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Fat Breast Augmentation: a Natural Alternative to Traditional Breast Augmentation
Date
December 1, 2025
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Nowadays, more and more women are looking for natural results and harmonious proportions in aesthetic procedures. One of the most talked about trends in plastic surgery is breast augmentation with fat transfer, also known as breast lipoinjection.
This method, which uses the body's own fat to increase breast volume, represents an alternative for those who want a subtle and organic improvement without necessarily resorting to breast implants. Although not all patients are ideal candidates, understanding how this technique works allows for more informed decisions to be made together with the plastic surgeon.
What is breast augmentation with fat?
Breast augmentation with fat, or breast lipotransference, combines two procedures: one Liposuction to extract fat from donor areas (such as abdomen, thighs or flanks) and the back injection of that purified fat on the bust.
The objective is to increase the volume and improve the shape of the breasts with a completely biological material, coming from the patient's own body.
Unlike augmentation with implants, this method does not involve placing a foreign body, but rather seeks a more natural result in appearance and feel. In addition, lipotransference may offer the added benefit of remodeling the body contour.
This procedure can be a complementary treatment for patients who choose to have a breast explantation (permanent implant removal) and a reconstruction with own tissue. The fat obtained can be used for improve volume in key areas, such as the neckline, achieving a more harmonious and natural result.
It is also an excellent option for disguise or correct creases or “rippling” in patients with implants Retroglandular, especially when these irregularities are very evident.
Advantages and limitations of this technique
Like any procedure, breast lipoinjection has positive aspects and important considerations.
Among its main advantages are:
- It uses autologous fat, which reduces the risk of rejection or allergic reactions.
- It produces results that are soft and natural to the touch.
- It allows complementary body remodeling through liposuction.
- It leaves minimal scars, as it is performed using microcannulas.
However, there are also limitations:
- Not ideal for those looking for a significant volume increase.
- Some of the transferred fat can be reabsorbed by the body, considerably reducing the final volume.
- It requires good quality and quantity of fat in donor areas.
- It may take more than one session to achieve the desired result.
Ideal candidates
Fat transfer is more suitable for patients who are looking for a subtle and natural highlight, rather than a drastic change. It is also ideal for those who want Harmonize the full body, since liposuction and transfer work in a complementary way.
Some conditions for a good candidate include:
- Have enough fat deposits to extract.
- Maintain realistic expectations about results.
- Be in good general health and weight stability.
- Do not smoke or suffer from diseases that affect healing.
The step-by-step procedure
The process begins with a detailed medical evaluation. Once donor areas have been selected, low-pressure liposuction is performed to preserve the integrity of the fat cells.
The fat is then filtered, purified and carefully reinjected into the bust with microcannulas, layer by layer, to achieve a uniform and long-lasting distribution.
The procedure usually lasts between 2 and 4 hours, depending on the amount of fat to be transferred and the extent of the treatment. It is performed under local anaesthesia with sedation or general anaesthesia, depending on the clinical case.
Recovery and post-operative care
After the procedure, the patient may experience mild swelling or tenderness in both the donor areas and the bust. The initial recovery takes between 1 and 2 weeks, although the definitive result is seen after 2 to 3 months, when the grafted fat stabilizes.
General recommendations during recovery:
- Avoid chest compression for the first few weeks.
- Sleep on your back to protect the fat graft.
- Wear a compression garment on the lipoaspirated areas.
- Maintain a healthy diet and adequate hydration.
- Avoid strenuous exercise until medical authorization.
Most patients can return to light daily activities after one week.
You may also be interested in: Patient safety in aesthetic procedures: Dr. César López Romero's priority
Results and durability
The results of breast lipotransference are usually visible immediately, although some of the initial volume may decrease over time. Once stabilized, the fat that survives is permanently integrated.
The bust takes on a natural appearance, with a soft texture and a more organic movement than that achieved with implants.
The changes can last for many years, as long as you maintain a healthy lifestyle and stable body weight. Significant weight changes or subsequent pregnancies may affect the final outcome.
Comparison with traditional breast augmentation
Breast augmentation with fat It does not replace to augmentation with implants, but it represents a Different alternative, ideal for those looking for a more natural result. In addition, it can work as a complement to the use of implants, especially in cases where they exist Folds or “rippling”, as mentioned previously in the section “What does it consist of?”.
Los breast implants are ideal for patients looking for a sharper augmentation or a defined projection. “There is nothing that gives a better cleavage than a breast implant”. La fat transfer favors those who prioritize naturalness, symmetry and soft touch, with a more moderate increase.
In some cases, both methods can be combined to optimize volume and contour, achieving personalized results based on the patient's anatomy and preferences.
Medical approach and personalized planning
Each aesthetic procedure requires an individualized study. In the consultation, the surgeon evaluates skin quality, current breast volume and body fat distribution before recommending the best strategy. The modern medical approach seeks respect body proportions, Preserving security and maintain aesthetic harmony, essential pillars in the practice of Dr. César López Romero.
The doctor and his team prioritize a detailed evaluation methodology, where safety and naturalness prevail over excessive change, in line with contemporary trends in refined and conscious cosmetic surgery.
Towards a natural and harmonious aesthetic
Breast lipotransference represents an interesting option for those looking for a natural and discreet improvement. However, it does not replace the importance of a comprehensive medical assessment to define the most appropriate procedure for each case.
Dr. César López Romero promotes a medical approach focused on the individuality of each patient, where surgical planning and realistic results are the basis of a safe and satisfying experience.
Schedule your personalized assessment to explore the safest and most natural options in breast surgery.
You may also be interested in: Breast lift with implants: the basics of mastopexy and augmentation.
Frequently Asked Questions (FAQ)
Can injected fat be completely resorbed?
No. Some of the transferred fat can be resorbed, but a significant percentage is permanently integrated.
Can it be combined with breast implants?
Yes. In certain cases, both techniques are combined to improve shape and achieve more natural results. It can also mask inconvenient implant results such as conspicuous folds or rippling.
Is recovery painful?
The discomfort is usually mild and manageable with prescribed medication. Most patients return to their activities within a few days.
What if I lose weight after the procedure?
Significant weight loss can reduce the volume achieved, since some of the grafted fat may decrease.
Does breast lipotransference leave scars?
No. Only small marks remain from the microcannulas, which are almost imperceptible over time.
