
Breast augmentation using implants remains one of the most commonly performed plastic surgery procedures each year. Many women choose to use implants to augment their breasts, but many are seeking a natural alternative. Breast augmentation via fat transfer can create a more proportionate, feminine appearance without the risks and responsibilities of breast implants. Dr. Kenneth Rothaus, a board-certified plastic surgeon serving the greater New York City area, through his position on the advisory board of Regenyxmed.com is actively involved in assessing fat transfer as an alternative to silicone based breast augmentation to women in Manhattan, Westchester, and the surrounding communities looking for a new way to augment their breasts.
What is Fat Transfer Breast Augmentation?
Fat transfer breast augmentation, sometimes called natural breast augmentation, is a combination procedure that uses the patient’s own fat to enhance breast shape and size. Fat is collected using liposuction and then injected into the breasts. There, the fat cells establish a new blood supply and act like natural breast and fat tissue. It can restore breast size, volume, shape, and symmetry just like traditional breast augmentation, but without using implants.
How Does the Fat Transfer Breast Augmentation Procedure Work?
The breast fat transfer procedure is a highly customizable procedure. First, liposuction is performed on an area of the body that has sufficient fat for the patient’s intended cup size. These areas typically include the stomach, thighs, hips, or love handles. Once the fat is collected, it’s processed and put into a sterile container for the fat injection process. The fat is then carefully injected into the breast tissue, ensuring a symmetrical and natural look. Once the fat grafting is complete, the patient is fitted with a supportive surgical bra for recovery. Breast augmentation fat transfer results can often be seen immediately; however, the issue is that up to half of the transferred fat does not survive the process. That is one of the principal reasons Dr. Rothaus is continuing to seek promising technologies to augment the percentage of fat that survives transfer.
Harvesting Areas
Fat transfer breast augmentation requires a donor site where sufficient fat can be harvested before it is injected into the breasts. This allows plastic surgeons to sculpt these areas while simultaneously preparing the harvested fat for breast enhancement. Common treatment areas used for fat harvesting include:
Abdomen
Many patients have excess fat in this area that can be safely removed with liposuction. Harvesting fat from the abdomen can also improve waistline contour, enhancing overall body proportions.
Thighs
Fat from the thighs can provide an excellent source of purified fat cells. Removing unwanted fat from the inner or outer thighs can create smoother leg contours while providing the necessary fat for breast tissue.
Hips and Flanks
Areas around the hips or “love handles” often contain sufficient fat that can be harvested during the procedure. Treating these areas may improve body contouring while contributing to the overall volume needed to enhance breast shape.

Who is a Good Candidate for Breast Augmentation via Fat Transfer?
Women who have failed breast implants, unsatisfactory augmentation procedures, wish to avoid breast implants, or are dissatisfied with the overall shape, size, and profile of their breasts are all potential candidates for fat grafting breast augmentation. As with any surgery, candidates should be in overall good health and nonsmoking. Many patients seek out fat transfer breast augmentation after having children, during which they experienced deflation of their breasts and stubborn pockets of leftover “baby weight.”
It’s important to note that patients may not be good candidates if they have low amounts of body fat, unsuitable donor sites, or want to achieve a higher degree of augmentation than the fat tissue they have available. Dr. Rothaus will perform a careful examination to determine what results are possible based on each patient’s body composition.
Fat Transfer Breast Augmentation or Breast Implants: Which is Right for You?
How Long is the Recovery from Fat Transfer Breast Augmentation?
As with traditional implant-based breast augmentation, augmentation by fat transfer still requires 1-2 weeks of dedicated rest. Dr. Rothaus will provide each patient with a personalized recovery timeline. Most patients are able to return to office-based work within 3-5 days and regular activities within 2-3 weeks.
Before Your Fat Transfer Breast Augmentation Treatment
Before undergoing breast augmentation via fat transfer, patients will have an initial consultation with Dr. Rothaus to determine whether they are good candidates for the procedure. During this personal consultation, we will evaluate the breasts, assess available body fat for fat grafting, and discuss the patient’s aesthetic goals. Because augmentation with fat transfer typically produces a subtle increase in breast size, patients should have realistic expectations about the level of enhancement that can be achieved.
Dr. Rothaus will also review the patient’s medical history, current health status, and potential donor sites such as the abdomen or thighs, where sufficient fat may be harvested. In some cases, multiple fat transfer procedures may be recommended to achieve the desired result. Careful preparation helps support the healing process and improves the likelihood of achieving natural, long lasting results.
Recovery After Fat Transfer Breast Augmentation Treatment
As with traditional implant-based breast augmentation, augmentation by fat transfer still requires 1-2 weeks of dedicated rest. Dr. Rothaus will provide each patient with a personalized recovery timeline. Most patients are able to return to office-based work within 3-5 days and regular activities within 2-3 weeks.