The appearance of the breast throughout history has both a functional aesthetic and cultural significance.  Fat transfer to the breast is not new. It originally goes back to the 1890s – without much success, I should add. In the late 70s and early 80s, liposuction became popular and an offshoot of that was moving the fat to different parts of the body.

Fat transfer to the breast has very identifiable limits. First, there’s no guarantee that the fat will live. Fat necrosis or death of the fat is a very significant risk. This can lead to lumpy breasts and possibly infection. Furthermore, if you develop fat necrosis you may not be a candidate for further fat transfer.

Fat Transfer

Also, with fat transferred to the breast we are limited to maybe one or 2 cup sizes. This can be very limiting for a patient who desires a maximum volume increase. Overall, even fat transfer can be used in conjunction with breast implants to add shape and possibly volume in areas where the implant cannot create fullness.

Overall and furthermore, I prefer silicone gel implants. They are more reliable more dependable and an overall in my opinion create a much more aesthetic breast. and of course, this is our main goal.

THOMAS TREVISANI, MD

BOARD-CERTIFIED PLASTIC SURGEON

MEMBER OF THE AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY