Introduction
Breast augmentation is a widely sought - after cosmetic procedure, and breast augmentation by autologous fat particle injection has gained popularity due to its natural - looking results and the use of the patient's own fat. In New York City, there are several institutions and surgeons known for their expertise in this area. This article will explore the new information about popular institutions for breast augmentation by autologous fat particle injection in New York City, including the latest techniques, top surgeons, and patient experiences.
The Basics of Breast Augmentation by Autologous Fat Particle Injection
What is Autologous Fat Particle Injection for Breast Augmentation?
Autologous fat transfer breast augmentation is a revolutionary cosmetic procedure that offers a natural alternative to traditional breast implants. It involves harvesting excess fat from one area of the patient's body, such as the abdomen, thighs, or flanks, using liposuction. The harvested fat is then processed to separate the viable fat cells from impurities and excess fluids. These purified fat cells are then injected into the breasts to enhance their size, shape, and fullness.
Advantages of Autologous Fat Particle Injection
- Natural Look and Feel: Since the procedure uses the patient's own fat, the results look and feel more natural compared to breast implants.
- Body Contouring: In addition to breast augmentation, the procedure also provides the benefit of body contouring by removing excess fat from other areas of the body.
- Reduced Risk of Complications: It eliminates the risk of implant - related complications such as rupture, capsular contracture, and allergic reactions.
Limitations of Autologous Fat Particle Injection
- Limited Increase in Size: Generally, the procedure can only increase the breast size by one to one - and - a - half cup sizes per session. For a more significant increase, multiple sessions may be required.
- Unpredictable Fat Survival: Not all the transferred fat cells will survive. The body may reabsorb a portion of the fat cells, which can affect the final result.
Latest Techniques in Autologous Fat Particle Injection for Breast Augmentation
The Brava System
Research from the Miami Breast Center and the work of ASP S member surgeon Dr. Roger K. Khouri have introduced a significant development in autologous fat transfer breast augmentation. The Brava device is a bra - like system that mimics the action of a vacuum with gentle negative pressure. Patients are required to wear the Brava device consistently for at least three full weeks before the surgery for pre - expansion of the breast tissue. This creates a fibrovascular scaffold which can accommodate a larger amount of transferred fat. Women who do not use the Brava device can only receive about 80 ml of fat cells, whereas those who do at least three weeks of pre - expansion can be injected with up to 240 ml of fat cells (source: https://thomasloebmd.com/breast - augmentation/new - techniques - fat - transfer - breast - augmentation/).
Mega - Volume Autologous Fat Transfers
With the use of pre - expansion devices like the Brava, the practice of mega - volume autologous fat transfers is becoming more common. Dr. Khouri and his colleagues reported that patients who used the Brava pre - expansion system could double their breast size with one outpatient augmentation procedure consisting of no incisions or sutures. The harvested fat is injected as a “micro - ribbon” of fat cells, strategically placed within two millimeters of vital blood supply to ensure the cells survive.
Popular Institutions for Breast Augmentation by Autologous Fat Particle Injection in New York City
Murray Hill Plastic Surgery & Vein Center
At Murray Hill Plastic Surgery & Vein Center, Dr. Sabry, a board - certified plastic surgeon, is at the forefront of autologous breast augmentation with fat transfer. He combines advanced fat transfer methods with cutting - edge tissue expansion technology, particularly the Brava system, to offer patients a truly natural alternative to traditional breast implants.
Procedure Details
- Preparation with Brava System: Patients are required to use the Brava tissue expansion system for several weeks before the surgery. They typically wear the device for 10 - 12 hours a day, often during sleep and at home. This increases blood supply to the breast area and stimulates the growth of new tissue, improving the success rate and longevity of the autologous fat transfer results.
- Fat Harvesting: Dr. Sabry employs a gentle liposuction technique to remove fat from areas such as the abdomen, thighs, flanks, or any other area with sufficient natural fat. The harvesting process is performed with great care to ensure the fat cells remain viable for transfer.
- Breast Fat Transfer Procedure: The harvested donor fat undergoes a purification process to separate the viable fat cells from excess fluids and debris. Dr. Sabry then carefully injects the purified fat into various layers of the breast tissue using advanced fat transfer techniques, paying close attention to creating symmetry and a pleasing contour.
Benefits and Patient Considerations
- The procedure offers a more natural look and feel compared to breast implants.
- Recovery is generally quicker and more comfortable, with most patients able to return to light activities within a few days.
- The average cost of autologous breast augmentation at this center typically ranges from $8,000 to $15,000, with the Brava system adding an additional $2,000 to $3,000 to the overall cost.
Aristocrat Plastic Surgery
Dr. Kevin Tehrani at Aristocrat Plastic Surgery is considered an expert in breast fat injection procedures. This minimally invasive technique is a way of increasing breast size without the need for implants.
Procedure Steps
- Consultation: Dr. Tehrani discusses the patient's goals, assesses their candidacy for the procedure, and explains the risks and benefits. He also reviews the patient's medical history and performs a physical examination to determine if they have enough excess fat for the procedure.
- Pre - operative Preparations: If the patient is deemed a suitable candidate, they will be given 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 of the body, such as the abdomen, thighs, or flanks.
- Fat Processing: 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.
- 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 close attention to ensure even distribution and symmetry.
- 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, including taking prescribed medications, wearing a compression garment as directed, and avoiding strenuous activities for a specified period.
Benefits and Patient Considerations
- The procedure reduces the risk of implant rupture or leak and leaves less bruising and swelling than a breast augmentation with implants.
