Top 3 Hospitals for Autologous Fat Breast Filling Surgery in New York City

Autologous fat breast filling surgery, also known as autologous fat transfer breast augmentation, is a popular cosmetic and reconstructive procedure. It offers a natural alternative to traditional breast implants by using the patient's own fat cells. In New York City, several hospitals stand out for their expertise in this area. Here are the top 3 hospitals:

1. Mount Sinai - New York

Autologous Breast Reconstruction Options

Mount Sinai offers autologous (microvascular) breast reconstruction, which is a procedure that takes a piece of skin and fat from one site on the patient's body, such as the abdomen or thighs, and transfers it to the chest to reconstruct the breast after mastectomy. This approach has several advantages over implant reconstruction:

• It is generally a single - procedure that lasts a lifetime since it consists completely of the patient's own natural tissue (fat).
• Since it uses the patient's own donor tissue instead of a foreign body, there is less chance of rejection or infection.
• It is more likely to look natural, and patients may have a better chance of regaining sensation in the breast compared to implant reconstruction.

Diep Flap Microvascular Breast Reconstruction

At Mount Sinai West, under the direction of Hani Sbitany, MD, they have special expertise in the Diep (Deep Inferior Epigastric Perforator) flap breast reconstruction. This is a more advanced, muscle - sparing, microsurgical technique. Traditional approaches to autologous breast reconstruction, like the tram flap, transfer a small amount of muscle along with skin and fat, which can lead to a lengthy recovery and loss of movement and strength. The Diep flap, on the other hand, completely avoids any muscle transfer and only involves the use of skin and fat.

The surgeon removes a section of skin and fat from the lower abdominal roll and transfers it to the chest to rebuild the breast while preserving all abdominal muscles. An added benefit is that it tightens the remaining abdominal skin, similar to a “tummy tuck.” However, this procedure is not suitable for every patient. The patient must want autologous reconstruction after a mastectomy, have sufficient fat tissue in the lower abdomen, and not have had certain types of abdominal surgery in the past.

Breast Reconstruction Program

The breast reconstruction program at Mount Sinai West, led by Hani Sbitany, MD, offers the full complement of breast reconstruction options and specialized expertise in advanced muscle - sparing and microsurgical techniques. They work closely with breast oncology surgeons to provide comprehensive breast care. The program offers both implant - based and autologous reconstruction options, and the reconstruction can usually be performed at the same time as the mastectomy or at a later date.

2. Murray Hill Plastic Surgery & Vein Center

Autologous Breast Augmentation with Fat Transfer

At Murray Hill Plastic Surgery & Vein Center, Dr. Sabry is at the forefront of autologous breast augmentation with fat transfer. This revolutionary approach allows patients to enhance their breast size and shape without the use of artificial silicone or saline implants. It not only augments the breasts but also sculpts other areas of the body by using the patient's own natural fat tissue.

Procedure Details

1. Preparation with Brava System (Optional)

Before the actual surgery, patients may use the Brava tissue expansion system for several weeks. This device uses gentle suction to gradually expand the breast tissue, increasing blood supply to the breast area and stimulating the growth of new tissue. Patients typically wear the device for 10 - 12 hours a day, often during sleep and at home.

2. Fat Harvesting

Once the breast tissue is prepared, Dr. Sabry uses a gentle liposuction technique to remove fat from areas such as the abdomen, thighs, flanks, or other areas with sufficient natural fat. This step not only provides fat for transfer but also offers body contouring benefits.

3. Breast Fat Transfer Procedure

The harvested donor fat undergoes a purification process to separate viable fat cells from excess fluids and debris. Dr. Sabry then carefully injects the purified fat into various layers of the breast tissue using an advanced fat transfer technique. The goal is to achieve natural - looking, long - lasting results and create symmetry and a pleasing contour.

Results and Recovery

Fat transfer breast augmentation typically yields a gain of up to one cup size on average. However, with the innovative Brava system, patients can achieve more significant results in a single surgery. The outcome can be somewhat unpredictable as not all transferred fat cells survive, and the body may reabsorb a portion of the fat cells. Recovery from this procedure is generally quicker and more comfortable than traditional breast augmentation. Most patients can return to light activities within a few days, and they need to wear a special bra and compression garment on the donor sites for several weeks. Discomfort is usually mild and can be managed with over - the - counter pain medication, and the final results develop over several months.

