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Fat Transfer Breast Augmentation
  • Breast surgery
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  • Fat Transfer Breast Augmentation

Fat transfer breast augmentation: Naturalness meets modern aesthetics

Table of contents
Frau zeigt ihr natürliches Ergebnis nach Brustvergrößerung mit Eigenfett

Perhaps you haven’t felt entirely at home in your body after a pregnancy or weight loss. Or you want to gently optimize your silhouette, without foreign bodies, without an artificial look. Fat transfer breast augmentation is the discreet path to your new body confidence – at BONITAS, under the experienced leadership of a specialist in Plastic and Aesthetic Surgery.

This method combines the best of two worlds: natural results and a gentle body contouring through liposuction. You gain new volume in the breasts – and simultaneously lose from your abdomen, hips, or thighs.

At a glance: Breast augmentation with your own fat combines liposuction and fat transfer for a natural breast without implants.

  • Duration of surgery: 2–3 hours under general anaesthesia
  • Method: PAL liposuction + fat transfer (lipofilling)
  • Clinic stay: outpatient or 1 day as an inpatient
  • Recovery: 2 weeks, sport after 4–6 weeks
  • Final result: after 3–6 months (volume stability)
  • Prices: in our price overview

What is fat transfer breast augmentation?

Fat transfer breast augmentation – also called lipofilling – uses the body’s own fat to gently and permanently increase the volume of your breasts. Fat tissue is taken from typical “problem areas” like the abdomen, flanks, or thighs, processed, and precisely injected into the breast.

Natural, safe, and without foreign material.

This method is particularly suitable for women who desire a moderate volume increase with a natural look & feel.

Decision support: Implant or autologous fat?

FeatureAutologous FatImplant
NaturalnessVery highHigh (depending on positioning)
Volume increaseModerateSignificant
Foreign materialNoYes
Body contouring includedYes (liposuction)No
ScarsMinimalSmall and inconspicuous
Procedure duration2–3 hours1–2 hours
RisksFat resorption possibleCapsular contracture, implant exchange possible

The treatment process

Before the procedure

  • Comprehensive consultation with Alejandro Marti at BONITAS practice
  • Analysis of your goals & medical prerequisites
  • Selection of donor areas for liposuction

On the day of the operation

  • General anesthesia or local anesthesia with twilight sleep
  • Gentle fat extraction with microcannulas
  • Selection of fat processing (decantation)
  • Precise injection into the breast
  • Duration: approx. 2 hours
  • Short monitoring in the recovery room

After the Procedure

  • You will be given a compression garment
  • Rest during the first few days
  • Return to work usually after 5–7 days
  • Follow-up appointments at BONITAS for healing monitoring

Techniques & Materials Used

In fat transfer treatment, modern, minimally invasive liposuction procedures are used. The extracted fat is gently processed, and only the highest quality fat tissue is used for transplantation.

Important: No artificial fillers or implants are used. The result is 100% natural.

Results you can feel

Already after a few weeks, you will see the first results – a harmoniously shaped, soft-feeling breast that feels like a part of you. Approximately 60 – 80 % of the transplanted fat remains permanently in the breast.

The result:

  • Soft, natural volume
  • Gentle enlargement by approx. 1 cup size
  • Long-term effect
  • No visible scars

Advantages of fat transfer breast augmentation

  • Natural result without implants
  • Liposuction and breast augmentation in one procedure
  • No foreign bodies or silicones
  • Minimally invasive technique with fast healing
  • Permanent results with stable weight

Risks & Side Effects

As with any aesthetic-plastic treatment, there are risks. However, these are minimal if the treatment is performed by an experienced Plastic Surgeon.

Possible, temporary side effects:

  • Swelling or bruising at the extraction or treatment site
  • Partial fat loss (resorption)
  • Asymmetries (rare, possibly correctable)

Aftercare tips for optimal results

  • Wear a special compression bra for approx. 4 weeks
  • Avoid sports and heat exposure (e.g., sauna) for the first 4 weeks
  • Protect the treated areas and avoid strong pressure on the breast
  • Follow the recommendations of the Plastic Surgeon & Team precisely
Youtube video

Frequently asked questions (FAQ)

How Long Does Autologous Fat Last in the Breast?

The transplanted autologous fat in the breast remains permanently, provided it heals successfully. On average, about 60% of the introduced fat tissue is permanently accepted by the body. The rest is broken down within the first few months. After about 6 months, the result is stable. Important: Long-term volume retention strongly depends on individual factors such as metabolism, lifestyle, and fat injection technique. This information does not replace a personal examination and consultation by a specialist.

What are the Disadvantages of Fat Transfer Breast Augmentation?

Possible disadvantages of fat transfer breast augmentation include limited volume increase (usually a maximum of 1,5 cup size per session), the risk of fat loss (resorption), the need for a second session, and the formation of fat necrosis or cysts. The method is only suitable if sufficient donor fat is available.

How many Cup Sizes Can You Increase your Breast by with Fat Transfer?

Generally, with one session of fat transfer breast augmentation, an increase of approximately 1 cup size is possible. With sufficient fat reserves and good healing, the result can remain stable. For more volume, multiple sessions are often required, as the body reabsorbs some of the transplanted fat. A precise assessment is only possible after a personal examination.

