Introduction

Autologous fat breast augmentation has become a popular choice for many women in New York City seeking a natural - looking breast enhancement. This procedure, which involves using the patient's own fat cells, offers several advantages such as a lower risk of rejection and a more natural feel. In this article, we will introduce four top - ranked hospitals in New York City that are well - known for their expertise in autologous fat breast augmentation surgery.

Columbia Surgery (New York - Presbyterian/Columbia University Irving Medical Center)

Overall Reputation

New York - Presbyterian/Columbia University Irving Medical Center is a highly respected medical institution. It was named the top hospital in New York and rose to No. 4 in the nation according to U.S. News & World Report’s Best Hospitals in 2025. It ranks nationally in 15 adult specialties and 8 pediatric specialties. Only 20 hospitals out of the 5,000 evaluated made the U.S. News and World Report’s honor roll, highlighting the hospital's commitment to providing world - class care.

Surgical Excellence in Relevant Fields

The hospital's surgical team demonstrates excellence in multiple surgical specialties. In adult specialties, it is well - known for heart surgery, GI surgery, and lung surgery. In children’s specialties, it excels in pediatric heart surgery, pediatric GI surgery, and pediatric lung surgery. Additionally, its national ranking in cancer care reflects the high - quality surgical oncology expertise, including breast surgery.

For autologous fat breast augmentation, the hospital likely benefits from its broad surgical knowledge and advanced techniques. Surgeons can draw on their experience in related procedures to ensure a safe and successful operation. For example, their proficiency in handling tissue transfer in other surgeries may translate into more precise fat harvesting and injection during breast augmentation.

Patient - Centric Approach

U.S. News & World Report procedure and conditions ratings analyze data under many categories, including patient outcomes, the volume of high - risk patients, patient experience, nurse staffing, public transparency, and advanced clinical technologies. New York - Presbyterian/Columbia University Irving Medical Center's high rankings indicate that it provides a comprehensive patient - centric experience. This is crucial for patients undergoing autologous fat breast augmentation, as they require personalized care throughout the pre - operative, operative, and post - operative phases.

Steven Wallach MD, FACS

Specialization in Fat Transfer Breast Augmentation

Dr. Steven Wallach is a cutting - edge expert in plastic surgery, especially in fat transfer breast augmentation. His practice is conveniently located to serve the areas of New York, NY. In a fat transfer procedure, he provides breast enlargement by using the patient's own fat cells rather than an implant, which is a safe, natural, and permanent option for breast enhancement.

Procedure Details

Liposuction

Once the patient is anesthetized, Dr. Wallach uses liposuction to remove fat from a specific problem area on the body, commonly around the abdomen like the love handles. He makes a tiny incision at the donor site and inserts the liposuction device’s cannula, a thin, hollow tube connected to a vacuum pump or a syringe, to suction out the excess fat.

Purification

Before re - injecting the fat, it must be purified to remove other bodily fluids. This can be done by spinning vials of the collected fat in a centrifuge or allowing the fat to separate by gravity and then collecting the fat in syringes or an aspiration cannister.

Injection

After purification, Dr. Wallach makes several injections throughout the breasts to ensure even distribution and a natural - looking breast shape. The fat cells are then able to naturally incorporate into the breast tissue.

Patient Considerations

Women who want to augment their natural breast tissue by about a cup size without using breast implants may be good candidates for this procedure. Ideal candidates should be in overall good health, non - smokers, and have realistic expectations. Dr. Wallach provides a one - on - one consultation to examine the patient, review their medical history, and discuss all the options for breast augmentation surgery.

Aristocrat Plastic Surgery

Expertise of Dr. Kevin Tehrani

Dr. Kevin Tehrani is considered an expert plastic surgeon, particularly with regard to breast procedures. He is the founder and director of Aristocrat Plastic Surgery. His comprehensive consultations are highly informative, and he values reaching the highest levels of achievement in reconstructive and plastic surgical training, continuing education, and clinical experience.

Breast Fat Injection Procedure

Consultation

The process starts with a consultation where Dr. Tehrani discusses the patient's goals, assesses their candidacy for the procedure, explains the risks and benefits, reviews the medical history, and performs a physical examination to determine if there is enough excess fat.

Pre - operative Preparations

If the patient is deemed a suitable candidate, they will receive pre - operative instructions, including guidelines on diet, exercise, and medications to avoid in the days leading up to the surgery.

Liposuction

On the day of the procedure, the patient is placed under local or general anesthesia. Dr. Tehrani performs liposuction to harvest excess fat from donor areas such as the abdomen, thighs, or flanks using a cannula connected to a vacuum device.

Fat Processing

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

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, paying attention to even distribution and symmetry.

Recovery

After the fat injections, the patient may be fitted with a compression garment to reduce swelling and ensure optimal contouring. Most patients can return home the same day but need to arrange for a driver. They must follow post - operative care instructions, including taking prescribed medications, wearing the compression garment, and avoiding strenuous activities for a specified period.

Benefits and Considerations

Breast fat injection reduces the risk of implant rupture or leak and leaves less bruising and swelling than traditional breast augmentation. However, not all the injected fat may survive, and multiple sessions may be required to achieve the desired breast size and shape.

Mount Sinai - New York

Autologous Breast Reconstruction Expertise

Mount Sinai - New York has special expertise in autologous breast reconstruction. Autologous breast reconstruction takes a piece of skin and fat (a “flap”) from one site on the body, such as the abdomen or thighs, and transfers it to the chest to reconstruct the breast after mastectomy. This approach offers several advantages, including being a single - procedure that can last a lifetime, as it uses the patient's own natural tissue, reducing the chance of rejection or infection, and is more likely to look natural.

Diep Flap Microvascular Breast Reconstruction

The hospital is proficient in the most advanced, muscle - sparing, microsurgical technique called DIEP (deep inferior epigastric perforator) flap breast reconstruction. This technique 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, resulting in a “tummy tuck.”

Although it is for breast reconstruction rather than pure augmentation, the surgical skills and knowledge in handling autologous tissue transfer can be adapted and relevant for autologous fat breast augmentation. Surgeons can apply similar principles of tissue harvesting, handling, and placement to achieve natural - looking results.

Patient Selection

For DIEP flap surgery, patients must first want to use autologous (tissue) reconstruction after a mastectomy. They must also have sufficient fat tissue in the lower abdomen to meet their goals for breast size and shape. Additionally, the procedure is not appropriate for women who have previously had certain types of abdominal surgery.

Comparison of the Four Hospitals

Conclusion

In conclusion, the four hospitals introduced in this article - Columbia Surgery, Steven Wallach MD, FACS, Aristocrat Plastic Surgery, and Mount Sinai - New York - each offer unique advantages for autologous fat breast augmentation surgery in New York City. Columbia Surgery provides a high - end, comprehensive medical experience with its top - tier reputation and broad surgical expertise. Dr. Steven Wallach offers a specialized approach to fat transfer breast augmentation. Aristocrat Plastic Surgery focuses on personalized care for breast procedures, and Mount Sinai - New York excels in autologous breast reconstruction techniques that can be relevant to augmentation.

If you are considering autologous fat breast augmentation, we encourage you to do further research, schedule consultations with these hospitals or surgeons, and discuss your specific goals and concerns. By making an informed decision, you can achieve the natural - looking breast enhancement you desire. Share this article with others who may be interested in this topic, and explore more about plastic surgery and breast augmentation procedures.