TEXTING AVAILABLE! For a text response feel free to text the number provided on your screen after filling out this form.

Fat Transfer Breast Augmentation

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

This procedure is no longer offered

Are you unhappy with your breast size, but don’t want breast implants, and want a small increase in your breast volume? Do you have asymmetries between breasts and want to add a small amount of volume to one breast? Do you wish there was a more natural alternative to breast augmentation? Well, there is! It’s called a fat transfer breast augmentation.

At Cosmetic Surgery Associates, our surgeons are highly skilled at performing long-lasting fat transfer procedures to increase the size of the bust. Find out if you are a good candidate for this innovate procedure by contacting our office in Bethesda, Maryland to request a consultation.

About Fat Transfers

fat transfer breast augmentationA fat transfer is a general term for a type of procedure that removes fat from the body using liposuction and then introduces that fat into another part of the body for augmentation. Perhaps the most well-known fat transfer procedure is a buttocks augmentation, more commonly known as a Brazilian Butt Lift.

Other fat transfer procedures that we perform include facial fat transfer, a long lasting alternative to dermal fillers that adds volume and reduces the appear of wrinkles on the face, natural breast augmentation, and fat transfer for hands. Fat transfers are popular procedures, because they not only add youthful volume to the body, but they also allow the patient to sculpt their body through liposuction.

Breast Augmentation with Fat Transfer

A fat transfer breast augmentation is a good option for patients who have mild asymmetry between breasts, or want to add a small amount of volume to their breasts. In this procedure, fat is removed from the patient’s body wherever they have excess fat deposits. The fat is cleaned and then carefully injected into the breasts. The fat cells in the breasts will take to the new area, eventually establishing a blood supply. This means that the results from a fat transfer breast reduction are long lasting. To be able to add lasting volume, the procedure may need to be repeated 2-3 times to increase the fat take.

Fat Transfer vs Implants

implantsThe first thing a patient needs to consider when deciding between implants and a fat transfer is how much volume they hope to add to their bust. Implants come in a variety of shapes and sizes, which makes them accessible to many women looking for different outcomes. Implants are the gold standard for breast augmentation, and are best for moderate to larger augmentations. On the other hand, a fat transfer breast augmentation can only increase the breast by a small amount. This means that it is better suited for women who are looking for a small increase, not a dramatic change.

Both breast implants and fat transfer procedures are considered safe and are FDA approved. However, a fat transfer has the added benefit that it uses no foreign material. Since all the material comes from the patient’s own body, there is no chance for an allergic or adverse reaction. Since implants are synthetic, the body may reject the material. One of the more common issues with implants is capsular contracture. This is when the body forms a hard outer shell around the implant as a means of defense. Although we use the safest and most advanced techniques available when performing breast implant procedures, each body is unique and may react differently to the introduction is foreign material.

breast augmentation implantsFat transfer breast augmentations and implants also differ in their maintenance. A fat transfer does not require the same amount of upkeep as implants. However, if the desired results are not met after the first surgery or if the breasts lose volume with age, patients may have to undergo a second fat transfer breast augmentation. Implants, on the other hand, are not designed to last forever. As a rule, they tend to last an average of 10 years before they need to be replaced. Issues like capsular contracture or rupture could be reasons why they need to be replaced sooner. Furthermore, silicone implants require routine MRI testing to check for silent rupture, which can be costly.

Patients can read more about the differences between implants and fat transfer here. However, in order to ultimately determine the best technique for your body, we recommend meeting with a board certified plastic surgeon who is highly experienced in both types of procedures. Contact Cosmetic Surgery Associates today to request a consultation with Dr. Richards, Dr. Magge, or Dr. Jabs.

Good Candidates for Fat Transfer Breast Augmentation

The number one rule of any cosmetic procedure is that a patient must be in good mental and physical health prior to the surgery. Patients should have realistic expectations for the outcome of the surgery and understand what a fat transfer can and cannot accomplish. Natural breast augmentation without implant can typically achieve a small increase in breast volume.

Patients should also be at a healthy and stable body weight. Seriously weight fluctuations can negatively impact the results of the surgery. Patients who are very thin or who are overweight may not be good candidates for the operation. They should also be nonsmokers. In order to determine whether or not you would be a good candidate for a fat transfer breast augmentation, please request a consultation with us in Bethesda, MD.

Procedure Steps


The first step of a fat transfer breast augmentation procedure is performing liposuction in order to harvest the fat. Liposuction can be performed anywhere that the patients has excess fat deposits. Typically, liposuction is performed on two or three of the following areas.

  • Arms
  • Back
  • Abdomen
  • Flanks
  • Hips
  • Thighs

At Cosmetic Surgery Associates, we perform three types of liposuction: suction assisted, power assisted, and laser assisted (SmartLipo). The best technique for the patient will be determined by the operating doctor at the time of the consultation.


In order to ensure that the maximum amount of fat takes to the breasts, the doctor will first clean the fat. The fat is separated from the other cellular debris and the fat is then purified for injection.


The final step in a fat transfer breast augmentation procedure is to inject the fat into the breasts. Using specialized, small syringes, the doctor will inject the fat into the breasts at varying depths and in very small increments. By evenly placing the fat across the breasts, the most amount of fat will survive. Since not all of the fat will take to the new location, the doctor will slightly overcompensate with the amount they initially inject.


Once the doctor has completed the procedure, the patient will be properly bandaged and taken into a recovery room. In the recovery room, the patient will be observed by our staff until they wake up from anesthesia. The patient will be able to return home on the same day as their procedure, but they will not be able to drive themselves. All patients should make arrangements for somebody else to drive them home prior to the day of their operation.

maryland fat transfer breastAt home, patients should keep the compression garments around the liposuction sites. This will help the body settle into its newly contoured shape. Patients will be instructed to wear these compression garments at all times, with the exception of in the shower, for two to three weeks. During this time, the patients may experience some bruising, swelling, and discomfort. They will be provided with prescriptions for medication to help ease discomfort.

Patients should plan on taking one to two weeks off from work in order to allow their body to fully recuperate. However, they should wait even longer to return to their job if it requires heavy lifting. At the time of the consultation, the doctor will advise the patient on when they can return to activities such as exercise.


Patients will be able to see the final results of their fat transfer breast augmentation between six months and a year.

Patients will notice the immediate change in the size following surgery. However, the final results will take some time to develop. Over time, the fat cells introduced into the breasts will take to the new area, gaining blood supply. However, not all of the fat cells will survive and some will be naturally eliminated through the body. There is no harm in undergoing additional fat transfer procedures to further augment their results, as long as the patient is still a good candidate.


Scheduling a consultation with one of our doctors in Bethesda, MD is the first step in a fat transfer breast augmentation. During the consultation, a doctor will meet with the patient one-on-one in order to determine whether or not they would be good candidates for a fat transfer. They will ask about the patient’s goals and consider whether or not they can be attained with a fat transfer or if the patient would be better suited for breast implants. The doctor will also perform a detailed examination to aid in this decision. It is important that the patient clearly communicates their cosmetic goals, so that the doctor can recommend the optimal procedure to meet them.

At the end of the consultation, the doctor will develop a comprehensive treatment plan that will include all preoperative and postoperative instructions. At this time, the doctor will also be able to provide the patient with a cost estimate for the procedure. While the patient is welcome to schedule their appointment at this time, we recommend spending at least one day considering all the information addressed in the consultation and deciding whether or not a fat transfer breast augmentation is right for you.

Please contact Cosmetic Surgery Associates today to get started!

Board Certified Plastic Surgeon at | + posts

Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers