The ability to achieve attractive breasts has been a goal throughout time.

Every culture throughout history has placed value on the female breast. It is viewed as a source of strength – – a source of fertility – – a source of nutrition – – and a source of beauty. The female form and its appeal to all humanity is integral to the size shape andposition of the breast. In addition the nipple and areola also play a vital role in the overall appearance of  two of the  most important aspects of the female form.

Surgical breast enhancement is well over 100 years old as is fat transfer. The components of fat transfer include harvesting, methods of cell processing, methods of transplantation and management of the recipient site.

Breaking down the process of fat transfer into these components can be helpful in analyzing and understanding its positives and negatives. The term autologous refers to tissue from one’s own body. Autologous fat you would think would be perfect for use as enhancement material for breasts. However, the key factor with respect to autologous fat transfer is survival. That is if you remove a cup fat from your abdomen and move it to your breasts will this cup of fat live. Medicine and science has learned with great angst-the fact that survival is dependent on blood supply. In other words if the segment of tissue cannot be guaranteed to have adequate circulation- it will necrosis and shrivel and die.Micro surgical techniques -that is the joining of at least one artery and preferably two veins from the donor to the recipient tissue can overcome this obstacle. But with fat cells there are no practical ways to do this. The vessels are so small it is impossible at a cellular level to join them. Consequently survival fat is unpredictable and for the most part minimal.

There are mechanical and chemical attempts to enhance survival but to date have not achieved impressive results. It is important to understand that there is a difference between fat cell transfer as a volume and contour enhancement and stem cell transfer. To date there is no known way to grow breasts with stem cells.

Furthermore,the volume is very limited and usually less than 250cc’s-at best- and most of which will disappear.

Therefore it is my firm opinion at this point in history with all of the science we have at our command fat transfer-as a method of breast enhancement is a failure and a waste of time and money. . If you want your best looking breasts implants with or without a breast lift are in my opinion the optimal and most efficient way to achieve this.  

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