Introduction

Autologous fat transplantation breast augmentation surgery has gained significant popularity in New York City. This procedure offers a natural alternative to traditional breast implants by using the patient's own fat cells to enhance breast size and shape. In this article, we will explore the top 5 popular hospitals in New York City for this type of surgery, highlighting their features, procedures, and benefits.

1. Mount Sinai - New York

Overview

Mount Sinai - New York offers autologous (microvascular) breast reconstruction, which is a form of autologous fat - related breast surgery. This approach is especially useful for patients who have undergone mastectomy. It 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.

Advantages of Autologous Breast Reconstruction at Mount Sinai

• Single - lifetime procedure: It is generally a single procedure that lasts a lifetime since it consists completely of a patient’s own natural tissue (fat). There is no need for implant replacement as in the case of traditional breast implant surgeries.
• Lower risk of rejection or infection: Since it uses the patient's own donor tissue instead of a foreign body, there is less chance of rejection or infection. This is a significant advantage for patients with concerns about potential complications from implants.
• More natural appearance: The result is more likely to look natural compared to implant - based reconstructions. Also, there is a greater chance of regaining sensation in the breast with autologous reconstruction.

Diep Flap Microvascular Breast Reconstruction

Mount Sinai West, under the direction of Hani Sbitany, MD, has special expertise in the DIEP (deep inferior epigastric perforator) flap breast reconstruction. This is a newer and more advanced approach compared to traditional autologous breast reconstruction methods. Unlike traditional approaches like the TRAM flap that transfer a small amount of muscle along with skin and fat, the DIEP flap 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. Additionally, it tightens the remaining abdominal skin, acting like a “tummy tuck.”

However, this procedure is not suitable for every patient. Candidates must want to use 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.

To make an appointment, patients can call 212 - 523 - 8700.

2. Steven Wallach MD, FACS

Autologous Fat Transfer Breast Augmentation

Dr. Steven Wallach offers fat transfer breast augmentation in New York. In this procedure, fat cells are harvested from other areas of the body using liposuction, processed, and then re - injected into the breasts using multiple strategic injection sites. This results in two - way benefits: liposuction helps slim down a specific problem area of the body, while also increasing breast volume without the need for breast implants.

Fat Transfer vs. Implants

Candidates

Women who want to augment their natural breast tissue by about a cup size without the use of breast implants, have realistic expectations for the procedure and recovery, are in overall good health, non - smokers, and have achieved a healthy, stable weight may be good candidates. It's important to note that breast augmentation (with or without implants) is not meant to correct sagging breasts; a breast lift would be more appropriate in such cases, but a breast lift and augmentation can be combined.

Procedure Steps

1. Liposuction: After anesthesia, Dr. Wallach uses liposuction to remove fat from a problem area, commonly around the abdomen (e.g., love handles). A tiny incision is made at the donor site, and a thin, hollow tube (cannula) connected to a vacuum pump or syringe is inserted to suction out the excess fat.
2. Purification: The collected fat is purified to remove other bodily fluids. This can be done by spinning vials of the fat in a centrifuge or allowing the fat to separate by gravity and then collecting the fat in syringes or an aspiration cannister.
3. Injection: After purification, multiple injections are made throughout the breasts to ensure even distribution and a natural - looking breast shape. The fat cells are then incorporated into the breast tissue to increase breast size.

Recovery

Recovering from a fat grafting procedure is usually easier than healing after breast augmentation with implants. Patients typically need two or three days of recovery before returning to work. They also need to adjust their sleeping habits and wear a compression garment and surgical bra to aid in healing. The full results may take several months to be visible as the swelling subsides.

To schedule a consultation, patients can call (212) 861 - 6400 or fill out the contact form online.

3. Murray Hill Plastic Surgery & Vein Center

Revolutionary Approach to Autologous Breast Augmentation

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 in NYC. This approach offers a natural alternative to traditional breast implants, using the patient's own fat tissue to enhance breast size and shape while also sculpting other areas of the body.

Procedure Details

Preparation with Brava System (Optional)

Prior to the actual surgery, patients can 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 area and stimulating the growth of new tissue. Patients typically wear the device for 10 - 12 hours a day, often during sleep, with minimal disruption to their daily routines. This preparatory phase significantly improves the success rate and longevity of the autologous fat transfer results.

Fat Harvesting

Once the breast tissue is prepared, Dr. Sabry uses a gentle liposuction technique to remove excess fat from donor sites such as the abdomen, thighs, or flanks. This step not only provides the necessary fat for transfer to the breasts but also offers body - contouring benefits. The amount of fat harvested depends on the desired breast size increase and the patient's body composition.

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. This meticulous approach helps achieve natural - looking, long - lasting results and ensures symmetry and a pleasing contour.

Anesthesia Options

The surgery can be performed using either local or general anesthesia, depending on the patient's preferences and medical history. For local anesthesia, a tumescent solution containing a local anesthetic and epinephrine is first administered to the fat - harvesting areas to numb the area and reduce bleeding. Additional local anesthetic is then applied to the breast area, and patients remain awake but comfortable during the procedure. The duration of the procedure typically lasts from one to five hours, depending on the amount of fat needed and the desired outcome.

