Breast Augmentation with Fat Transfer
Portland, OR

View the Gallery

Breast Augmentation and Liposuction 

Breast augmentation with fat grafting is a two-step process. First, liposuction is performed in areas such as the abdomen, flanks, or thighs, sculpting those regions to enhance your overall body contour. Next, the processed fat is meticulously injected into your breasts in small, thread-like passes. This technique ensures that the fat integrates naturally into all layers of the breast—from just under the skin to above, and even within, the pectoralis major muscle. Although the breasts may swell for several weeks, the result is soft, natural, and permanent. 

Are You A Good Candidate?

Women seeking a modest increase—typically around three-quarters to one full bra cup size—with naturally shaped breasts and good skin tone are the ideal candidates for fat grafting. If you have sagging breasts, poor skin quality, or desire a very large increase in volume, fat grafting alone may not achieve your goals. In such cases, traditional implants or a combination of implants and fat grafting might be the better option. 

Breast Implants Plus Fat Grafting 

Fat grafting is an excellent complement to breast implants, especially for thin women who have implants placed above the muscle or in a subfascial pocket. It can enhance the cleavage and upper breast areas, correct minor irregularities, and achieve a more natural, balanced look. In complex cases with significant asymmetry or shape concerns, combining implants with fat grafting can create superior, customized results that implants alone might not achieve. 

Breast Lift Plus Fat Grafting

One of the primary goals of a breast lift is to restore fullness in the upper breast and cleavage. However, a lift alone may not provide adequate volume. Adding fat grafting during a lift can expertly sculpt the upper poles of the breasts, offering a gentle alternative to using large implants—which may place undue stress on breast tissue over time. Patients have enjoyed more natural, long-lasting results with this combined approach. 

Fat Grafting For Implant Problems

If you’re experiencing issues such as uneven shape, asymmetry, or visible rippling from implants, fat grafting may be the solution. Dr. Connall has successfully treated numerous implant-related concerns by selectively adding fat around the implant, improving overall breast aesthetics without the need for implant removal. 

Breast Reconstruction With Fat Grafting

Fat grafting is also a groundbreaking option for breast reconstruction following cancer surgery. Whether addressing defects after a lumpectomy or performing total reconstruction after a mastectomy, fat grafting offers a natural solution that avoids traditional implants and complex tissue flaps. Total reconstruction typically requires 2–4 sequential procedures, and Dr. Connall was the first in Oregon to achieve complete bilateral reconstruction with fat grafting following a nipple-sparing mastectomy. 

A Vast Experience

Like any surgical procedure, fat grafting carries some risks—including the formation of fatty cysts, calcifications, or an incomplete “take” of the transplanted fat. However, with our advanced techniques, these risks are minimized, and most issues can be easily managed, often in a simple office procedure. While the most common challenge is ensuring a sufficient volume of fat survives, multiple treatments can achieve more dramatic and satisfying results. Importantly, there is no evidence linking fat grafting with an increased risk of breast cancer. 

Breast Health Follow-Up Is Critical 

Patients considering breast fat grafting must commit to a diligent follow-up routine, including routine breast exams and imaging studies. We require a pre-operative mammogram and a follow-up 9–12 months after surgery to closely monitor breast health. 

Fat Grafting And Your Consultation 

At Esprit® Cosmetic Surgeons, your consultation is tailored to your unique anatomy and aesthetic goals. Whether you’re interested in primary breast augmentation with fat alone or in combination with implants or a breast lift, you’ll receive an honest and realistic appraisal of what fat grafting can achieve. Even if implants are your first choice, Dr. Connall’s extensive expertise in fat grafting ensures that you are made aware of this exciting, natural option if you’re a suitable candidate. 

Esprit® Cosmetic Surgeons brings you a revolutionary approach to breast enhancement—breast augmentation with fat grafting. For years, women have dreamed of using their own body fat taken from the tummy or thighs to subtly enhance their breasts. Now that dream has become a reality in Portland, OR. 

Get larger, natural-looking breasts with breast fat grafting at Esprit® Cosmetic Surgeons. To schedule your breast augmentation with fat transfer consultation, contact our Portland office at (503) 783-0544 or online today.