Autologous fat transfer breast enhancement
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Autologous fat transfer breast enhancement

Solution to flat chest problems! Solution to flat chest problems!

A safe and effective option for breast augmentation: Autologous fat transfer

Women's breasts are the ultimate symbol of femininity. Shape and size of the breasts are mainly determined by genetics. Other additional factors include nutrition, hormone and aging. Significant development of the breasts occurs during puberty. Once this period has passed, substantial growth hardly happens. During pregnancy, the breasts often get increase in size and fullness. However after experiencing repeated inflating and deflating for breastfeeding, it is not uncommon that the breasts lose their firmness and shape and become deflated or saggy, leading to loss of the shapely curves and confidence in women.

The advantages of autologous fat transfer for breast augmentation

1. Natural look and soft touch
2. Dual effect of reshaping the body figure and increasing the bra cup size

3. Personalized reshaping procedure as the best option for breast issues, such as breast asymmetry in size or in shape, flat chest and saggy breasts from breastfeeding.


"Fully Closed" autologous fat transfer breast augmentation

Purity of fat graft is the key for graft retention during autologous fat transfer

Dr. Steve Cohen, a well-known plastic surgeon in the United States, pointed out that the long-term fat graft survival rate depends on fat processing and the purity of the fat graft. Centrifugation and decantation are traditional fat processing methods to eliminate tumescent fluid, blood, and other contaminants. The most commonly performed method now in the market is centrifugation however its effect is not ideal because the centrifugation separates the fat cells from the tumescent fluid, blood, and debris in different layer without filtering out the free lipid completely. The centrifugal force itself causes disruption of the fat cell releasing more free lipids. Decantation is worse, as the obtained fat grafts still contain unwanted liquid and impurities. These traditional purifying methods are more cost effective and labor saving, but the quality of the fat graft is poor and the postoperative infection risk is higher due to exposure of fat graft to the air.

How to improve the outcome of autologous fat transfer breast augmentation

3-Step Fat Purification: harvesting, purifying, reinjection

Mela PureGraft 250 system for autologous fat grafting procedures uses unique US-patented double-layer filtration technology that selectively collects fat cells and drains out unwanted impurities resulting in a purification rate up to 99%. The fat grafts prepared by PureGraft contain purified fat cells, of which the structure remains intact and the color keeps freshly yellowish, like golden pearls. A single-use PureGraft 250 system can process up to 250ml harvested fat tissue within 15 minutes. Reinjection of the purified high-quality fat graft prepared from PureGraft is proven to improve long-term fat retention resulting in improved surgical outcome.

The Key to Success of autologous fat transfer breast augmentation: professional expertise is our strength

1. Highly customized breast augmentation procedure performed by skilled and experienced plastic surgeons to achieve the most desirable result.
2. The breast augmentation procedures aim not only to increase breast size but also to correct various breast issues, such as breast asymmetry, uneven breast and flat chest, resulting in improved breast contouring and sexual attractiveness.
3. Surgical procedures are performed in positive pressure sterile operating room circulated with particle-free air. Higher clean room standards are adopted. During the operation, customized anesthesia protocol is applied by anesthesiologists using a high standard TCI system to ensure the safety of the patient.

Process and Timeline for Getting Autologous Fat Transfer Breast Augmentation

1.Surgical consultation

Experienced surgeon provides consultation explaining about autologous fat transfer breast augmentation, such as instructions of preparing for surgery, surgical procedures and post-operative care.

2.Blood exam

Blood exam is carried out in a qualified medical exam institute to evaluate if the patient is physically fit for the surgery.


Body fat percentage and the size of suitable surgical sites of liposuction are measured for preoperative assessment.

4.Breast MRI

Breast MRI is performed in cooperative medical center, i.e. Taipei Medical University Hospital, for preoperative analysis and evaluation of breast health.

5.Preoperative marking

Before surgery, surgical site marking is made by the surgeon to provide accurate guidelines for surgical procedure.

6.Fat harvesting

Liposuction is performed to collect fat from an area of the body with excessive fat, such as thighs, buttocks or waist.

7.Fat purification

The harvested fat is processed in a close system to remove impurities and then the purified fat is transferred into a syringe.

8.Injection of the fat into the breast

The purified fat is injected into the breast. In general, one fat transfer procedure can increase the breast volume by 1-2 bra cup size. The patient should return for check-up one week after surgery.

Autologous fat transfer breast augmentation / Recovery

  1. At liposuction sites, the bruising normally subsides within 1-2 weeks and the swelling within 1-2 months.
  2. Slight change of the breast size within one month after surgery may indicate successful fat transfer.
  3. The survived transferred fat cells may grow bigger in size 3-6 months after surgery. The final result can be assured during 6-12 months after surgery, as the breast volume that remains at this stage will be stable over time.
  4. If desired or needed, a second fat graft procedure can be performed 3-6 months after the first surgery is performed.

Autologous fat transfer breast augmentation / Postoperative instructions

  1. The recovery from anesthesia for autologous fat transfer breast augmentation is usually quick. Afterwards at least one-hour bed rest is recommended. The nurses will help clean the body and apply bandages and compression garments. If no vomiting or nausea, patients can eat or drink after an hour. It is not allowed to ride motorbike or drive home. Better to have someone as companion during the recovery.
  2. Patients who have poor physical status or poor tolerance to anesthetics or underwent large volume liposuction may experience dizziness and vomiting after emerging from anesthesia. These orthostatic hypotension symptoms usually get relief with bed rest and aggravated with postural changes such as getting up, standing or walking.
  3. The patients can leave the clinic 2 hours after surgery. We will contact the patients by telephone for follow-up check later on the day of surgery.
  4. Patients should follow doctor's advice to return to the clinic for check-up, start from everyday for 3 days then on the 7th day after surgery.
  5. It is recommended to drink and rest more. Take medications as directed, after 3 meals and once before bedtime daily. Antibiotics are prescribed for a week. For any unexpected pain or discomfort, please stop taking painkiller and contact us.
  6. Follow the guidelines to enhance fat graft retention: Within one month after surgery, do not wear bra, do not massage the breasts, avoid any movement that may press or hit the breasts. Avoid wearing underwire bra, small or tight bra or original bra. If possible, keep doing so for two moths till the fat graft get incorporated into the breasts.
  7. Wound care: Twice daily (morning and evening) clean the wound with swab soaked in normal saline, and then dry the wound, followed by applying prescribed ointment.
  8. Contact us immediately for any sign of infection to receive appropriate treatment to control the inflammation.
  9. Stitches at liposuction sites are removed 7 days after surgery.
  10. Wear compression garments at liposuction sites for at least one month. Whether continue wearing depends on the recovery of the wound.
  11. Avoid lifting heavy objects or strenuous exercise to prevent the breast tissues being pressed by pectoralis major muscle. Avoid sleeping on stomach or side.
  12. Avoid drinking alcohol and stimulating food such as tee and coffee within one week after surgery. Avoid smoking for at least two weeks after surgery as nicotine produces vasoconstrictor effects. Stop taking steroids for at least two months.

Dr. Yi-Sheng Kao Director | Plastic Surgery Aesthetic Clinic

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