3. Aristocrat Plastic Surgery

Breast Fat Injection

Aristocrat Plastic Surgery offers breast fat injection, which is the transferring of fat from one area of the patient's body into the breasts. This procedure is ideal for women who have excess fat on their body that they want to remove and also wish to increase breast fullness using natural tissue rather than implants. It reduces the risk of implant rupture or leak and leaves less bruising and swelling than a breast augmentation with implants.

Candidates

The ideal candidate for breast fat injection is a woman who wants a moderate increase in breast size, up to one cup size. She should have sufficient excess body fat, typically in areas like the abdomen or thighs, to harvest for the transfer. She should be in good overall health, a non - smoker, and have realistic expectations about the outcome.

Procedure Steps

1. Consultation

The process starts with a consultation with Dr. Kevin Tehrani. He will discuss the patient's goals, assess her candidacy for the procedure, and explain the risks and benefits. He will also review the patient's medical history and perform a physical examination to determine if she has enough excess fat for the procedure.

2. Pre - operative Preparations

If the patient is deemed a suitable candidate, she will be given pre - operative instructions, which may include guidelines on diet, exercise, and medications to avoid in the days leading up to the surgery.

3. Liposuction

On the day of the procedure, the patient will be placed under local or general anesthesia. Dr. Tehrani will perform liposuction to harvest excess fat from donor areas of the body, such as the abdomen, thighs, or flanks.

4. Fat Processing

After liposuction, the collected fat is processed to separate impurities, excess fluids, and damaged fat cells from the healthy fat cells. The purified fat is then prepared for injection into the breasts.

5. Injection into the Breasts

Using small, carefully placed incisions, Dr. Tehrani injects the purified fat into various areas of the breasts to achieve the desired size and shape. He will pay careful attention to ensure even distribution and symmetry.

6. Recovery

After the fat injections are complete, the patient may be fitted with a compression garment to help reduce swelling and ensure optimal contouring. Most patients can return home the same day but should arrange for someone to drive them. They need to follow post - operative care instructions, which include taking prescribed medications, wearing a compression garment as directed, and avoiding strenuous activities for a specified period. The final results may not be immediately apparent as some of the injected fat may be absorbed by the body, and multiple sessions may be required to achieve the desired breast size and shape.

Comparison of the Three Hospitals

Factors to Consider When Choosing a Hospital

When deciding on a hospital for autologous fat breast filling surgery, several factors should be considered:

• Surgeon Expertise: Look for board - certified plastic surgeons with extensive experience in autologous fat breast filling procedures. Check their credentials, reviews, and before - and - after photos of their patients.
• Technology and Techniques: Hospitals that use advanced technology and innovative techniques are more likely to achieve better results. For example, the use of the Brava system in autologous fat transfer can improve the success rate.
• Patient Reviews: Read reviews from previous patients to get an idea of the hospital's quality of care, patient experience, and satisfaction rates.
• Cost: The cost of the procedure can vary depending on the hospital, the complexity of the surgery, and additional fees such as anesthesia and facility charges. Make sure to get a detailed cost breakdown during the consultation.
• Recovery and Aftercare: Inquire about the hospital's post - operative care program, including follow - up appointments, pain management, and support during the recovery process.

Conclusion

Autologous fat breast filling surgery offers a natural and effective way to enhance breast size and shape. The top 3 hospitals in New York City - Mount Sinai, Murray Hill Plastic Surgery & Vein Center, and Aristocrat Plastic Surgery - each have their own unique strengths and expertise in this field. Whether you are looking for breast reconstruction after mastectomy or simply breast augmentation, these hospitals can provide high - quality care and excellent results.

If you are considering autologous fat breast filling surgery, we encourage you to schedule a consultation with one of these hospitals. During the consultation, you can discuss your goals, concerns, and options with the surgeons, and make an informed decision about your procedure. Take the first step towards achieving your desired breast appearance and boost your confidence and self - esteem today!