Introduction
In the vibrant and ever - evolving landscape of New York City, the demand for aesthetic procedures, particularly breast fat transplants, has been on the rise. Breast fat transplant, also known as fat transfer breast augmentation, is a procedure that uses a patient's own fat cells to enhance the size and shape of the breasts. Unlike traditional breast augmentation with implants, this method offers a more natural - looking and feeling result, along with the added benefit of body contouring through liposuction. In this article, we will delve into the top 10 aspects related to breast fat transplant in New York City, from understanding the procedure itself to finding the best doctors and assessing the costs.
What is Breast Fat Transplant?
Procedure Overview
Breast fat transplant is a three - step surgical process. First, liposuction is performed to extract fat from areas of the body with excess fat, such as the abdomen, thighs, or hips. For instance, at Dr. Steven Wallach's practice, after a patient is anesthetized, he makes a tiny incision at the donor site and inserts a thin, hollow tube connected to a vacuum pump or syringe to suction out the excess fat.
Second, the extracted fat needs to be purified. This can be achieved by spinning the vials of collected fat in a centrifuge to separate the fat from other bodily fluids, or by allowing the fat to separate by gravity and then collecting it in syringes or an aspiration cannister.
Finally, the purified fat is injected into multiple strategic sites in the breasts. Doctors aim for an even distribution of the fat cells to create a natural - looking breast shape. For example, Dr. Daniel Del Vecchio uses his ingenious expansion vibration lipo filling (EVL) method for this purpose, which is considered a safe and effective way to transfer fat.
Benefits and Drawbacks
The benefits of breast fat transplant are numerous. It provides a natural alternative to traditional breast augmentation with implants. Patients can achieve both breast enhancement and body contouring simultaneously. For example, removing excess fat from the abdomen can make the waist look slimmer while increasing breast volume. The procedure also has fewer complications as it uses the patient's own fat, and there are no concerns about implant - related issues such as capsular contracture, rippling, or implant rupture. The results are more permanent and have a natural look and feel.
However, there are also some drawbacks. The increase in breast size is usually limited to about one cup size. Some of the transferred fat may be reabsorbed by the body, which could result in a less - than - expected size increase. Also, there is minimal to no breast lift with a fat transfer alone. To address these limitations, some patients may opt for a combination of fat transfer and breast implants.
Ideal Candidates for Breast Fat Transplant
Several factors determine whether a person is an ideal candidate for breast fat transplant:
- Age and Health: Candidates should be over the age of 18 and in good general health. They should not have any underlying medical conditions that could complicate the surgery or recovery process. For example, patients with uncontrolled diabetes or heart disease may not be suitable candidates.
- Realistic Expectations: Patients must understand the limitations of the procedure. A breast fat transplant can provide a subtle to moderate increase in breast size, but it cannot achieve the same dramatic results as breast implants in terms of size. Realistic expectations are crucial for patient satisfaction.
- Sufficient Body Fat: There must be enough excess body fat available for harvest. Areas such as the abdomen, thighs, and hips are common donor sites. However, patients with very low body fat may find it challenging to have this procedure. In some cases, doctors like Dr. Daniel Del Vecchio may recommend that leaner patients gain a few pounds before the surgery.
- Breast Cancer Status: Candidates should not be undergoing treatments for breast cancer. Breast cancer treatment can have a significant impact on the breast tissue and the outcome of the fat transfer procedure.
- Pregnancy and Nursing: Women who are pregnant or nursing are not suitable candidates. Pregnancy and breastfeeding can cause changes in breast size and shape, which may affect the results of the fat transfer. It is recommended that women wait until they are done with childbearing and breastfeeding.
- Previous Breast Surgery: Patients who have experienced complications with previous breast implants may be good candidates for breast fat transplant as an alternative. However, their medical history will need to be carefully evaluated.
- Lifestyle: Non - smokers are ideal candidates. Smoking can impair blood circulation and healing, increasing the risk of complications during and after the surgery. If a patient smokes, they may be asked to quit for a few weeks before and after the procedure.
Top 10 Breast Fat Transplant Doctors in New York City
There are many skilled doctors in New York City who perform breast fat transplant procedures. Here are some of the top doctors based on their experience, expertise, and patient reviews:
- Dr. Daniel Del Vecchio: He is internationally known for his exceptional work in fat transplantation. A pioneer in breast fat grafting, he has been performing this procedure for over 15 years. He has developed innovative methods like the expansion vibration lipo filling (EVL) and simultaneous implant exchange with fat (SIEF) technique. His office is located at 128 Central Park S, New York, New York.
