Breast enlargement with lipofilling

Lipofilling is a suitable technique for adding small amounts of volume to the breasts. It is necessary to have sufficient fat tissue and to maintain a healthy lifestyle. For larger volumes, it may often be necessary to schedule a second session, provided there is still enough fat tissue available.

The procedure is performed under general anaesthesia and takes place in a day case setting. During this procedure, liposuction is applied to extract fat tissue, after which the fat is carefully purified and injected into the subcutaneous layers of the breast. After the injection, the body will integrate and rehydrate the fat tissue, which is crucial for the survival of the injected cells. It is of great importance to carefully dose the injection amount to prevent cyst formation, which can occur due to excessive pressure on the fat cells. It may be advisable to consider a second session for optimal results.

After liposuction, patients may experience some discomfort in the first week. In the chest area, there may be a feeling of tightness, but this is usually temporary and will improve quickly.

It is crucial to understand that the final result can only be properly assessed after a period of three months. At that point, the swelling has subsided and we can make an accurate evaluation of the remaining fat tissue. The injected fat tissue undergoes a process of remodeling over the course of a year. If desired, the procedure can be reconsidered after three months to optimise the result.

After the surgical procedure, there will be a temporary swelling of the breast. This swelling will gradually subside as the injected fat tissue adapts to the new conditions. A more accurate picture of the final result can usually be obtained three months after the procedure. It is important to emphasise that the fat tissue will continue to restructure over a period of up to a year.

Avoiding smoking is essential. The viability of adipose tissue is influenced by various factors, including age, tissue quality, lifestyle, the method of processing, and the injection technique. I also advise my patients to follow a diet rich in proteins and anti-inflammatory substances. You will also receive a specially developed skin cream to promote blood circulation after the procedure.

We will always pay attention to the aesthetic zones of the breast. The aesthetic zones are: 1/ the lower pole, 2/ the décolletage, and 3/ the transition between the breast and the chest. Therefore, we will not simply inject fat everywhere in the breast. By focusing on the aesthetic zones, we will achieve a natural result.

Secondly, we never inject too much fat tissue. An excessive volume that is injected can lead to the death of fat cells because the pressure in the tissues becomes too great. High tissue pressure "suffocates" the fat cells with a high risk of death.

Thirdly, we will not inject into the breast gland itself but into the subcutaneous tissue layers. Injecting fat tissue into the breast gland can theoretically lead to small calcifications over time. This may complicate a mammogram of the breasts at a later age.

We advocate for a mammogram to be performed prior to the procedure. This examination serves as a reference study for later as well. Should there be small calcifications present in the breast tissue, they will be mapped out. Thus, we know that they were present and are not attributable to the lipofilling procedure. For individuals with a family history of breast cancer, this examination is certainly indicated.

Yes, that is possible. Cyst formation occurs due to the death of fat tissue. When fat cells die, they can merge and form a cyst filled with oil. This oil comes from the fat cells themselves, which contain an oil droplet. We can minimise the risk of cyst formation, depending on the technique used. We advise washing the fat tissue instead of centrifuging it, as washing makes the fat tissue cleaner and better removes oil and blood residues. Injecting too much fat tissue can also contribute to cyst formation, which we should avoid. If a cyst forms, it can sometimes disappear through massage. In some cases, the cyst can also be resolved during a consultation by gently pressing on it.