Beauty and fitness

2024-12-02

Breast Augmentation with Fat grafting or Implants

Fat grafting and breast implants are two different methods of breast augmentation, but for several reasons, breast implants are generally considered to be the more appropriate and effective option. Below we explain the main reasons why fat grafting is not recommended for breast augmentation and why breast implants are preferable.

Why is fat grafting not recommended for breast augmentation?

Breast augmentation is one of the most common cosmetic procedures in today’s world, and many women use it to improve their appearance and increase self-confidence. Among them, there are two main methods for this: fat grafting and the use of implants. Although fat grafting has gained attention due to the use of a person’s natural body fat and a more natural appearance, this method is not widely recommended for breast augmentation. Several reasons, including limitations in increased volume, stability of results, and possible risks, have led to breast implants being recognized as a more effective and reliable method. In this article, we will take a closer look at the reasons why fat grafting is not recommended for breast augmentation.

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1. Limited volume of size increase

With fat grafting, the maximum volume increase is limited, as the injected fat must be taken from the person’s own body (liposuction) and transferred to the breast tissue.
In many cases, a dramatic or significant increase in size is not possible with this method, while many breast augmentation candidates are looking for a significant increase in size.

2. Fat absorption by the body

Some of the injected fat may be absorbed by the body over a period of months (usually 30 to 50 percent). This leads to a decrease in breast volume and unstable results.
In some cases, asymmetric fat absorption can cause the breasts to change shape and become asymmetrical.

3. Formation of fat deposits or calcifications

The injected fat may not integrate properly with the breast tissues, leading to the fat formation deposits or calcifications.
This condition can make mammograms (imaging tests for breast cancer) difficult to interpret and may even be mistaken for cancerous masses.

4. Need for a suitable fat source

To undergo this procedure, a patient must have sufficient fat in the body to be extracted and injected via liposuction.
Thin people or those with low-fat reserves are usually not good candidates for this procedure.

5. Unpredictable results

The results of fat transfer depend on the rate of fat absorption and the body’s ability to integrate it, which can make the final results unpredictable.

Why are breast implants a better option than fat transfer to the breast?

Breast implants are considered a more reliable and practical option due to their stable results, precise and desired volume increase, and variety in size and shape choices. This procedure not only provides predictable results but is also an ideal choice for those looking for more dramatic and lasting changes. Below, we will discuss the reasons that make breast implants a superior option.

1. Predictable and Desired Volume Increase

Using silicone or saline implants, the doctor can precisely select the desired volume for the patient.
This procedure allows for a significant increase in size that is in line with the patient’s expectations.

2. Long-lasting and stable results

Breast implants are more durable and their results are more stable. Typically, implants last between 10 and 15 years (or more), while the results of fat grafting may decrease over a few years.

3. Precise control of shape and symmetry

Using implants, the surgeon can precisely adjust the shape, size, and symmetry of the breasts. This is especially important for people seeking a more proportionate and beautiful appearance.

4. No dependence on body fat stores

Unlike fat grafting, implants do not require the removal of fat from the patient’s body and are also suitable for thin people.

5. Less chance of abnormal changes in mammograms

Modern implants, especially silicone ones, are designed to not interfere with mammogram imaging. This is a significant advantage compared to fat grafting, which can cause lumps or calcifications.

6. Variety in implant choices

Implants come in a variety of shapes (round or anatomical), sizes, and materials, allowing the surgeon to choose the ideal option based on the patient’s needs and preferences.

When might fat grafting be appropriate?

Fat grafting to the breasts, although used as an alternative method for breast augmentation, is more often recommended for specific conditions and limited purposes. In this method, fat is extracted from other parts of the body, such as the abdomen, thighs, or flanks, and after preparation, is injected into the breasts. Despite its limitations, this method is a good option in some cases:

1. Limited and natural size increase

For those looking for a slight increase in breast size (usually up to one size), fat transfer is a good option.
This method is especially recommended for those who want a natural and soft appearance.

2. Minor corrections and correction of asymmetry

If one breast is smaller than the other or its shape needs correction, fat transfer can serve as a precise and minimally invasive method to correct this asymmetry.
This method can also be used to improve the results of previous surgeries or to cover the edges of breast implants.

3. Repair after mastectomy or minor injuries

Fat grafting is useful as a non-invasive reconstruction method for people who have lost part of their breast tissue due to surgical procedures such as mastectomy or injury.
In these cases, fat grafting helps restore a natural appearance.

4. For people who do not want to use implants

Some people prefer not to use foreign materials such as silicone or saline implants and are looking for a more natural option. For this group, fat grafting can be a suitable option because it uses the person’s body fat.

5. In combination with breast implants

Fat grafting can be used as a complement to breast implants.
In these cases, fat is used to cover the edges of the implant, increase softness, or improve the final shape.

6. Reconstructing the shape and volume after weight loss or pregnancy

After significant weight loss or breastfeeding, breasts may lose their original volume or shape. In these cases, fat grafting can help restore the shape and create a more natural appearance.

Some of the limitations of fat grafting include:

Limited size increase (one size)
Some fat is absorbed by the body (30-50%)
The need for sufficient fat reserves in the body.

Fat grafting can be a good option in certain situations, especially for small corrections, partial volume increases, or in combination with prosthetics. However, for those seeking significant volume increases or long-term, permanent results, breast augmentation is often a better option. Choosing the best method requires careful consultation with a qualified cosmetic surgeon to properly assess your needs and expectations.

Conclusion

While both methods have their advantages and limitations, breast implants are a better option for those seeking significant volume gain, predictable results, and long-lasting results. Fat grafting is usually recommended for specific cases and smaller corrections due to its limitations and less permanent results. It is essential to consult with an experienced plastic surgeon who is knowledgeable about your needs to choose the best method.

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