Lipofilling breasts / Breast augmentation with your own fat

Lipo means fat. Filling means padding. Lipofilling is a medical treatment in which body's own fat is used to add volume in another place where it is desired, such as in the breasts, buttocks, face.

Because breast lipofilling is a procedure where only your own fat is used, it is also known as the natural breast augmentation without surgery. It is important to know that an incision is made to perform the treatment, although it is minimal (3 mm). Also, you will be given a light sleep anaesthetic.

Lipofilling allows the surgeon to inject 200 cc to 250 cc of fat into each breast. About 70% of these fat cells grow in. That means you are left with less than 200cc of volume per breast. 200cc, depending on your breast circumference, is usually a little less than 1 cup size.

To be left with 400cc-500cc of purified fat cells, the surgeon will harvest 600cc-800cc of fat in a place where you have enough fat, such as the abdomen or thighs. In very slim ladies, this option is not always available. During a no-obligation consultation, the surgeon will discuss the options with you and suggest the best treatment options to you.

Lipofilling or breast augmentation with your own fat is the ideal solution if you want to have a small breast augmentation done naturally, both in terms of method and aesthetic result. After all, no artificial implant is used, but body's own fat. Even if your breasts are asymmetrical, lipofilling can be a good way to rebalance them.

An additional advantage is that you can also have fat removed from problem areas, so you combine two procedures in one treatment.

Alternative silicone implants: breast augmentation with your own fat is mainly chosen by women who prefer not to have implants inside.

A certain amount of fat is needed to achieve a beautiful result with breast lipofilling. The fat preferably comes from the abdominal area, legs or hips. Breast augmentation own fat is therefore suitable if you have excess fat on other parts of the body and want a small natural breast augmentation.

For enlarging the breasts by several cup sizes, breast augmentation with own fat is less suitable. For that, we recommend breast augmentation with implants.

With breast augmentation with own fat, the cup size can be increased one cup size. For example, you can go from cup A to cup B, from cup B to cup C, and so on. For example, do you want to go from cup A to C without surgery? So that is not possible (with one treatment). In that case, breast augmentation with implants is a better choice.

The fat used in breast augmentation with fat comes from your own body. This has the great advantage that it is a body's own substance, so you can be sure it will not be rejected. We take the fat from other body parts where you have excess fat.

In most cases, these are legs, hips and abdomen, but other body parts are also possible. Of course, we will discuss with you beforehand where you would like to lose fat and whether this is an option for lipofilling.

Yes and no. You may of course indicate a preference, but there must be enough fat to fill the breasts with. During a consultation, the doctor will inform you personally and the options will be discussed.

During this procedure, the surgeon takes fat from other body parts to then inject the purified fat back into the breasts. This way, you get slightly more volume.

It is an all-natural breast augmentation without any other additives. The fat cells are 'harvested' from the areas where you have a little too much fat. We do this with liposuction. These cells are then purified. Any other fluid, including blood, is removed from them.The damaged cells are carefully removed so that only the living cells remain.

We then inject these intact cells with lipofilling, in small amounts, into a dozen cannulas under the skin. This gives the transplanted fat cells optimal contact with the surrounding breast tissue. This is because the tissue ensures that the transplanted fat cells get the necessary oxygen and other nutrients to settle, so that they can grow in properly.

Your breasts may be a little swollen and a little bruised after the procedure. In this case, a coldpack or icepack will bring relief. Swelling and bruising decrease in the days following the procedure. Within about 4 to 7 days, you will normally be sufficiently recovered to resume all light daily activities Heavy physical work and sports can be resumed after 4 to 6 weeks.

In general, this procedure causes few complications. The fat comes from your own body and is therefore guaranteed to be 100% compatible. If an infection should nevertheless occur, it is usually quickly resolved with an antibiotic.

The result of your lipofilling cleavage is immediately visible after surgery, but you have to wait about three months for the final result.

No, lipofilling breast augmentation does not leave visible scars! The doctor will inject the fat into your breasts through a few puncture holes of about 3 millimetres.

The small puncture holes heal quickly. The small scars are barely visible or not visible after some time.

Yes. After treatment, the breasts need sufficient support. This is why the surgeon recommends wearing a special sports bra for six weeks. After that, you can wear any bra you like.

Yes. It is important to know that breast lipofilling is only safe if the treatment is performed correctly. It is essential that the fat is properly purified and injected. Safety is paramount at Wellness Kliniek. We offer ISO 9001 quality assurance. The experienced surgeons use safe techniques.

Yes, it does! In fact, it is a good method for rebalancing the breasts. Having uneven breasts is not an uncommon phenomenon. In fact, in most women, one breast is slightly larger than the other. Is the difference such that you notice it and would like to do something about it? Lipofilling your breasts can be a great solution to make your breasts the same size.