- The breasts look and feel 100% natural after the procedure.
- It is suitable for women who want a moderate increase in breast size, up to one cup size, and also wish to reduce pockets of fat in other areas of the body.
Dr. Leonard Grossman
Dr. Leonard Grossman is one of the first plastic surgeons in the world, and the first NYC plastic surgeon, who has successfully been performing all - natural breast augmentation with fat transfer with consistently reproducible results since 1993.
Procedure Details
- Fat Harvesting: Using a syringe or specialized vacuum pump and a small cannula, fat is gently harvested from areas where it is not wanted, such as saddle bags, inner thighs, knees, flanks, back, waistline, abdomen, arms, etc.
- Fat Processing and Injection: The living fat cells, which have a high content of adult fat - derived cells, are then washed, centrifuged, and chemically stabilized for transfer. The fat mixture is then injected into the breasts scarlessly with a specially modified needle.
Benefits and Patient Considerations
- Patients can expect an increase in breast size of approximately one to one - and - a - half cup sizes or double the size of their current breast from a single procedure. If a greater increase is desired, the procedure may need to be repeated.
- The removal and harvest of fat is so gentle that most patients don't even bruise and rarely have discomfort. They don't need any kind of compression garments, can go to work the very next day, and can go to the gym in just 10 days and swim in the open water in one week.
- The procedure is normally done under twilight anesthesia, resulting in no postoperative nausea and an extremely quick recuperative period.
Dr. Adam Kolker
Dr. Adam Kolker offers fat transfer breast augmentation as an alternative to traditional breast implants for select individuals.
Procedure Steps
- Initial Consultation: Dr. Kolker assesses the patient's anatomic contour and discusses their desires in detail. Areas of excess fat, such as outer thighs, inner thighs, tummy, the lumbar region, etc., are evaluated to determine the best donor sites for fat transfer.
- Fat Harvest: Fat harvest is performed using liposuction techniques through tiny needle access sites. Dr. Kolker aspirates the fat required for fat transfer to the breasts by hand to gently remove the fat cells and maximize fat graft “take”. The fat is prepared meticulously.
- Fat Transfer to the Breasts: The prepared fat is transferred through small needle sites to the breast. The fat transfer process requires finesse and delicate technique to carefully thread the cells into multiple planes of the breast to promote the best results.
Benefits and Patient Considerations
- The procedure is suitable for women who desire a small increase in breast size (approximately ¼ cup size) and have areas of fat excess.
- Advantages include no breast incision (only needle access sites are used), shorter downtime, and no implant “maintenance” as the results of fat transfer after graft “take” are long - lasting without the need for implant exchange.
- However, the procedure can only achieve small volume increases, and if a larger increase is desired, breast augmentation with implants may be a better option.
Choosing the Right Surgeon and Institution
Surgeon's Experience and Credentials
When considering breast augmentation by autologous fat particle injection, it is crucial to choose a board - certified plastic surgeon with extensive experience in this procedure. Surgeons like Dr. Sabry, Dr. Kevin Tehrani, Dr. Leonard Grossman, and Dr. Adam Kolker have proven track records and expertise in the field. In New York State, it's important to ensure that the doctor has completed two to three years of plastic surgery training at an accredited residency program and that the procedure is performed at a certified surgical facility.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into the surgeon's skills, patient care, and the overall experience at the institution. For example, many patients of Dr. Grossman have reported being very happy with their results, minimal bruising, and quick recovery. Similarly, patients of Dr. Kolker have praised his ability to achieve natural - looking results and his caring approach.
Cost and Financing Options
The cost of autologous fat particle injection for breast augmentation can vary depending on factors such as the complexity of the procedure, the amount of fat transfer required, facility fees, anesthesia costs, and pre - operative tests and post - operative care. For example, at Murray Hill Plastic Surgery & Vein Center, the average cost ranges from $8,000 to $15,000, with the Brava system adding an additional cost. Some institutions offer financing options to make the procedure more accessible to patients.
Patient Expectations and Recovery
Realistic Expectations
It is important for patients to have realistic expectations about the results of breast augmentation by autologous fat particle injection. While the procedure can provide a natural - looking enhancement, it may require multiple sessions to achieve the desired breast size, and the final result may be affected by the survival rate of the transferred fat cells. For example, patients should expect a more subtle increase in breast size compared to breast implants.
Recovery Process
The recovery process varies from patient to patient and depends on the specific procedure and the patient's adherence to post - operative care instructions. Generally, the recovery from autologous fat transfer breast augmentation is quicker and more comfortable compared to traditional breast augmentation with implants. Most patients can return to light activities within a few days, but strenuous activities should be avoided for several weeks. Swelling and bruising are common but typically resolve within a few weeks to a couple of months.
Conclusion
Breast augmentation by autologous fat particle injection is a popular and effective way to enhance breast size and shape in a natural - looking way. In New York City, there are several popular institutions and highly skilled surgeons who are experts in this procedure. From the latest techniques like the Brava system to the personalized care provided by experienced surgeons, patients have a range of options to choose from. However, it is essential for patients to do their research, have realistic expectations, and choose a qualified surgeon and institution to ensure a successful and satisfying outcome.
Call - to - Action
If you are considering breast augmentation by autologous fat particle injection in New York City, we encourage you to schedule a consultation with one of the reputable surgeons mentioned in this article. During the consultation, you can discuss your goals, learn more about the procedure, and determine if it is the right choice for you. Share this article with others who may be interested in this topic and explore related resources to gather more information about breast augmentation options.
