BREAST AUGMENTATION WITH FAT GRAFT 

Who is the candidate for this surgery.

Some ladies do not prefer not to use breast implants and have enough fat in their body. Sometimes it needs two or three sessions to achieve the desired size

What happens during a breast augmentation with implants procedure?
typically performed in 90 minutes under general anaesthesia as a day case. I start with harvest the fat, mostly form lower abdomen through three or four 5 mm openings. Fat will be prepared to maximise the chance of survival when transferred. Then through 2-3 mm opening I inject the fat in the right plan in the breast tissue to give us the shape and size we aim for. 

What is the chance of success of this procedure?

Previously, breast augmentation with fat graft fell out of favour due to not being as effective as it should be. Nowadays and after few developments and adjustments in the technique, we can achieve reasonable results when done to the right candidate. Always ask during consultation if you are a candidate or not. 

Will it be painful afterwards and how long do I have to have off work? 
Swelling, bruising and some pain are usual for the first 2-3 days afterwards and gradually improve over the next 10 days.  You will need one week off work. I recommend a front fastening post surgical bra for support after surgery. This should be one chest size larger than your normal fitting and your preferred cup size.

What should I avoid after the operation?
You should avoid strenuous activity for 2 weeks and avoid pressure on the area for 2 weeks.

What are the risks of the operation?
Any operation carries some risks.  Apart from early bruising and swelling, there can be reabsorption of up to 30% of the fat over the first few months.  Rarely infection, asymmetry, bleeding, fat necrosis, oil cysts, benign calcification may develop which can be associated with mammogram changes.

When will I have appointments after the operation?
Review at any time if you have any concerns.  Routinely at 1 and 2 weeks and 3 months after surgery to assess final result. Procedure can be repeated after 6 months if needed.