Breast Augmentation With Fat Transfer

Plastic Surgery
Breast Augmentation With Fat Transfer

For natural-looking breast augmentation results, plastic surgeons typically place the breast implant under the chest muscle so the implant is not easily seen or felt. This technique has some drawbacks, often leading to a longer, more difficult recovery. Dr. Robert Shenker is one of the only surgeons in Canada to offer an alternative called composite breast augmentation at his Kitchener-Waterloo clinic. This approach is often a better choice for women from London, Guelph, Windsor, and Cambridge who want to get back to their busy lives as quickly as possible.

The Cosmetic Surgery Clinic

50 Albert Street
Waterloo, ON N2L 3S2
Phone: (519) 746-1132
Monday-Friday: 9 a.m.–5 p.m.

What are the drawbacks of placing the implant under the muscle?

In order to place the implant under the chest muscle during breast augmentation, the surgeon creates a pocket for it by partially detaching the pectoralis major muscle from the ribs and chest bone. After surgery, the muscle must stretch to accommodate the volume of the underlying implant. All of this usually causes bleeding, prolonged pain, and swelling in the upper chest. In addition, the chest muscle loses strength–and worse–distorts the shape of the breast with certain arm movements (called animation deformity).

Why not just place the implant on top of the muscle?

While recovery from the traditional subglandular approach (placing the implant on top of the chest muscle) is easier than with submuscular implant placement, results usually do not look natural. Because the implant is not covered by the chest muscle, the upper edge of the implant is usually noticeable, especially in women without much fat and breast tissue of their own.

What is composite breast augmentation?

This technique combines the use of a highly cohesive silicone gel breast implant with fat transfer. Using liposuction, fat is collected from areas where it’s not wanted–such as the abdomen, flanks, or thighs–and purified. The breast implant is placed behind the natural breast tissue, but on top of the intact chest muscle. The purified fat is then carefully injected into the breast around the implant. The transferred fat conceals the upper portion of the implant while enhancing the shape of the upper breast and cleavage. Most patients require just 50 to 150 cc of purified fat per breast.

What are the advantages of breast augmentation with fat transfer?

Dr. Shenker prefers the composite technique for a variety of reasons, including:

The chest muscle is left alone, so there is less trauma to tissues and faster recovery.
A slightly smaller implant is needed, which reduces stress on supporting tissues.
The upper breast and cleavage can be enhanced without complications, such as symmastia. In fact, the cleavage area can be specifically targeted for enhancement.
Breast shape can be fine-tuned with mindful placement of fat grafts.
The transferred fat responds to the patient’s weight fluctuations to keep the breasts proportional with the rest of the body.
Areas of unwanted fat are sculpted as part of the procedure.

Review the table for a side-by-side comparison of the 3 techniques

Comparison of Breast Augmentation Techniques

Results	Under the Muscle	Under the Breast Tissue	Composite
Breast size increased	Yes	Yes	Yes
Chest muscle impacted	Yes	No	No
Top of implant covered	Yes	No	Yes
Implant distortion	Yes	No	No
Upper breast enhanced	Not always	Not always	Yes
Cleavage enhanced	Not always	Not always	Yes
Breast size adjusts with weight change	No	No	Yes

What is recovery like after breast augmentation with fat grafting?

Recovery after the fat grafting approach is faster and less painful than after breast augmentation with the submuscular technique. Composite breast augmentation patients are typically ready to return to work and daily activities within just a few days, although experiences vary. Depending on the amount and location of fat taken, you may need to wear compression garments on donor areas for approximately 2 weeks to minimize swelling and promote smooth results.

Because approximately 80 to 85% of the transferred fat will survive, Dr. Shenker “overfills” the breasts to achieve the desired size and shape.

What happens if I lose or gain weight?

The transferred fat cells respond to weight changes like other fat in the body; they expand with weight gain and shrink with weight loss. These size fluctuations keep the breasts looking natural and in proportion with the body as it changes.

Achieve your Dream Look

Schedule Your Consultation

Women travel to The Cosmetic Surgery Clinic for composite breast augmentation from London, Guelph, and throughout Southwestern Ontario. To learn more, contact us using our online form or call our office at (519) 746-1132 to schedule an appointment. Review this blog post for additional information about this exciting technique.

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