Bigger breasts and a smaller waist? Does that sound like a dream come true? Then you may have found the perfect procedure! As plastic surgeons, breast augmentation is one of the most common procedures that we perform.

Typical breast augmentation is performed with either silicone or saline filled implants. This can lead to fantastic results in most patients, but there are some patients out there who do not want to have an implant placed. Implants do come with their own set of problems: possible infection, possible rupture, capsular contracture, and asymmetries. One solution in some patients is the technique of breast augmentation using your own fat. In this procedure, fat is harvested using liposuction from areas of excess and then injected into the breast to increase the size.

Ideal Candidates

breast augmentation fatThe ideal candidate is one in good health without significant medical problems. They should be have reasonable expectations of outcome and understand the potential risks and complications that may occur. Patients need to have enough donor fat on their bodies in order to transfer to the breasts. Patients that are very skinny or at their ideal body weight, may just not have enough excess fat to produce the desired result. Patients should also be looking for a modest increase in size. A typical breast augmentation with fat can only increase the cup size on average one half to one full cup size. That means if you want to go from an A cup to a D cup, you may need to go through 2 or even 3 procedures before getting to the desired size using fat itself.


During your consultation, you will meet with Dr. Arslanian and his staff and have the opportunity to discuss your individual situation as well as your concerns and aesthetic goals. Dr. Arslanian will will take detailed measurements of your breasts and body and perform a complete examination. Photos will be taken to help Dr. Arslanian point out certain things and explain his approach to breast augmentation with fat transfer. If you are deemed a good candidate, he will discuss the various options for breast augmentation and make sure you are happy with your decision. He will also show you photos of other patients before and afters to help determine what size and look you are trying to achieve. After answering all your questions, you will then sit down with the surgical coordinator to discuss timing, pricing, and any other questions you might have.


Prior to surgery you will be given instructions on the day, time and location of your procedure. You will be given your prescriptions that Dr. Arslanian prescribes, and all of your paperwork including consent forms will be signed. In some cases you may need to obtain medical clearance from your physician or specialist, and possibly meet with the anesthesiologist and undergo additional lab work depending on your medical issues and personal situation.


The procedure will be performed as an outpatient in an accredited surgery center with a board certified anesthesiologist in the safest conditions possible. The surgery will be performed under general anesthesia. Pre-operative markings will typically be made the morning of surgery.

After you are asleep, Dr. Arslanian will start by making his sub centimeter incisions in the areas of planned liposuction. He will then perform SAFE liposuction to harvest the appropriate amount of fat and contour your problem areas. The fat will then be processed and placed into injection syringes. Using even smaller incisions, Dr. Arslanian will then strategically place the fat into your breasts in order to increase the size as well as improve the shape and contour of the breast. The incisions will then be closed and you will be placed into garments for compression. You will be awaken from general anesthesia and taken to the recovery room.


You will go home the same day of surgery and rest. Over the course of the first week you will begin range of motion exercises to keep your arms and shoulders from tightening up. You will wear your garments as instructed, typically for a minimum of 6 weeks to decrease pain, swelling, and bruising. Your breasts will initially be swollen, somewhat firm, and a little uncomfortable. This is normal and they will decrease in size as swelling goes down, and soften as the fat becomes incorporated. Final results typically take 3-6 months but often up to a year.


Patients can expect about 60% fat retention as some of the fat will not survive the transfer. This means that Dr. Arslanian will typically “over graft” the breasts so that the final result is right in the neighborhood of what we were trying to achieve. Depending on how much of an increase in size you want, you many need to undergo a second or even third round of fat transfer in order to achieve your desired size.


Breast Augmentation with Fat typically costs more than standard breast augmentation due to the extra time and work required for this procedure. The advantage, however, is no implant associated complications over the course of your life. We would be more than happy to give you a detailed customized quote when you schedule a consultation with Dr. Arslanian.