To What Extent Can the Breast Be Augmented with Stem Cells and Autologous Fat?

A patient wants to know regarding breast augmentation with stem cells or autologous fat:

Which maximum cup size can I achieve at a breast augmentation with stem cells or autologous fat during one surgery appointment? I am 1.64 meters tall and I weigh 57 kilograms.

Usually we can achieve a breast augmentation by about 1 cup size. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given. As a general rule: The more sagging the breast tissue (e.g., due to volume loss after breastfeeding), in other words, the more “space” we have for the injected fat, the bigger the possible increase can be. If there is a desire for additional augmentation or if the breast tissue is rather tight, pre-stretching the breast is recommended to “make more room” for additional volume. This pretreatment happens with the help of a suction bra and/or with the injection of saline solution.

The process of a breast augmentation with stem cells or autologous fat is the following:

At the beginning fat is taken from the patient’s body, usually from the bottom, thighs, and belly, by the means of liposuction. We carry out liposuctions manually with real microcannulas. This kind of liposuction (liposculpture) performed by us is, by the way, substantially more tissue-conserving than the common mechanical liposuctions with ultrasound, laser, vibration, or jet-assisted ones. Thus the aftercare is considerably easier (compression garments for only 7 days).

The obtained body fat is then injected into the patient’s breast either in untreated form (so-called standard autologous fat transfer/lipofilling) or after special preparation (so-called stem cell-enriched autologous fat transfer/lipofilling). The advantage of a fat preparation through stem cell enrichment is that in the contrary to standard autologous fat transfer of untreated fat long results can be achieved which are sustainable in the long-term. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given.

The whole treatment is performed on an outpatient basis and takes between 3 and 5 hours. The patient is allowed to go home on the day the surgery is done. Instead of general anesthesia we exclusively work under local anesthesia. We do not use scalpels at all, so no scars visible with the naked eye develop in case of normal healing conditions. Unlike as in breast augmentation with foreign bodies such as silicone implants, breasts augmented with autologous fat tissue look natural in every position and feel “real” as well in any body position.

DDr. Heinrich, MD

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