Does breast fat transfer work?

As we have stated, modern techniques have a cell survival of 50-70%.  When PRP is added, it is estimated that survivals of 90-95% can be achieved.  Patients have been followed after fat transfer using these techniques to about 10 years post injection.  Based on that experience, it is believed that cells that survive beyond 3 months after injection survive permanently.  Breast fat transfer has some advantages over breast implants:

  • The breast augmentation is done using your own tissue – there is no chance of a tissue reaction
  • Capsule formation which can be a common problem with implants, does not occur with breast fat transfer.
  • The fat does not harden over time
  • The fat transfer has no chance of leaking or deflating
  • Although changes in weight, pregnancy or aging can result in changes in shape and/or “drooping” after breast fat transfer, there are no recommendations for replacing the fat after 10 years or so.  Many breast implants carry such recommendations.

There are also some areas where breast implants have an advantage:

  • The fat has no shape of its own and is limited by the shape of the skin covering the breast.  Implants have a shape of their own and can give a better esthetic look in some patients.
  • Implants can stretch the skin and give a better size and shape in some women with small breasts or poorly shaped breasts.
  • Implants can give a better result when combined with breast reduction for women with large or extremely “droopy” breasts.