Breast Augmentation with Autologous Fat and Stem Cells (CAL)

Breast augmentation with stem cell-enriched autologous fat (cell-assisted lipotransfer, CAL) enables breast augmentation to be carried out without using silicone or other artificial fillers, without scalpels or general anesthesia, leaving no scars and with no negative effects on the natural breast function. The procedure is performed on an outpatient basis under local anesthesia. The results convince by their naturalness.

At a Glance

  • Surgery duration: 3 to 4 hours (outpatient)
  • Anesthesia: Exclusively local anesthesia (tumescent anesthesia)
  • Sport: Microcannulas: After 1 week at the earliest (depending on the sport)
    Regular cannulas: After 4 weeks at the earliest (depending on the sport)
  • Normal social activities: After a few days
  • Preliminary examinations: Blood test and sonography/mammography/MRT, further examinations depending on the patient’s state of health
  • Compression garments: Microcannulas: 1 week
    Regular cannulas: 6 to 8 weeks
  • Incapacity to work: 1 to 2 days (may vary from case to case)
  • Check-ups: To be arranged on an individual basis

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This procedure is suitable for women who always wanted to have larger breasts and also for those whose original breast volume has decreased, e.g., by breastfeeding or weight loss. Augmentation of around one half up to two cup sizes is usually possible. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given.

The Procedure

After an in-depth advice and medical consultation, you can schedule an appointment for surgery at a date of your choice.

Breast augmentation is carried out on an outpatient basis using local anesthesia in our specially-equipped operating rooms. The procedure takes approx. 3 to 4 hours.

We use liposuction to harvest the autologous fat required for obtaining stem cells and the actual breast augmentation. Liposculpture is a special form of liposuction, whereby we extract fat from the body’s fat deposits by suction. This method is done by hand and is gentle on the tissue. We never use suction machines or scalpels.

Thin microcannulas with a diameter of 1.0 to 2.5 millimeters are used for liposuction or alternatively, conventional regular cannulas with a diameter of 3.0 millimeters upwards. Experience has shown that microcannulas have to be used on very slim women to harvest sufficient fat.

A part of your autologous fat is used to obtain your own body’s stem cells, which are processed with the remaining body fat in clean room conditions, and injected into your breasts.

Using this stem cell-enriched fat, a considerably longer-lasting result can be achieved than with other methods of autologous fat transfer. In the long term, normally a large part of the volume introduced is retained. Thus one intervention usually suffices. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given.

What Happens Afterwards?

Aftercare is relatively straightforward: You must wear a bandage overnight and wear compression garments afterwards. If regular cannulas were used, you need to wear the compression garments for about 6 to 8 weeks; if liposuction was carried out with microcannulas, usually they have to be worn for 1 week. A sports bra should be worn for approx. 4 weeks.

You normally should be able to go back to work 1 to 2 days after having breast augmentation with stem cell-enriched autologous fat. It is important that you do not lift anything heavy during the first few weeks after surgery. Wear comfortable loose clothing over the compression garments to cover up your little secret.

The type of sport and your individual healing process determine when you will be able to begin sports again. We will monitor your health during the healing process and give you recommendations tailored to your needs.

The Result

The positive results of breast augmentation with autologous stem cells can be seen by their natural appearance and youthful firmness. Since the additional volume consists exclusively of your body’s own “material”, the augmented breast feels absolutely “real” and looks natural in any posture, whether you are at rest or moving. Additionally, the local rejuvenating effect of the stem cells often gives the breasts a younger, firmer and more toned appearance.

Breast augmentation of approx. one half up to two cup sizes can be achieved; augmentations of around one cup size are typical. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given. The punctures on the breast made by injection needles almost always heal with scars invisible to the naked eye, just as when blood samples are taken.

After breast augmentation with stem cell-enriched autologous fat, normally a large part of the new breast volume is retained in the long term. Refreshments are therefore mostly unnecessary.

All after photos show the results actually achieved by the treatment. To protect the anonymity of the depicted persons individual physical characteristics (e.g., moles, tattoos) might have been removed. Results may vary from patient to patient. Please note that in medicine generally no guarantee for a certain treatment result can be given.

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