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 correct the shape of the breast as well. In addition, after that scars and scars do not remain on the skin, because 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 to increase the shape of the body with your fat, has recently attracted more and more attention from women. This becomes especially relevant when changing the shape of the breast. One of the main reasons is that the procedure can deal with a wide range of problems related to 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 form correction after the introduction of silicone implants.
  • The chest is small.

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

Advantages and disadvantages

The benefits of lipofilling include:

  • Relative safety and almost complete absence of skin violations.
  • 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 tolerance.
  • Correction of unsatisfactory results of fitting breast prostheses.
  • Achieve a natural breast shape with smooth transitions.

Disadvantages of the method:

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

Possible complications:

  • Suppuration of injected fatty tissue.
  • The formation of fibrous elements that can lead to deformation of the breast.
  • limescale buildup.
  • causing thrombi.
  • Swelling.
  • Tissue death.
  • Violation of sensitivity.
  • The appearance of pigment spots.

Patients fear that any breast correction procedure will cause oncological processes. However, breast lipofilling is not a cause of cancer.

Such concerns arise from the fact that after surgery mammography can show the presence of formations that at first glance resemble malignant tumors. However, in fact, it was limestone 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.

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 Duration of effect
Lipofilling General or combined Patient's fat cells Small round marks at the places where the material was taken natural breasts One day Increase 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 - the roundness of artificial origin is clearly visible under the skin Prolonged, requires a break from professional activity Not About 8 years old

Preparing for the operation

Great care should be taken when choosing a plastic surgery clinic. If possible, you should visit the facility, inspect the equipment in the operating room and assess the level 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 for 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 throughout the recovery period.

The successful outcome of the operation depends on the qualification of the plastic surgeon. It is advisable to study your CV carefully and seek opinions on the job.

During the initial consultation, the doctor should know all the details about the patient's condition and conduct an examination. It explains how the procedure takes place, what the consequences can be and what results can be achieved. It is important that after meeting him, trust is born and doubts disappear.

Before lipofilling, it will be necessary 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 must undergo an examination: donate blood and urine, undergo an ECG, fluorography, mammography, ultrasound of the mammary glands. After that, the therapist should issue a conclusion about the state of health and readiness of the body.

Carrying out the procedure

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

The operation lasts less than two hours and takes place in three stages:

  1. The donor material (adipose tissue) is taken from the thighs, abdomen and buttocks. The tubes are inserted into small incisions in the skin, through which it is pumped 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 painkillers. If this is not done, the body may reject these cells.
  3. At the last stage, the material is administered by injection under the skin 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 give volume.

Lipofilling is only performed for small changes in the shape or size of the breast. For larger volumes, correction with 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 better to evaluate the result in six months: during this period, the shape of the breast will change. Only when this time has elapsed can the introduced material be considered to have taken root and been 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 affected by the patient's age and lifestyle. After the operation, a slight pain in the bust area may be bothersome, in which you can take painkillers. 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 usually does not exceed 3 mm. Puffiness and bruising disappear after about three weeks. To prevent the inflammatory process, the patient is prescribed antibiotic therapy.

The procedure does not affect performance, so you can start working the day after the operation. After that, you can no longer engage in physical and sports work, in which the load is distributed on the parts of the body involved in cosmetic surgery. The hike doesn't have to be long. You cannot sunbathe in the solarium and stay in the sun for a long time.

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

The opinion of doctors and the opinions of patients

The opinions of doctors on breast lipofilling diverge. However, they all agree that it is better to perform the operation strictly according to the indications, and not just at the request of the patient.

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

Some women who have had surgery report feeling bad after the anesthesia, but this goes away within a day. Many are also confused by the need for re-correction, and, in fact, completely in vain, because 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 former shape.

If a woman is prone to fatty tissue accumulation in the lower body, the breast will lose volume more quickly after surgery.