Breast lipofilling: breast augmentation without implants

Breast augmentation with lipofilling is popular. This can be explained by the fact that it combines both body shaping (liposuction) and breast augmentation, allowing you to also correct the shape of the breast. In addition, after it, scars and scars do not remain on the skin, since the skin is not broken. The operation is performed under general anesthesia and requires some preparation in the form of a medical examination and lifestyle changes.

Indications and contraindications

Lipofilling, or the procedure for increasing body shape with your fat, has recently attracted the attention of women more and more often. It becomes especially relevant for changing the shape of the breast. One of the main reasons is that the procedure can cope with a wide range of problems associated with the deterioration of the appearance of the bust:

  • Breast deformity after weight loss or pregnancy.
  • Surgical intervention in oncology.
  • Natural aging.
  • Elimination of asymmetry.
  • The need for correction of forms after the introduction of silicone implants.
  • The chest is small in shape.

Lipofilling, like any intervention in the body, carries 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 one year after the end of breastfeeding.

Advantages and disadvantages

The advantages of lipofilling include:

  • Relative safety and almost complete absence of violations of the skin.
  • The absence of a long process of rehabilitation 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 of the installation of breast prostheses.
  • Obtaining a natural breast shape with smooth transitions.

Disadvantages of the method:

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

Possible complications:

  • Suppuration of the injected adipose tissue.
  • The formation of fibrous elements that can lead to breast deformity.
  • lime accumulation.
  • provoking thrombi.
  • Puffiness.
  • Tissue death.
  • Violation of sensitivity.
  • The appearance of pigment spots.

Patients have a fear that any breast correction procedures provoke oncological processes. However, breast lipofilling is not a cause for cancer.

Such concerns arise due to the fact that after surgery, mammography can show the presence of formations that at first glance look like malignant tumors. However, in fact, these are lime formations that appeared due to interference. Therefore, the procedure must first be notified to the doctor who conducts the examination.

After lipofilling, you can breastfeed newborns. This procedure will not affect the natural process of breastfeeding in any way.

Comparison of silicone implants and lipofilling

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

Type of operation anesthesia Material Violation of the skin Result rehabilitation period Size restrictions Effect Duration
Lipofilling General or combined Patient's fat cells Small round marks in the places where the material was taken natural looking breasts 1 day Increase by no more than 2 sizes Up to 3 years
Breast plastic surgery General artificial prosthesis Oblong incisions that leave scars Unnatural appearance of the breast - roundness of artificial origin is clearly visible under the skin Prolonged, requires a break in professional activity Not About 8 years old

Preparing for the operation

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

  • The presence of everything necessary for the postoperative recovery of the patient.
  • Requirement of a number of mandatory examinations before the procedure.
  • High-quality anesthesia, after which the patient does not experience prolonged discomfort.
  • The operation is performed by a mammologist, that is, a highly specialized specialist.
  • Sterile instruments.
  • Availability of qualified support staff.
  • Monitoring the patient after surgery during the entire recovery period.

The positive result of the operation depends on how highly qualified the plastic surgeon has. It is advisable to carefully study his resume and look for reviews about the work.

At the initial consultation, the doctor should find out all the details about the patient's state of health and conduct an examination. He explains how the procedure goes, 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 will have to give up bad habits (smoking and drinking alcohol) 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 these is aspirin. During the preparation period, diets and stresses should be avoided, which can negatively affect weight and reduce body fat.

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

Carrying out the procedure

The patient must 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 stages:

  1. Donor material (adipose 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 with this method of collecting material is impossible.
  2. An important stage is the processing and purification of the material for the operation. It is separated from blood, dead cells and pain medication. If this is not done, then the body can reject these cells.
  3. At the last stage, the material is administered by injection subcutaneously or into the intermuscular spaces. The introduced layer of material should be located 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 more serious volumes, correction using breast implants is recommended.

Since the operation takes place under general anesthesia, the patient is under the supervision of doctors for another day.

before and after breast augmentation

It is best to evaluate the result in six months: during this period, the shape of the breast will change. Only after this time has passed, it can be considered that the introduced material has taken root and is included in the work of the body.

The result obtained with lipofilling can be observed within 2-3 years. By the end of the term, only 30-40% of the initial 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 affected by the age and lifestyle of the patient. After the operation, minor pain in the bust area may be disturbing, in which you can take a painkiller. The patient is not bothered by scars in the chest area, since only thin needles are used for injections. Only liposuction leaves scars, but their diameter is usually no more than 3 mm. Puffiness 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 the performance, so you can start working the next day after the operation. After it, you can not engage in physical labor and sports, in which the load is distributed on the parts of the body involved in the cosmetic surgery. Hiking doesn't have to be long. You can not sunbathe in the solarium and stay under the sun for a long time.

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, then a corrective procedure is performed (not earlier than six months later).

The opinion of doctors and patient reviews

Opinions of doctors about breast lipofilling differ. However, they all agree 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 a donor material. They explain this by the fact that such tissue takes root 50% better. Others are against this approach and work only with fat cells.

Some women who have undergone surgery report feeling unwell after anesthesia, but it disappears in one day. Many are also confused by the need for re-correction, and, in fact, completely in vain, since this 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 is prone to the accumulation of adipose tissue in the lower body, then the breast will lose volume more quickly after surgery.