Sagging skin can be another cause of uneven breasts. Sagging breasts can be corrected well with a breast lift with or without lipofilling.

About 70% of the injected fat cells take effect. The cells that are still alive after three months will grow in permanently.

However, keep in mind that gaining or losing weight can affect the result over time. Lipofilled fat cells behave just like other fat cells in your body. If you gain weight, these fat cells get bigger. If you lose weight, they become smaller. The result of lipofilling breast augmentation is permanent if you keep your weight stable.

Usually, 1 treatment is enough, sometimes women do 2. Experience shows that with the repeat treatment, the transplanted fat cells grow in better and can therefore build up more volume.

If you have enough fat on your abdomen or thighs, then a repeat treatment can increase the cup size by 1.5 to 2 times.

Yes definitely! Ideal if you want extra fat removed in certain problem areas, it can all be done during one treatment. Keep in mind that fat harvesting for lipofilling is not necessarily the same as liposuction treatment (the latter removes more fat).

A consultation with the doctor will give you certainty about the possibilities of liposuction combined with breast lipofilling, and inform you about the results you can expect.

Breast augmentation by your own fat is an alternative to traditional breast augmentation with implants, and ideal if you prefer a natural method and a small volume increase as a result (1 cup size).

If you want to increase more than 1 cup size, lipofilling of breasts is often not an alternative (in some cases, it is possible with multiple lipofilling treatments). Moreover, the result in terms of breast shape is also not entirely comparable. The profile of silicone implants gives breasts a nice round shape. With lipofilling, the current shape of the breasts remains more intact.

At Wellness Kliniek, we use safe silicone breast implants of good quality. Women in Belgium and the Netherlands more often choose breast augmentation with implants than volume augmentation by lipofilling.

In most cases, women prefer implants to lipofilling. There are several reasons for this. For one, the aesthetic possibilities with implants are greater and you never suffer from 'fat deficiency' (lipofilling of breasts requires quite a bit of fat). Moreover, the surgeons at Wellness Kliniek use the safest implants, so there is virtually no risk of complications.

We recommend you book a personal consultation, so that the surgeon can discuss with you the options for your bosom.

Yes, at Wellness Kliniek this is referred to as hybrid breast augmentation. A less commonly used term is composite breast augmentation or combined (implant and fat) augmentation.

A hybrid breast augmentation is a procedure that combines the insertion of implants with the injection of the patient’s own fat into the breasts (lipofilling). It is therefore a breast augmentation using both the patient’s own fat and breast implants.

The breast implant largely provides the desired volume, whilst the patient’s own fat is used to further fill out the breasts, refine the breast shape and soften the transition between the implant and the natural breast tissue. This allows for a result that looks and feels more natural, particularly in women with little natural breast tissue.

At Wellness Kliniek, we almost always achieve the desired result using our high-tech breast implants with dual-plane placement, and additional fat injection is not required. The main benefits of hybrid breast augmentation, based on the experience of the surgeons at Wellness Kliniek:

• Suitable as a supplementary enhancement for small implants: Fat grafting (lipofilling) can be an effective supplementary treatment.
• Suitable for slim people with little breast tissue and sufficient fat elsewhere: In very slim individuals with thin skin or minimal breast coverage, the addition of their own fat provides greater coverage over the implant, eliminating issues such as visible implant edges or unnatural contours. You must, however, have sufficient (donor) fat for this.
• Improvement of contours: Sometimes the edges of an implant remain visible (especially if they are placed above the muscle). Lipofilling with your own fat can soften the edges of the implant. Lipofilling reduces visible rippling and ensures a smoother transition to your own tissue. This results in breasts that look more natural. It can be a great addition to cosmetic breast augmentation.
• Improvement of shape, symmetry and cleavage: Adding extra fat allows for minor adjustments, such as slight improvements in symmetry, upper pole fullness (the top of the breast) and the décolleté. This is sometimes desirable if asymmetry is an issue, but bear in mind that (some of) the fat volume may diminish over time.
• Correction for implants placed above the muscle: Placement above the muscle (subglandular) has significant disadvantages, including more visible edges and rippling. Augmentation with the patient’s own fat can offer a solution. At Wellness Kliniek, we use high-tech breast implants that can be placed using the dual-plane technique (a superior method). However, we routinely perform corrections on the results of breast augmentation (above the muscle) that was carried out elsewhere.