Which is Better, Breast Implants or Fat Transfer?

Whether breast implants or autologous fat are more suitable depends on individual goals and physical conditions. Implants allow for larger volume increases (2–3 cup sizes) in one session and provide immediately stable results. Autologous fat, however, looks more natural, leaves minimal scars, and uses the body’s own tissue, but sometimes requires multiple sessions and is only suitable if there is sufficient fat deposit.

Do I Need to Repeat Fat Transfer Breast Augmentation?

A repeat of fat transfer breast augmentation may be necessary if the desired volume effect is not achieved after the first session or if the body reabsorbs a larger portion of the fat tissue. Many patients consciously opt for a second session to further optimize the result. The necessity of a repeat depends on individual fat metabolism, the treatment goal, and the healing rate.

Google reviews: Fat transfer breast augmentation at BONITAS

5,059 Google reviews

Total: 59 reviews from our Google Business Profile. As of: 31.08.2026.

Anja Bauer13.05.2026

I can wholeheartedly recommend Dr. Marti! I had a breast augmentation with my own fat as well as a belly button correction done with him. In addition, an umbilical hernia was corrected by another surgeon, together in one operation. I am so happy with the result! It looks really natural and I am simply infinitely grateful! From the very beginning I always felt comfortable, taken seriously and in the best hands. I would especially like to point out that Dr. Marti was the first doctor to recognize my umbilical hernia and immediately recommended a further examination, which I found very attentive and extremely competent. Whenever I had questions or uncertainties I was always helped right away, which I appreciated a lot. I would also like to give very special praise to Jasmin: so friendly, empathetic and dedicated. She made the whole process even more pleasant and took a lot off my shoulders ❤️ Thank you so much for everything!

Translated from German

Jessica F.28.01.2026

While looking for a breast augmentation, I came across BONITAS through my online research. The website immediately gave me a good feeling. Reputable, modern, simply trustworthy. This positive feeling was confirmed from the very first moment. Dr. Marti is an exceptionally empathetic doctor who takes a lot of time, listens and responds to all wishes and questions with calm and great professionalism. The explanation was thorough, understandable and took away all of my fear. From the beginning I felt taken seriously and very well cared for. The practice is beautiful and very invitingly designed. You immediately feel comfortable and welcome. The operation itself went absolutely smoothly, and the result far exceeded my expectations. I am overjoyed and could not have imagined a nicer result. A very special thank you also goes to his assistant: incredibly warm, loving and at the same time highly professional. I am infinitely grateful that I chose BONITAS, and would recommend this clinic as well as Dr. Marti at any time and from the bottom of my heart. Muchísimas gracias 🙂 <3

Translated from German

Melanie05.11.2025

For several years I had the strong wish for a breast augmentation or rather a breast correction, I went again and again to one or another plastic surgeon for a consultation appointment. I always came away with little hope and great doubts.. since my starting situation was not really easy, none of the previous surgeons was really keen to operate on me. Until I came across Dr.Marti in 06/2025 over the internet, and at the first appointment I was more than surprised, and so for the first time I had a good gut feeling after an appointment like that, he did not put dreams in front of my eyes, but rather what you can simply expect in this case or rather what is possible. He fulfilled my big wish for a natural result 100%. Mr. Marti's assistant also accompanied me lovingly along this path. 4 weeks later the operation took place, which went smoothly. The aftercare appointments were all very relaxed and pleasantly arranged too. The stay at the clinic was unique as well. I can recommend Dr. Marti from the deepest of my heart, he has given me back my self confidence and did not promise too much. I would let him operate on me again at any time.

Translated from German

Reviews from Google, reproduced unchanged. We do not carry out our own verification of authenticity. See our reviews · Google profile

Alejandro Martí, specialist in Plastic and Aesthetic Surgery, BONITAS
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Scientific References

  1. Cohen SR, Patton S et al. „Fat Grafting to the Breast for Aesthetic Indications: Techniques and Outcomes in 165 Consecutive Patients.“ Aesthetic Plastic Surgery. 2024. PubMed PMID 37985505
  2. Vester-Glowinski PV et al. „Fat Grafting With Expanded Adipose-Derived Stromal Cells for Breast Augmentation: A Randomized Controlled Trial.“ Aesthetic Surgery Journal. 2022. PubMed PMID 35704475
  3. Wu Y et al. „Autologous Fat Transplantation for Aesthetic Breast Augmentation: A Systematic Review and Meta-Analysis.“ Aesthetic Surgery Journal. 2021. PubMed PMID 33655292
  4. Zhu M et al. „Supplementation of fat grafts with adipose-derived regenerative cells improves long-term graft retention.“ Annals of Plastic Surgery. 2010. PubMed PMID 20098110
  5. Niechajev I, Sevćuk O. „Long-term results of fat transplantation: clinical and histologic studies.“ Plastic and Reconstructive Surgery. 1994. PubMed PMID 8047602

Medically reviewed and written by
Specialist in Plastic and Aesthetic Surgery 🇩🇪 🇪🇸 · Admitting surgeon
With more than 1,000 plastic and aesthetic procedures performed. Comes from a family with a long tradition in plastic and aesthetic surgery.
Last reviewed: August 2026