Breast Augmentation by Lipofilling
General Description of Breast Augmentation by Lipofilling:
Breast lipofilling represents a major advance in the field of breast augmentation, both aesthetic and restorative. By using the patient’s own fat, this technique allows for a natural increase in breast volume, without scarring and without the use of foreign bodies, thus avoiding the complications associated with breast prostheses. In addition, the patient benefits from liposuction of areas where there is excess fat. This method revolutionizes cosmetic breast surgery for plastic surgeons.
Breast lipofilling is a breast augmentation technique that uses the patient's own fat to increase breast volume. This method involves taking fat from areas of the body where it is in excess, such as the abdomen or thighs, then purifying it and reinjecting it into the breasts. Lipofilling offers a natural result, without visible scars and without the need for breast implants, thus reducing the risk of complications linked to foreign bodies. In addition to increasing the volume of the breasts, this technique also sculpts the breast areas, offering a more harmonious silhouette.
Lipofilling in breast augmentation has several major advantages:
- Natural result: Using the patient's own fat, lipofilling produces breasts that feel and look natural.
- Absence of visible scars: Unlike breast implants, this technique does not leave visible scars.
- No foreign body: By using autologous fat, it avoids potential complications associated with breast implants, such as rejection or infections.
- Double aesthetic advantage: The procedure includes liposuction of areas of excess fat, thereby refining and sculpting other parts of the body.
- Risk reduction: Less risk of complications compared to implants, including rupture or foreign body reactions.
- Harmonious evolution : Breasts augmented by lipofilling evolve naturally with variations in the patient's weight.
In short, breast lipofilling offers a natural and safe solution for breast augmentation, with additional aesthetic benefits for the body.
The indications for breast augmentation by breast lipofilling are varied and mainly concern women wishing to naturally increase the size of their breasts. Here are the main indications:
Breast hypotrophy: For women with small breasts or insufficient breast development (breast hypoplasia).
Breast asymmetry: Fixed size differences between the two breasts.
Improvement after pregnancy or weight loss: For those who have lost breast volume after pregnancy, breastfeeding or significant weight loss.
Breast reconstruction: Post-mastectomy or to correct congenital anomalies or after-effects of breast surgery.
Aversion to implants: For patients who wish to avoid foreign bodies such as silicone or physiological serum implants.
Lipomodeling after implant removal: For those who wish to replace their breast implants with a natural alternative.
Contour corrections: To improve irregular contours following previous breast surgery.
Patients wanting an operation without visible scars: Lipofilling does not involve the same incisions as implants, so scarring is minimal and often not visible.
In summary, breast lipofilling is an excellent option for women seeking natural breast augmentation, without implants, and with minimal scarring.
The major advantages of breast augmentation by fat injection, also known as breast lipofilling, are numerous:
Natural results: Lipofilling uses the patient's own fat, providing breast augmentation that feels and looks natural.
Absence of foreign body: Unlike breast implants, no foreign materials are introduced into the body, eliminating implant-related risks such as rupture or displacement.
No visible scars: The incisions for removing and injecting the fat are very small, leaving minimal and often invisible scars.
Double benefit: In addition to breast augmentation, the patient benefits from liposuction of the areas where the fat is removed, which can improve the contour and silhouette of the body.
Less risk of complications: There is a reduced risk of complications such as infections or allergic reactions since the injected fat comes from the patient's own body.
Adaptability: The amount of fat injected can be precisely adjusted to achieve the desired volume, allowing optimal customization of results.
Better acceptance by the body: Since the fat is autologous (coming from the patient herself), there is better integration and acceptance by the body.
Improvement of surrounding tissues: La graisse injectée peut améliorer la qualité des tissus environnants, en apportant des cellules souches qui favorisent la régénération et la réparation des tissus.
In summary, breast augmentation by fat injection offers natural results, minimizes scarring and the risk of complications, while providing a double aesthetic benefit thanks to liposuction of the donor areas.


The final result of composite breast augmentation becomes fully visible after approximately six months, although changes may be seen within the first few days after the operation. In some cases, a second lipofilling session may be considered to achieve the desired volume.
The stages of breast lipofilling interventions
Before any breast procedure, two preoperative consultations with a plastic surgeon and a consultation with an anesthetist are necessary. Medical imaging tests such as a mammogram and/or ultrasound are also performed to evaluate the structure and health of the breasts.
Before and after photos of breast lipofilling will be taken to document the results of the procedure. In preparation for surgery, a support bra without underwire, opening at the front, is prescribed to ensure good post-operative support.
Specific preoperative instructions are given to patients, including stopping smoking at least one month before and up to one month after the procedure to reduce the risk of complications such as necrosis. In addition, any anticoagulant or antiplatelet treatment must be interrupted 15 days before surgery to minimize the risk of excessive bleeding during and after the operation.
The breast lipofilling procedure is usually performed under general anesthesia, mainly due to the number of fat harvesting sites, and the patient is positioned in a seated manner to ensure optimal results.
The duration of the procedure varies depending on the extent of the breast augmentation, generally around 2 hours. Dr. Vincent Nguyen personally takes care of the fat removal (liposuction) and carries out the treatment of both breasts himself.
Breast lipostructuring is generally not very painful and only requires simple analgesics to relieve any pain. Most patients can leave the clinic the next day, or even the same evening after the procedure.
In the days that follow, it is common to see swelling and bruising in the breasts and fat collection areas. No special nursing care is required after the procedure, and showers are allowed the next day.
To ensure good fat distribution, a support bra as well as a compression garment for the harvesting areas (girdle, bodysuit, panty, etc.) must be worn day and night for approximately 4 weeks.
Depending on the type of professional activity, it is recommended to plan for a work stoppage of approximately 5 to 10 days, or even up to 4 weeks for physical activities.
Regular follow-up consultations will be scheduled, generally at 1 week, 1 month, 3 months, 6 months and 1 year after the procedure.
In Practice
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Procedure
Breast enlargement using the patient's own fat.
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Anesthesia
General
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Operating time
1 hour
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Length of hospitalization
2 nights
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Length of overall stay
7 days
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Convalescence
7 to 10 days