Yes. Expert placement of dual-plane implants is generally the best (and most difficult) surgical technique for breast augmentation and is usually preferred for the best aesthetic result. With dual plane placement, the implant is positioned partly beneath the chest muscle (pectoralis major) and partly beneath the breast tissue. This creates a natural-looking effect, natural movement and a beautiful enhancement of the cleavage. In some cases, a hybrid breast augmentation can provide an additional benefit.

At Wellness Kliniek, we specialise in MIBIS dual-plane placement: Dual-plane breast implant placement combines the best of both worlds: the upper part of your breast implant lies beneath the pectoral muscle for good coverage and a natural décolleté, whilst the lower part lies beneath the gland for a beautiful projection. Advantages: less rippling, lower risk of capsular contracture, better long-term shape (less likely to sag) and a more natural appearance of the breast. In most cases, dual plane is the best choice for a beautiful, long-lasting result with fewer complications.

We generally prefer dual-plane placement, but if the desired result cannot be achieved with this technique, hybrid breast augmentation (composite breast augmentation) may be chosen as an alternative. It is important to bear a number of factors in mind:

• The result may be affected by your own body: Some of the fat is broken down by the body (±30–50% in some cases).
• You need sufficient fat in other areas: If you have little excess fat, not enough can be harvested for lipofilling.
• The procedure may be slightly more complex and expensive: This is because two techniques (augmentation with implants + lipofilling) are combined.

It is important to note that the risk of complications increases when opting for a hybrid breast augmentation compared to a standard breast augmentation with implants, as additional complications may arise with fat transfer (lipofilling).

Just like a standard breast augmentation using implants, a hybrid breast augmentation is one of the options available at Wellness Kliniek. The doctor will always recommend the breast augmentation technique that will deliver the best aesthetic result for you personally.

The doctors can usually combine the placement of implants with the injection of your own fat (lipofilling) in a single procedure, provided there is sufficient fat in your body and the quality of your skin and breast tissue allows for it.

Please bear in mind that not everyone is suitable for a hybrid breast augmentation; you need sufficient donor fat (for example, fat on your hips). The procedure is also more complex (two techniques in one) and therefore more expensive. Carefully weigh up the pros and cons of hybrid breast augmentation with your surgeon at Wellness Kliniek. The doctor will always provide clear and honest advice, because that is what we stand for!

In practice, we find that over 99% of women prefer MIBIS breast augmentation using high-tech breast implants (such as Monobloc), placed using the dual-plane technique. Dual plane is a placement technique in which a breast implant is placed partly under the pectoral muscle and partly under the breast tissue for a more natural result. At Wellness Kliniek, we have experience with over 100,000 breast augmentations! Additional lipofilling/fat transfer (hybrid breast augmentation) is usually not necessary.

Additional filling with your own fat is particularly desirable for women with thin skin or little breast tissue, which can make the edges or rippling of the implant visible. In such cases, additional filling with your own fat can produce a more attractive result. Personal advice based on your body and wishes is important when choosing a particular technique.

No, usually not. We usually achieve the best results with a MIBIS breast augmentation, where the breast implant is placed between the muscle (dual plane), so that the addition of extra fat is neither necessary nor desirable. Hybrid breast augmentation combines fat transfer (lipofilling) to the breast with breast augmentation using implants.

It is often the case that women who have insufficient breast tissue and fat in their breasts also have little fat in other areas. This makes it more difficult (and more expensive) to harvest the donor fat. Opting for breast augmentation with implants (a soft implant – without fat transfer) is usually the better option for a beautiful, natural-looking result. Wellness Kliniek offers a wide range of soft-touch breast implants for aesthetic breast augmentation, which usually achieve the desired result – even without lipofilling.

Hybrid breast augmentation remains an option at Wellness Kliniek, but is more commonly used for the correction of implants placed elsewhere, following reconstructive or mastectomy surgery, or in cases where dual-plane placement of a soft breast implant is not possible. Discover the possibilities for your perfect breast augmentation during a no-obligation consultation at Wellness Kliniek. The surgeons will always provide you with honest information and advice.

Yes, large breasts are possible with a hybrid breast augmentation, as this technique combines implants with fat transfer. This makes it possible to increase both volume and cup size.

The demand for large breasts that look as natural as possible is on the rise. Consequently, the demand for hybrid breast augmentation is also increasing. However, because the result of a dual-plane breast augmentation using a perfectly fitting (soft) breast implant in the correct size and with the correct volume and projection (placed using the MIBIS method) does not require any fat transfer, standard breast augmentation without lipofilling remains the most commonly performed procedure at Wellness Kliniek. This is certainly the case for large breasts.

Yes, in many cases this is possible. We can remove the implants and then do breast augmentation with your own fat. You can also come to us to have your implants replaced with new, safe implants.