Can you do a fat transfer to the breast as opposed to breast implants?

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Ask Dr. Pane: Can you do a fat transfer to the breast as opposed to implants?
For many women, breasts play a major role in their perception of how others see them and their own femininity. Breasts that are too large can lead to back problems and other medical issues, while breasts that are too small are often viewed as unattractive, less appealing, or less “womanly.” Cosmetic surgery has come a long way in helping women achieve the bustline which best suits their personal ideals for beauty and their best selves as humans and women. One example of this is the legion of advances in the field of breast augmentation surgery, which led to this question in a recent Instagram Live session with our founder and Chief Medical Officer, Dr. Thomas A. Pane. Many viewers asked variants of this question, which only showcases the interest people have in breast augmentation technology and techniques. The question was, “Can you do a fat transfer to the breast as opposed to implants?”

Dr. Pane’s answer to this was a short, unequivocal “Yes.” Atlantic Coast Aesthetics has been offering and performing fat transfer augmentation to the breasts for many years. At first, people were afraid of this procedure because of concerns that radiologists would see abnormalities within the breast and be unable to differentiate between augmented fatty tissue and potential cancer warning signs during mammograms and other diagnostic tests. Radiologists quickly demonstrated this was not the case. If the fat does unusual things such as clumping or dispersing in unexpected ways, it’s going to look different than indications of breast cancer.

The obvious advantage of doing a fat transfer to the breast is that you’re really just adding in more of what the breast is already composed of. This makes for a perfectly natural shape and feel with minimal scarring, something many patients find desirable. However, Dr. Pane stressed, successful fat transfer depends on the patient having the correct anatomy to accept the procedure and get optimal results. A little looseness in the skin of the breast would be optimal, as would patients who prefer a breast curve that sits lower and presents a more natural profile. Patients with naturally high-set breasts are more difficult, and those who want the resulting breast tissue to sit higher on the chest without the natural curve on the underside of the breast is all but impossible with fat transfer. This is because fat, being mostly water, assumes a teardrop shape when acted upon by gravity. You’re not going to get the full lift like you can with some types of implants.

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