Benefits and Ideal Candidates

Autologous breast augmentation at this center offers benefits such as being minimally invasive (with tiny incisions and minimal scarring), customizable, and having the potential stem - cell benefits of fat transfer. It is a safer alternative for those concerned about implants, with a natural look and feel and no risk of implant - related complications. Ideal candidates desire a modest increase in breast size (up to one cup size), have adequate excess fat in donor areas, prefer a natural alternative to implants, are in good overall health, have realistic expectations, are willing to use the Brava system (if recommended), and are not planning to become pregnant soon.

The average cost of autologous breast augmentation in NYC at this center ranges from $8,000 to $15,000, with additional costs for the Brava system ($2,000 - $3,000). Financing options are available to make the procedure more accessible. To schedule a consultation, patients are encouraged to contact the center and discuss their goals.

4. New York Group for Plastic Surgery

Autologous Fat Transfer for Breast Augmentation

New York Group for Plastic Surgery offers autologous fat transfer as an option for breast augmentation. This method removes viable fat cells from a region of the body with excess fat tissues (such as the thighs, abdomen, or hips), processes and purifies the fat, and then injects it strategically into the breasts. While it can only increase breast size by about one full cup size, the surviving fat will last indefinitely, and it has the advantage of being completely natural.

Comparison with Breast Implants

Breast implants are devices made of a soft silicone outer shell filled with FDA - approved silicone or saline substances. They come in various shapes, textures, and sizes, offering a wider range of size - increase options compared to fat transfer. However, autologous fat transfer has the benefit of being a natural alternative with no risk of implant rupture or certain implant - related complications.

Consultation and Procedure

During a private consultation at one of their two locations (NYC or Tarrytown), board - certified plastic surgeons discuss breast augmentation options, how the procedure will be performed, and what to expect from the results. They also ask health - related questions and perform a physical examination to confirm if the patient is an ideal candidate. The breast size is determined based on the patient's goals, body type, and augmentation technique, with the help of advanced imaging technology like Vectra XT 3D - imaging to visualize potential results.

The recovery timeline for breast augmentation using autologous fat transfer is shorter compared to implant surgery. Patients are required to wear a compression bra and limit strenuous activities but can usually return to work after a few days, and residual bruising and swelling typically resolve in about two weeks.

To learn more or schedule a consultation, patients can call 888 - 664 - 8381 or use the online request form.

5. Aristocrat Plastic Surgery

Breast Fat Injection Procedure

Aristocrat Plastic Surgery offers breast fat injection, which is a form of autologous fat transfer. This procedure is ideal for women who want a moderate increase in breast size (up to one cup size) and have excess fat on their body that they would like to remove. Dr. Kevin Tehrani, an expert plastic surgeon, performs this minimally invasive technique.

Procedure Steps

1. Consultation: The process starts with a consultation where Dr. Tehrani discusses the patient's goals, assesses candidacy, explains the risks and benefits, reviews the medical history, and performs a physical examination to determine if there is enough excess fat for the procedure.
2. Pre - operative Preparations: If deemed a suitable candidate, patients are given pre - operative instructions regarding diet, exercise, and medications to avoid.
3. 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.
4. Fat Processing: The collected fat is processed to separate impurities, excess fluids, and damaged fat cells from the healthy ones.
5. Injection into the Breasts: Using small incisions, the purified fat is injected into various areas of the breasts to achieve the desired size and shape, with careful attention to even distribution and symmetry.
6. Recovery: After the injections, patients may be fitted with a compression garment. Most can return home the same day but should arrange for someone to drive them. Post - operative care includes taking prescribed medications, wearing the compression garment as directed, and avoiding strenuous activities. Swelling and bruising will subside over time, and the final results may take several weeks to become apparent as the surviving fat cells establish blood flow.

It's important to note that not all injected fat may survive, and multiple sessions may be required to achieve the desired breast size and shape. Breast fat injection at this center is usually a one - day procedure, and most patients can return to their daily routines within a week, but strenuous activities should be avoided for a few weeks.

Conclusion

In conclusion, New York City offers a range of excellent hospitals for autologous fat transplantation breast augmentation surgery. Each of the top 5 hospitals mentioned - Mount Sinai - New York, Steven Wallach MD, FACS, Murray Hill Plastic Surgery & Vein Center, New York Group for Plastic Surgery, and Aristocrat Plastic Surgery - has its own unique features, procedures, and benefits. When considering this type of surgery, it's essential for patients to carefully research each hospital, consult with the doctors, and have realistic expectations. They should also consider factors such as the surgeon's expertise, the hospital's facilities, the cost, and the after - care services.

If you're interested in learning more about autologous fat transplantation breast augmentation surgery, we encourage you to share this article with others who may also benefit from the information. You can also explore related topics on breast augmentation, body contouring, and plastic surgery to make a more informed decision about your cosmetic goals. Don't hesitate to reach out to these hospitals for consultations to take the first step towards achieving your desired breast appearance.