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Fat Transfer Breast Augmentation

Conveniently located to serve the areas of New York, NY

For those looking for an increase in breast size, there are more options beyond simply getting breast implants. In a fat transfer procedure, Dr. Wallach can provide breast enlargement by using your body’s own fat cells rather than an implant. A fat grafting procedure is safe, natural, and permanent, making it a great option for people seeking surgical breast enhancement in New York City.

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Fat transfer breast enlargement, technically called autologous fat transfer, is a plastic surgery technique that uses fat grafting to increase breast volume. Fat cells are harvested from other areas of the body using liposuction, which are then processed and re-injected into the breasts using multiple strategic injection sites. Breast augmentation using fat transfer results in two-way benefits, as liposuction helps slim down a specific problem area of the body, while also increasing breast volume without the need for breast implants.

Fat Transfer vs Implants

A common question Dr. Wallach receives during consultations about breast enhancement surgery is which technique is better: fat transfer or breast implants? The answer is that depends on the goals and needs of the patient.

With breast implants, you can achieve a dramatic size increase of the breasts, with results that will last many years. However, the surgery for this is more invasive.

On the other hand, fat transfer cannot provide as big an increase in breast size. It can, however, give permanent results for women who just want a slight boost to their breasts. In addition, the liposuction used to harvest the fat cells for this surgery has an added benefit of helping contour the body by removing excess fat elsewhere, such as around the waist.


Women who want to augment their natural breast tissue by about a cup size without the use of breast implants may be good candidates for this procedure. Ideal candidates also should have realistic expectations for the procedure and the recovery process. Breast augmentation, with or without implants, is not meant to correct sagging breasts, whether due to a large size increase or skin laxity, in which case a breast lift would provide much better results.  However, a breast lift and augmentation can be combined.

In general, women seeking any invasive plastic surgery procedure should be in overall good health, be a non-smoker, and have achieved a healthy, stable weight.

The best way to know if you’re eligible for a fat transfer breast augmentation procedure is to schedule a consultation with board-certified plastic surgeon Dr. Steven Wallach. In a one-on-one consultation, he will give you an examination and provide you with all your options for breast augmentation surgery, as well as other procedures that may best achieve your body contour goals.


As with all surgeries, good preparation is key to achieving natural-looking results as well as easing the healing process after the procedure is complete. Dr. Wallach will guide you through the preparation process during your pre-operative consultation, which can include getting a blood test, ceasing or altering certain medication plans, and preparing your post-operative recovery.

For a fat transfer surgical procedure, you will need to arrange for someone to drive you to and from our surgical center as you might still be a bit drowsy by the time you are free to leave our NYC plastic surgery center.


Breast augmentation using fat transfer is essentially a three-step process that includes liposuctioning and processing the removed fat before re-injecting it into the breasts.


Once a patient has been anesthetized, Dr. Wallach will use liposuction to remove fat from a specific problem area somewhere on the body. This can be anywhere you have excess fat and is commonly around the abdomen, such as the love handles. Dr. Wallach makes a tiny incision at the donor site, then inserts the liposuction device’s cannula, which is a thin, hollow tube connected to a vacuum pump or a syringe.

The excess fat is literally suctioned out of the problem area (or areas) and collected. When enough fat cells have been harvested, the next step of the process begins.


Before the transferred fat can be injected back into the body, it must first be purified to remove any other bodily fluids that may have also been harvested during liposuction. This can be done by spinning vials of the collected fat in a centrifuge, which separates the fat and fluids into distinct layers, allowing Dr. Wallach to isolate the fat cells for re-injection. Or it can be done by allowing the fat to separate by gravity and collecting the fat in syringes or an aspiration cannister.


After the fat has been purified, Dr. Wallach makes several injections throughout the breasts to ensure even distribution and a natural-looking breast shape. Using these precise injections allows the fat cells harvested from the donor sites to naturally incorporate into the breast tissue to provide a completely natural look and feel while increasing breast size in the process.


Although the procedures used in fat transfer breast augmentation are surgical, recovering from a fat grafting procedure is usually easier than healing after breast augmentation with implants. Dr. Wallach will give you a clear timeline for the recovery process after your breast enlargement procedure, including post-operative appointments, when any sutures will be removed, and when you can expect to see the full results.

Each patient is unique and will have varying recovery times and experiences. Typically after a fat transfer procedure, patients will need two or three days of recovery before they can return to work. They will also need to adjust their sleeping habits and will likely need to wear a compression garment and surgical bra to help heal faster and more comfortably.