- Dr. Steven Wallach: He offers fat transfer breast augmentation using the patient's own fat cells. With a focus on natural - looking results, he guides patients through the entire process, from preparation to recovery. His practice provides personalized treatment plans. Contact him at (212) 861 - 6400.
- Dr. David Shokrian: A well - known breast fat transfer surgeon at Millennial Plastic Surgery in midtown Manhattan. He has helped many women with various breast enhancement procedures. His attention to detail and patient - centered approach have earned him high praise from clients. Call (212) 421 - 7123 to schedule a consultation.
- Dr. William Lao: A double - board certified plastic surgeon. He specializes in natural fat breast augmentation, aiming for natural - looking results and prioritizing patient safety. His office is on 5th Avenue in Manhattan. Schedule a consultation to learn more about his services.
- Dana Khu Thaila, MD, FRCSc, FACS: A board - certified plastic surgeon with 20 years of experience. She accepts virtual consultations and offers gender - affirming care. Her office is at 30 Central Park S, Ste. 13B, New York, New York.
- Pedy Ganchi, MD: With 25 years of experience, she is a board - certified plastic surgeon. Her patients have praised her and her staff for their professionalism. Her office is located at 75 Oak St., Ridgewood, New Jersey.
- Trevor M. Born, MD: A certified plastic surgeon with 28 years of experience. He offers gender - affirming care and has many positive patient reviews. His office is at 910 Fifth Ave., Ste. B, New York, New York.
- Harry T. Haramis, MD, FACS: A board - certified plastic surgeon who makes patients feel comfortable during consultations. He offers gender - affirming care and is located at 150 E. 61st St., New York, New York.
- Darren Smith, MD, FACS: With 17 years of experience, he is a board - certified plastic surgeon. His office was prompt in responding to patient inquiries about breast fat transfer. He is located at 111 East 57th St., The Ritz Tower, New York, New York.
- Michelle Copeland, MD, DMD: A board - certified plastic surgeon with 38 years of experience. Her experience in the field stands out, and she accepts virtual consultations. Her office is at 1001 Fifth Ave., New York, New York.
Pre - operative Preparation for Breast Fat Transplant
Proper pre - operative preparation is essential for a successful breast fat transplant:
- Medical Evaluation: The doctor will perform a comprehensive medical examination to assess the patient's overall health, including checking for any underlying medical conditions, taking a detailed medical history, and possibly ordering blood tests or other diagnostic procedures.
- Medication Review: Patients should inform their doctor about all the medications they are currently taking, including prescription drugs, over - the - counter medications, and supplements. Some medications may need to be adjusted or stopped before the surgery to reduce the risk of bleeding or other complications.
- Lifestyle Changes: As mentioned earlier, smokers should quit smoking for a few weeks before the surgery. Additionally, patients may be advised to maintain a healthy diet and exercise routine to optimize their physical condition for the procedure.
- Arrangements for Recovery: Patients need to arrange for someone to drive them to and from the surgical center. They should also prepare their home for a comfortable recovery, including having soft clothing, ice packs, and any prescribed medications on hand.
The Procedure Day: What to Expect
On the day of the breast fat transplant, the following steps are typically involved:
Blueprint Plan
The cosmetic surgeon will mark the areas to harvest fat from and the injection sites on the breasts. Common areas for fat harvesting include the inner thighs, outer hips, love handles, abdomen or flanks, back, and arms.
Anesthesia
Patients are usually given local anesthesia on the identified treatment areas and a sedative. However, general anesthesia is also an option, depending on the patient's preference and the doctor's recommendation.
Fat Harvesting
The surgeon makes small incisions in the donor area and uses liposuction to remove the fat needed for the breast augmentation procedure.
Fat Concentration
The plastic surgery team refines and concentrates the fat, removing any impurities such as blood or water. This can be done using a centrifuge or other purification methods.
Fat Transfer
Using a special syringe, the surgeon injects the fat concentrate into the tissue layers of the breasts. Multiple tiny entrances are often marked in the lower fold of the breast and around the areola to ensure an even distribution of the fat.
Dressing
The doctor dresses the incisions of the donor site and wraps the breasts to promote healing.
Observation
The medical team monitors the patient until they are cleared to leave. The patient needs someone to drive them home.
