Breast lipofilling: Breast augmentation without implants

Breast augmentation with lipofilling is popular. This can be explained by the fact that it combines both body contouring (liposuction) and breast augmentation, so you can also correct the shape of the breast. In addition, since the skin is not broken, there are no scars and scars left on the skin afterward. The surgery is performed under general anesthesia and requires some preparation in the form of a medical exam and lifestyle changes.

Indications and contraindications

Lipofilling, or the process of enhancing body shape with your fat, has been gaining more and more attention from women lately. It becomes especially relevant when changing the shape of the breast. One of the main reasons is that the procedure can cope with a variety of problems associated with the deterioration of the appearance of the bust:

  • Breast deformity after weight loss or pregnancy.
  • Surgical interventions in oncology.
  • Natural Aging.
  • elimination of the asymmetry.
  • The need for correction of shapes after the introduction of silicone implants.
  • The chest is formed small.

Like any intervention in the body, lipofilling involves certain risks.


  • period of menstruation.
  • Diseases of the endocrine system.
  • inflammatory processes in the body.
  • skin diseases.
  • Oncological pathologies.

The lipofilling procedure is carried out no earlier than a year after the end of breastfeeding.

advantages and disadvantages

The benefits of lipofilling include:

  • Relative safety and almost complete absence of skin trauma.
  • The absence of a long rehabilitation process in a hospital.
  • The result of the operation can be easily corrected.
  • The possibility of simultaneous liposuction and breast correction.
  • No complications and good tolerability.
  • Correction of unsatisfactory results when installing breast prostheses.
  • Preservation of a natural breast shape with flowing transitions.

Disadvantages of the method:

  • The need for an adequate supply of body fat.
  • Almost inevitable additional need for correction.
  • Rapid resorption of donor tissue.
  • Possibility to increase the bust by no more than 2 sizes.

Possible complications:

  • Suppuration of the injected fatty tissue.
  • The formation of fibrous elements that can lead to breast deformities.
  • limescale build-up.
  • cause thrombi.
  • swelling.
  • tissue death.
  • Violation of sensitivity.
  • The appearance of pigment spots.

Patients are afraid that breast corrections will provoke oncological processes. However, lipofilling of the breast is not a cause of cancer.

Such concerns arise from the fact that mammography after surgery can show the presence of formations that at first glance look like malignant tumors. In fact, however, they are limestone formations created by interference. Therefore, the intervention must first be reported to the examining doctor.

You can breastfeed newborns after lipofilling. This procedure does not affect the natural process of breastfeeding.

Comparison of silicone implants and lipofilling

There are a number of differences between lipofilling and breast augmentation with implants.

type of operation anesthesia material injury to the skin result rehabilitation time size restrictions duration of action
lipofilling General or combined patient's fat cells Small round marks where the material was taken natural looking breasts 1 day Do not go up more than 2 sizes Up to 3 years
breast plastic General artificial prosthesis Oblong incisions that leave scars Unnatural appearance of the breast - curves of artificial origin are clearly visible under the skin Longer, requires a career break no About 8 years old

Preparing for surgery

Great attention should be paid to choosing a plastic surgery clinic. If possible, you need to visit the facility, inspect the operating room equipment and assess the level of professionalism of the staff. If the clinic cannot provide an experienced anesthesiologist, do not use their services. Characteristics of a good clinic:

  • The presence of everything necessary for the patient's postoperative recovery.
  • Requiring a series of mandatory pre-procedure examinations.
  • High-quality anesthesia, after which the patient does not feel any persistent discomfort.
  • The operation is performed by a mammologist, i. e. a highly specialized specialist.
  • Sterile instruments.
  • Availability of qualified support personnel.
  • Post-operative patient monitoring throughout the recovery period.

The positive result of the operation depends on the qualification of the plastic surgeon. It is advisable to carefully study his CV and look for reviews about work.

During the initial consultation, the doctor should find out all the details about the patient's health and conduct an examination. He explains how the procedure works, what the consequences can be and what results can be achieved. It is important that after meeting with him, trust arises and doubts disappear.

Before lipofilling, you need to give up bad habits (smoking and alcohol consumption) a few months before the operation. Otherwise, the rehabilitation process will be delayed indefinitely.

It is also worth stopping taking drugs that affect blood clotting. the best known of which is aspirin. During the period of preparation, diets and loads that can negatively affect weight and reduce body fat should be avoided.

Before the procedure, as well as before any operation, you must undergo an examination: blood and urine collection, ECG, fluorography, mammography, ultrasound of the mammary glands. After that, the therapist needs to draw a conclusion about the state of health and readiness of the body.

implementation of the procedure

The patient needs to remove makeup, wash off cosmetics (including lotions and tonics), clean the nail plate from artificial coatings.

The operation lasts within two hours and takes place in three phases:

  1. Donor material (fatty tissue) is taken from the thighs, abdomen and buttocks. Tubes are inserted into small incisions in the skin, through which it is pumped out with a syringe. Damage to blood vessels and nerve endings is excluded with this method of material extraction.
  2. An important step is the processing and purification of the material for the operation. It is separated from blood, dead cells and painkillers. If this does not happen, the body can reject these cells.
  3. In the final stage, the material is injected subcutaneously or into the intermuscular spaces. The introduced layer of material should be in the form of honeycombs. This is important, otherwise the fabric will not rise and will not give volume.

Lipofilling is performed only for small changes in the shape or size of the breast. For larger volumes, correction with breast implants is recommended.

Since the operation is performed under general anesthesia, the patient remains under medical supervision for one more day.

before and after breast augmentation

It is best to evaluate the result in six months: During this time, the shape of the breast changes. Only after this time has elapsed can it be assumed that the material introduced has taken root and is included in the work of the body.

The result obtained with lipofilling can be observed within 2-3 years. At the end of the term, only 30-40% of the original amount of donor tissue remains. To consolidate the effect after 6 months, corrective procedures are carried out, which consist in the introduction of additional material by injection.

postoperative period

The speed of recovery after surgery is influenced by the patient's age and lifestyle. After the operation, slight pain in the chest area can be disturbing, for which you can take a painkiller. Scars in the chest area do not bother the patient because only thin needles are used for injections. Only liposuction leaves scars, but their diameter, as a rule, does not exceed 3 mm. Swelling and bruising disappear after about three weeks. To prevent the inflammatory process, the patient is prescribed a course of antibiotics.

The procedure does not affect performance, so you can start work the next day after the operation. After that, you can not engage in physical labor and sports, where the load is distributed over the parts of the body involved in plastic surgery. Hiking doesn't have to be long. You can not sunbathe in the solarium and stay in the sun for a long time.

A sharp weight loss after lipofilling contributes to a significant reduction in adipose tissue, so you need to monitor your weight. It should not differ significantly from the level at the time of the operation. If asymmetry occurs, a corrective procedure is carried out (no earlier than six months later).

The opinion of doctors and patient reviews

Doctors have differing opinions on breast lipofilling. However, everyone agrees that it is better to carry out the operation strictly according to the indications, and not only at the request of the patient.

In addition, there are specialists who practice the use of stem cells as donor material. They explain this by the fact that such tissue takes root 50% better. Others oppose this approach and only work with fat cells.

Some women who have undergone surgery report discomfort after anesthesia, but this disappears in a day. Also, many are confused about the need to re-correct, and completely in vain, since it allows you to correct the result.

There are enough reviews in which the long-term effect of the procedure is noted. There are also disappointed patients whose breasts, on the contrary, very quickly returned to their previous shape.

If a woman tends to accumulate fatty tissue in the lower body, the breast will lose volume more quickly after the operation.