Breast enhancement using autologous fat transfer will increase breast size to a limited degree, depending on how much fat is able to be extracted, as well as your aesthetic goals. You will notice some change to your breasts and body immediately after the procedure, although it will take time to see the final results. The time needed to see results of breast fat transfer vary by patient, but can take several months until the swelling goes down.

New York City women who undergo fat transfer breast enlargement typically experience an increase of their breasts by about one cup size, although results vary by patient.


During a consultation with Dr. Wallach, you can expect three things to happen. First, you will express your concerns and goals for the procedure and how you want your breasts to look ideally. Then Dr. Wallach will perform an examination of your problem areas and collect your medical history, including any previous surgeries you’ve undergone.

Finally, he will offer you a recommended treatment plan, which can include other procedures for breast enlargement or enhancement based on your desires, and create a surgical plan for preparation, the procedure itself, and recovery. This process may be able to be completed in a single consultation or can span several conversations with Dr. Wallach. His goal is your ultimate satisfaction and comfort with the process.

Schedule Your Consultation

A fat transfer breast augmentation procedure is a great way to add natural volume to your breasts without the need for artificial implants. This technique can add up to a cup to your breast size by utilizing your body’s own fat cells. To find out if you’re a good candidate for this plastic surgery, the next step is to contact board-certified plastic surgeon Dr. Steven Wallach to schedule a consultation. Dr. Wallach is a cutting-edge expert in the field of plastic surgery, having authored numerous papers and publications throughout his distinguished career.

To get in touch with Dr. Wallach, please call (212) 861-6400 or fill out our contact form online today.


Can a mammogram detect a ruptured implant?

A mammogram may detect a rupture but an MRI or ultrasound are more sensitive and are usually the go to tests for evaluation of an implant.

Can you transfer fat to your breast?

Yes, fat transfer can be performed on the breast. The fat can be harvested from an area of excess which will often benefit from the harvesting and improve the contour of the donor region. The fat can then be separated and then injected into the breast for augmentation.

Can belly fat be used for breast reconstruction?

Yes, belly fat is often used for breast reconstruction, and is often the best fat to harvest. Other common areas of fat harvesting include the waist and inner thighs.

Does fat transfer last?

Fat transfer does last. It is hard to predict the exact percentage of the fat that will last but often it is between 50%-70%.

Can I lay flat after breast augmentation?

I prefer patients sleep on their back for the first few weeks, as they heal and get comfortable I then allow them to lie on their side and then eventually they can lie on their stomach if they desire.

How do fat transfers work?

Fat is harvested from one area of the body and transferred to another area using liposuction techniques first to harvest the fat and then fat is injected using syringes. The fat then obtains a blood supply from the surrounding tissue to survive.

Can I take my surgical bra off for a few hours?

In my opinion, the surgical bra is not mandatory. It is used for comfort, so yes you can remove it for a few hours if it bothers you.

How long do I need to sleep upright after breast augmentation?

I prefer that patients sleep on their back for a few weeks after surgery. Eventually they can then lie on their side and then ultimately if they choose to do so, they can lie on their stomach

How long is recovery after fat transfer?

Most patients can go back to light duty within a few days after breast fat transfer, and then they can go back to light aerobics within 3-4 weeks and vigorous activity soon after.

When can I run after breast augmentation?

I prefer patients avoid running for about 3-4 weeks. They then can go back to more vigorous activities a few weeks afterwards

How painful is breast augmentation recovery?

Breast augmentation under the muscle can be uncomfortable. This is because muscle fibers are divided to allow the implant to sit in the appropriate position on the chest. The division of the muscle fibers and the stretching of the tissues is usually what causes the pain. Many will say the pain is about 6-7 out of 10 for several days after the procedure.

Is natural breast augmentation safe?

Breast augmentation with implants is very safe and fat injection or natural breast augmentation is very safe.

What are the risks of fat transfer?

Fat transfer risks include poor take of the fat, fat necrosis, contour irregularities, and infection as the most common risks. A patient can also develop a hematoma or a seroma as well.

I Love Dr. Steven Wallach, hands up with praise and his receptionist Ashley and other staff is amazing. I love my new Wallach body if I could rate 100 stars I would.

Melisa G.

New York, NY

I got Lipo 360 and Lipo done to my inner thighs and it was honestly the best experience . Everyone in the office including him make sure I knew everything that was happening and honestly I love the results so much !!

Brittani P.

New York, NY

I’m so happy with the results from the Botox shots that Dr. Wallach performed on me. He spent a lot of time talking about the different fillers that would make my face look the most natural and youthful.


New York, NY

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