Fat Grafting Breast Augmentation

Also known as autologous fat transfer or AFT, breast augmentation using fat grafting or fat transfer is one of the latest plastic surgery techniques. This innovative procedure uses fat from your buttocks, thighs, flanks or tummy/lower abdomen and implants it in your breasts.

Fat grafting to breasts is gaining traction in Australia thanks to the pioneering work of the American Society of Plastic Surgeons and the ASPS Fat Graft Task Force.

The American Society of Plastic Surgeons Fat Graft Task Force

This group is a subsect of surgeons who have been reviewing less invasive methods of breast augmentation. You can find out more from the video below.

Advantages of Fat Grafting Breast Augmentation

There are some distinct advantages to fat grafting techniques over traditional breast implants. These include:

  • Fat grafting procedures do not require breast implants if you are only aiming for a small increase in cup size
  • Your breasts will feel completely natural as the enhancements only use natural tissue
  • Fat harvesting allows your surgeon to contour your body via liposculpture
  • There is generally less scarring with fat grafting as fat is transferred via injections made with small cannulas
  • Recovery time is, generally, significantly shorter than traditional breast augmentation surgery
  • It is generally considered a more natural procedure and is thought to improve the appearance of the skin
  • Improves natural glandular tissue
  • Possibly correcting minor breast asymmetry issues

before after breast augmentation 2

How is Fat Grafting Performed?

Breast enlargement with fat transfer is a delicate procedure requiring a highly skilled surgeon with experience in liposuction and the fat re-injection process. The fat being transferred is a living tissue graft and, as a result, will continue to survive and thrive in the breast provided local biological conditions are suitable. However, if too much under-processed fat is transferred into your tissues, the fat will not survive, and uneven lumpiness can occur.

Fat grafting requires artistic skill, experience and professional judgement to avoid complications and to achieve the best possible fat transfer result. Your personal appearance objectives may also influence whether or not fat transfer methods will get you the specific look you are aiming for.

  • The surgeon harvests or extracts fat from another area of the patient’s body – such as the stomach, thighs, or waist.
  • Once the surgeon harvests the tissue, they properly prepare it for reintroduction into the body.
  • Once properly prepared, the fat is injected into the breasts.
  • The fat then grows within a matrix of tissue and the breasts naturally enlarge while the rest of the body benefits from liposuction.

Are You a Good Candidate for Breast Augmentation with Fat Transfer?

You might be a suitable fat transfer candidate if you:

  • Are not too thin – you’ll need to have some excess fat that can be removed by liposuction
  • Desire only a modest increase in bra cup size – 1/2 to 1 cup sizes
  • Need a solution to minor breast asymmetry problems
  • Are realistic about the possible outcomes
  • Realise you may need multiple procedures to get the breast volume you desire
  • Not looking for a drastic breast enlargement procedure
  • Can also commit to all pre-surgery and post-surgery processes to maximise the amount of fat that grafts in your breasts
  • Understand that multiple procedures may be necessary

Dr Craig Rubinstein can discuss your suitability for fat grafting to the breast during a personal consultation.

How Much Does Fat Grafting Cost?

The cost of breast augmentation via fat grafting surgery can vary across Australia and Melbourne. It depends entirely on the surgeon you choose, where you have your operation, etc.

Often sites that post the estimated cost of a fat grafting and breast augmentation surgery do not generally include all the related and necessary expenses. As a result, you may end up paying more than you expected. Dr Rubinstein never recommends shopping for low cost surgery as it is unlikely that a FRACS level plastic surgeon will be performing the procedure. It is important to do your research before deciding on a plastic surgeon for your chosen procedure. Further, revision surgery is costly and is not guaranteed to fix the issue you experienced with your initial surgery, if you chose to explore cheaper surgical options.

It is always important to pursue plastic surgery based on skill, not cost.

The Next Steps

  • Visit the FAQs pages and patient reviews to learn more about your intended procedure.

How to Book your Initial Consultation

  • Email us or call on (03) 8849 1444 to arrange your consultation with Dr Rubinstein
  • A referral from your GP or from your specialist is helpful but not essential

What to Bring to your Surgeon Consultation

  • You are also more than welcome to bring a friend or relative to help discuss the information and your choices
  • Ensure you also take a lot of notes and thoroughly examine the documents provided
  • Please be aware you may need to undress for a physical exam so wear simple clothes


American Society of Plastic Surgeons. November 2018. Fat transfer breast augmentation. [online] Available from: https://www.plasticsurgery.org/cosmetic-procedures/fat-transfer-breast-augmentation [accessed 22 November 2018]

Australasian Society of Aesthetic Plastic Surgeons. November 2018. Breast Augmentation By Fat Transfer [online]. Available from: https://aestheticplasticsurgeons.org.au/your-surgery/breast-surgeries/fat-transfer-breast/ [accessed 22 November 2018]

Australian Society of Plastic Surgeons. November 2018. Fat injection [online]. Available from: https://plasticsurgery.org.au/procedures/surgical-procedures/fat-injection/ [accessed 22 November 2018]

Dr. Craig Rubinstein’s affiliations include:

*Disclaimer: Individual results can vary significantly from patient to patient. The information we provide is of a general nature. For further information on what to expect for your preferred procedures, arrange to see one of our Specialist Plastic Surgeons for a full-history and surgical consultation. Read further information about surgical outcome variability on our Disclaimer Page.