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Fat transfer breast augmentation

#1

Has anyone here had fat transfer breast augmentation done? From my research it seems like it has many benefits, especially since they use your own fat stores from somewhere else in your body and put it into your breasts. 

Typically they say they can only do about 1 cup size each time and that you may end up with less as swelling goes down etc. also as you loose or gain weight you might gain or lose some fat there as well. 

Just wondering if anyone had this done or is thinking about it and has done a lot of research on the topic. 

Depending on the cost I feel this might be the best type of breast augmentation since it's as natural as you can get. Again depending on the price and ultimately the size one is trying to achieve you might need multiple fat transfers,  so cost is one thing but they say it's one of the most natural looking and feeling since it's your own fat they use.
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#2

I've done one round of fat transfer as part of my quite extensive lipo sculpting/contouring surgery. Second round coming soon, I'll answer the questions for you. Big Grin

1. Typical transfer volume in total is between 200cc - 600cc. Mine was around 650cc in total as my wide breasts allow a lot to be done due to surface area. Bigger surface area and lower density allows bigger transfer volumes in one go. My breasts are very dense, but they're so wide I can take more than usual in one go. Typically surgeons tend to overfill for about 50cc to compensate for losing some.

2. Typically you retain about 50-75% of the volume, but you can retain as much as over 90%, this is a bit of luck and genetics at play because everyone has their own limits on how many fat cells their breast tissue can "latch" onto. I retained almost all of the volume when swelling went down and what ever I lost, natural growth soon made up for. The biggest difference was in shape and the change was rather dramatic. I gained less than a cup size in volume because I'm at the point where cup size differences are quite large. Check out my thread for the latest timeline, that shows perfectly what the transfer did.

3. Its very typical to go for more than one round of transfer, I'm booked for one more and I might opt for one or two on top of that. Its slower to do than implants which give full volume in one go, but result is 100% natural. It doesn't change breast shape much, but can enhance natural shape in multitude of ways and its very accurate.

4. Typical price for one round is about 2000-3000$ or so unless you pick shady super cheap option. Clinics often sell a sort of bulk of these, so there's series of them done and all is lumped in one payment. That might be bit cheaper than booking one at a time. Many places sell this as part of body contouring which might make it more affordable if a bigger proportion change is planned.

5. Fat cells after transfer retain their "cell location" and behaviour, this means that weight gain or loss will make boobs grow or deflate. Transfer area doesn't matter as much as some say, but often closer to the goal spot is better. Mine was a mixed one last time and second round will be lower belly fat which is awesome as that's where I always gain the most and fastest. This means that future weight gain will make my breasts grow a lot bigger.

6. Complication risk is typically very low, but complications of fat transfers can be very dangerous. So choose a reputable clinic and top class surgeon, pay a bit of a premium if possible. This isn't to be toyed with even though its one of the safer surgeries there is. Recovery is quite easy but first week can be extremely painful. If they use the modern waterjet system for lipo, that's far more gentle and it makes easier recovery too. I got this option as the Finnish clinic is very up to date with techniques.

7. I would choose fat transfer for detailed shaping, natural result, somewhat affordable cost and low complication risk. For raw volume and radical shape changes, I would rather pick implants. But then again if shape doesn't need to be changed but enhances and several transfers can be done, volume can easily exceed typical implants too so that's one more pro for fat transfers.

I'm supposed to get my second operation booked soon, I should get it done in about a month or bit more, after that I'll be here ready for an AMA. Cool
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#3

Lara that's awesome.  You pretty much covered all the bases. In the detailed response. 

As much as I think I'd prefer fat transfer when the time comes, I'm not sure if I'd have enough fat on my body to use. And also with how wide my frame is I may need to go for implants. 

Which brings up another dilemma. With implants they can go above the muscle, below it and short of a half and half above and below. From what I understand people who are more active are suggested to use above muscle implants. Not sure if want above muscle implants just because I'm really active.
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#4

Lara that's awesome.  You pretty much covered all the bases. In the detailed response. 

As much as I think I'd prefer fat transfer when the time comes, I'm not sure if I'd have enough fat on my body to use. And also with how wide my frame is I may need to go for implants. 

Which brings up another dilemma. With implants they can go above the muscle, below it and short of a half and half above and below. From what I understand people who are more active are suggested to use above muscle implants. Not sure if want above muscle implants just because I'm really active.
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#5

I'm seriously considering implants for a couple of reasons. The first is due to a reason that many of us on the forum might not be aware of or even have considered, and that's the location of our inframammary fold (IF).  The IF "... is the natural lower boundary of the breast; the place where the breast and the chest meet.".  If the IF is higher on the chest, it can impact the amount of development of the lower portion of the breast. This isn't usually a problem for males working to develop their breasts, because it's not too common to develop beyond a B cup, where the location of the IF isn't an issue, but if you can, and want to develop larger breasts it could be an issue.  This clearly is not an issue for all males developing breasts, as is so beautifully demonstrated by Lara and her spectacular bosom!

