. If done in the best way, 90% of the fat lives after injection.

    48. tina on May 17, 2010 6:07 am

      I just had a top up of fat, initially all looked well, but it’s slowly disappearing. I think fat transfer doesnt work for some people and I definetely should have had a BA. I wanted to go up just 1 cup size. My children see me in the bath and no one has commented as I said they look the same.

    49. Nikita on June 2, 2010 3:12 pm

      Why does everyone on here who has had a negative experience not bother telling who they went to?I.E so the rest of us can avoid those not so good doctors!

    50. christen on August 1, 2010 7:05 pm

      makenzi, i had it done with dr. del vecchio over a year ago. to everyone questioning the validity and quality of this procedure, DON’T. i am incredibly happy with my results. it has changed my shape and i am still very pleased (even after some weight fluctuation) over a year later. hope that’s helpful.

    51. nancy on August 13, 2010 11:47 pm

      I spent $30,000 to have fat transfer to my hands, breasts and scar indentation. The hands are about 20% improved, i loved my breast the first 2 weeks, it is now 4 weeks and every bit of fat transfer (other than the little improvement in my hands) is GONE. And so is my $30,000!! Had it done in California. Going to another post op appointment next month and will see what he will do for me because I was not told of the low success of this procedure. It was this site and others that convinced me otherwise. I wonder are there real patients with real results, really? I guess I doubt it because of how little fat was maintained. The plastic surgeon is board certified, well known and respected. Just wished I would have been told of the reality of the percentage of people it really works for. …really disappointed…

    52. Breast Implants Prices on August 25, 2010 1:44 am

      I think they look good. A lot more natural than the conventional way of getting bigger breasts. However, surgeons may need to study more about fat transfer and improve it.

    53. Cam on December 27, 2010 1:40 am

      I live in Orange County CA and was wondering if anyone has a doctor that they could recommend and/or that I should avoid. Thank you. Cam

    54. Wyman on January 6, 2011 1:36 am

      I live near the Ottawa region in Southern Ontario and am very interested in this procedure. I am wondering what the success rate is and if it actually has side effects. I have been looking at pictures and some that I have seen have stretch marks or discoloring in their breasts afterwards…is that an after effect or does the discoloration go away? I am also wondering how painful it is throughout the procedures (both taking the fat from the body and injecting it into the breasts) and also after the procedure. Is there any doctor in the Ottawa area that does this procedure successfully and for what price? I would like to go up over 1 size at least. Any help would be greatly appreciated! Cheers :)

    55. franiepantie on May 2, 2011 10:05 am

      I had this procedure done 2 years ago. Wearing the Brave cones before and after the procedure is a big commitment and a big uncomfortable pain in the butt (especially when travelling). But I think for optimal results you must do this. The results were good and bad. First, my right breast was smaller before and was still smaller after. But I did go up one cup size, which was exactly what I wanted. They looked just beautiful until last summer. So they lasted about a year and a half. I started getting lumps, several in both breasts. After testing, the bumps are completely benign and are basically “fat lumps”. But its looks bad and feels bad. And my insurance company now has a rider attached to my policy that they will not cover anything breast related in the future. I am on and have been on HRT and Dr. Malan is thinking it may be related to the fluctuation of hormones. Today they are pretty much back to their original state. The procedure is now being done with stem cells which I don’t know if it makes a difference or not. Is there anyone who has had this done that it has lasted years? Anyone who has had a similar experience?

    56. Brenda - Natural Breast Enlargement on June 21, 2011 5:09 am

      Great article and some really useful comments too, thank you

    57. anonamom on December 15, 2011 8:49 pm

      I had fat transfer done 6 wks ago in miami. Using brava pre- and post-op.
      The breast are certainly larger, but not as large as I had wanted/ discussed w dr. I went from flat not filling out an A to a B cup…. for now. But I’m sure I will lose even more volume once I’m done with brava. I think the dr had a very difficult time getting enough fat, as I was very thin to begin with. Perhaps bc of this my recovery was much worse than anticipated. The lipo was downright painful – I could not really walk for a week, couldn’t squat for 3 wks. Now 6 wks out and my thighs and lower back are still bruised and completely numb.
      I’m afraid by the time I’m completely recovered, the boobs will be gone.
      At this point kinda wishing I just got implants… or maybe the grass is just greener.

    58. anonamom on December 15, 2011 8:56 pm

      Also brava alone is reported to get 150cc increase in volume after 10 weeks of use, which is prob all I will end up with after my fat transfer + brava. Maybe I should’ve tried brava by itself first. Would’ve saved me $10k & a lot of pain!

    59. Alyssa on February 8, 2012 3:30 pm

      I’ve had the procedure done with stem cells over a year ago. I went from a 32A to 32C using the stem cell enhanced fat taken from my thighs. I had breast implants years prior that made me very ill until they were removed.

    60. daedalus on May 16, 2012 9:23 pm

      Where in Canada, specifically, near Vancouver BC can I get this done or be in a trial for?
      D

    61. Liz on June 6, 2012 12:57 pm

      AFT + Brava use allows the patient to retain up to 85% of fat compared to 50% from AFT alone. There is a multicenter study done backing this up.

    62. lookyourway on June 19, 2012 7:41 pm

      Breast implants (when done right) are known to have a 97% satisfaction rate!

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