Post - operative Recovery and Results
Recovery Process
Recovery from a breast fat transplant starts immediately after the procedure. Patients can expect the following during the recovery period:
- Pain and Soreness: Some discomfort is normal, and it can be managed with over - the - counter pain medication. Patients should avoid touching or rubbing the treated area for at least a week.
- Surgical Bra: Wearing a surgical bra is often recommended to support the breasts and aid in the healing process. Rest and avoiding strenuous physical activity for the first few days are also essential.
- Swelling and Bruising: Swelling and bruising are common and should subside within a few weeks. Applying ice packs to the treated area can help reduce swelling and discomfort.
- Medications: Patients may be prescribed medications to prevent infection and manage pain. It is important to take these medications as directed.
- Follow - up Appointments: Regular follow - up appointments with the doctor are necessary to monitor the healing process and ensure that there are no complications.
Results
While patients will notice an immediate difference in the size of their breasts, the final results take about six months as the fat cells settle. The breasts may shrink a little during this time due to decreasing swelling and fat absorption. New York City women who undergo fat transfer breast enlargement typically experience an increase of their breasts by about one cup size, although results can vary from patient to patient.
Cost of Breast Fat Transplant in New York City
The cost of breast fat transplant in New York City can vary significantly. The starting cost of breast augmentation procedures is around $3,000, but it can rise depending on several factors:
- Surgeon's Expertise: Highly experienced and well - known surgeons may charge more for their services.
- Extent of the Fat Transfer: The amount of fat that needs to be harvested and transferred will affect the cost. A more extensive procedure will generally be more expensive.
- Location: The cost can also be influenced by the location of the surgical center. In more prestigious areas of New York City, the prices may be higher.
- Other Costs: Additional costs include aftercare medication, anesthesia fees, and facility fees. Health insurance usually does not cover elective cosmetic surgeries like breast fat transplant, but some practices offer flexible payment plans to help patients manage the cost.
Frequently Asked Questions about Breast Fat Transplant
Can a mammogram detect a ruptured implant?
A mammogram may detect a rupture, but an MRI or ultrasound are more sensitive and are usually the go - to tests for evaluation of an implant.
Can you transfer fat to your breast?
Yes, fat transfer can be performed on the breast. The fat can be harvested from an area of excess, which often benefits from the harvesting and improves the contour of the donor region. The fat is then separated and injected into the breast for augmentation.
Can belly fat be used for breast reconstruction?
Yes, belly fat is often used for breast reconstruction and is often the best fat to harvest. Other common areas of fat harvesting include the waist and inner thighs.
Does fat transfer last?
Fat transfer does last, but it is hard to predict the exact percentage of the fat that will last. Usually, it is between 50% - 70%.
Can I lay flat after breast augmentation?
It is often recommended that patients sleep on their back for the first few weeks, and as they heal and get more comfortable, they can gradually transition to lying on their side and eventually their stomach if desired.
How do fat transfers work?
Fat is harvested from one area of the body using liposuction techniques and then injected into another area using syringes. The fat then obtains a blood supply from the surrounding tissue to survive.
Can I take my surgical bra off for a few hours?
The surgical bra is mainly for comfort. In most cases, it is okay to remove it for a few hours if it bothers the patient.
How long do I need to sleep upright after breast augmentation?
It is usually recommended to sleep on the back for a few weeks after surgery, and then gradually adjust the sleeping position as the healing progresses.
How long is recovery after fat transfer?
Most patients can return to light duty within a few days after breast fat transfer, start light aerobics within 3 - 4 weeks, and resume vigorous activity soon after.
When can I run after breast augmentation?
It is advisable to avoid running for about 3 - 4 weeks after the procedure and then gradually return to more vigorous activities a few weeks later.
How painful is breast augmentation recovery?
Breast augmentation under the muscle can be uncomfortable as muscle fibers are divided. Many patients report the pain to be about 6 - 7 out of 10 for several days after the procedure.
Is natural breast augmentation safe?
Breast augmentation with implants is very safe, and fat injection or natural breast augmentation is also considered very safe.
What are the risks of fat transfer?
The risks of fat transfer include poor take of the fat, fat necrosis, contour irregularities, and infection. A patient can also develop a hematoma or a seroma.
Conclusion
Breast fat transplant in New York City offers a natural and effective option for women looking to enhance the size and shape of their breasts. It combines the benefits of breast augmentation with