My IF is relatively high, which has limited the growth of the lower portion of my breast below the nipple.  I've had excellent results growing my breasts, but it's somewhat disproportionate between my upper and lower breasts.  (I'd seen a plastic surgeon a few months ago and he amazed at the amount of development I'd achieved in my upper breasts.)  So with my IF located where it is, even as I continue to develop, I'll never achieve the truly full round shape that I want, without some help.

Relocating the IF when needed is commonly done during breast augmentation.  So my only choice if I want to develop the fully rounded shape of my breasts that I want, will be to have my IF relocated downward. And since that is commonly done during augmentation, I might as well have the augmentation done at the same time.

CM, depending on the location of your IF, you might want to take this into consideration on the positive side of the scale in a decision on implants.

The other reason I'm considering the implants is that I will quickly achieve the quite large breasts that I desire.

Best regards,
ChuckM











 
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#6

I think the location of inframammary fold has more to do with genetics than sex characteristics. I know several women who have it high, thus resulting to top full breasts which sag quite a bit. This is similar as with wide chest, can be said for almost everything. East-west breasts are quite common for women too, I know many who have that going on. I'm not a good example on this stuff because I'm not male. I have some sort of intersex condition going on and if activated Y chromosome magically makes me a man, then a whole lot of women out there are also magically men too.

Anyway, genetic dice roll. Most men and transsex women don't know this until they develop far enough. Looking at female relatives might give some idea on how it'll turn out. For example, I'm second bustiest in my family by now, and my shape is becoming spot on like several quite close relatives. My mom has the root width going on, so does my aunt, (The one who has gigantomastia.) and few cousins have similar shape also.

Moving the inframammary fold with surgery is a thing though, from what I've read, its one of the things that can be messed up quite badly, but a skilled surgeon can absolutely fix the placement with implants. Afaik that's done by shaping the "pocket" made for the implant and that can totally make or break BA surgery.

I forgot to mention about my first fat transfer that the emphasis was middle and bottom fullness and additional volume in general. So most went to middle and bottom. My surgeon said that its best to not over fill the bottom part or the result would look funny. I wouldn't mind more bottom fullness and I'll ask him to do a similar trick on that part next time. This helped a lot with rounding the lower part and that injection wasn't much. I think it was perhaps one fifth of the entire volume or so, but the effect was quite dramatic. Point being that fat transfer is very good at subtle detailing of shape which mostly enchances the existing shape, whereas implants can completely change it a lot in one go. Only reason why I could think of implants would be to give me a lot of projection at once, but since I'm in late Tanner 4 and there's at least couple of years more of development coming up, I think it would be too early to get implants. Also fat transfers being fully natural and there's no foreign objects involved makes it better suited for me. My body has extremely strong immune reaction to even tiny foreing objects. Anything from stitches to wood splinters can cause a big infection as my body rejects everything like crazy, this is why I'm a bit scared of implants, what if I did it and my body would totally reject them? That could result into massive infection and sepsis and I'm not ready to die for nice boobs. Thankfully options exist and natural growth wont be done in a long time. Big Grin
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#7

If and when I do surgery (of any kind ) it won't be for a year or two max. So I still have some time to consider all my options based on my body and other factors when the time comes.
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#8

I talked to a couple doctors about the fat transfer. My question was can I get fat transfer in my breasts, hips and butt done together. Also my Phycologist I asked about if I need legal paperwork to get this top and partial bottom surgery. The plastic surgeon said yes we can transfer 300 cc of my fat from my stomach to each of my breasts and my hips and butt. He estimated my Liposuction would have 2200 cc of fat removed. The amout implanted fat would use most of that. He said a breast implant would add 1 - 3 cup sizes to my breasts, fat transfer adds about 1 cup size.  The Psycologist said I could legally change my name and sex on my drivers license as a legal proof of my gender change. For example, I am non binary now and the California drivers license has male female and non-binary. They said if I don't plan to have bottom change I should identify nonbinary. Also, I have a history of hormonal tests and size D cup breasts that show I am developing female traits. So they could write a letter that I have balanced hormones (high estrogen progesterone low testosterone) and developed breasts over 7 years.  On top of that I explored this fat transfer in Mexico and the US. I was a medical tourist many times and I know of two cities that perform comparable surgeries.
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