Fat Transfer vs. Breast Implants

The Core Differences Between 2 Approaches to Breast Augmentation Surgery

Breast augmentation has always been closely associated with breast implants, but some patients opt for a different method for breast enhancement – the fat transfer breast augmentation. This technique essentially uses liposuction to remove fat from other areas in the body to inject into the breasts. While not as widely popular as traditional implants, fat transfer breast augmentation has garnered recent social media and in-office patient interest that makes it worth exploring.

Why This Matters: This means that your surgeon could transfer the exact same volume of fat into each breast in the exact same way, but the amount of fat actually retained long-term can potentially differ greatly.

How is a Fat Transfer to the Breast Performed?

To begin, you will be placed under general anesthesia and the surgical site(s) will be numbed with local anesthesia. Your surgeon will create a small incision at the site for the fat to be extracted (usually the abdomen, thigh, or buttocks), and use the liposuction cannula to remove fat from the area. The fat is then purified and prepared to be re-injected into the breasts. A tiny incision will be made either along the fold of the breast or the outside edge for the cannula to be inserted. They will apply more numbing solution, and then the fat will be injected into the breast and dispersed evenly.

Thinking of the breasts’ anatomy in terms of layers (or “planes”), the inner-most layer is the chest wall, followed by pectoral muscles, adipose tissue, and then the functional mammary glands and ducts of the breast. When the fat is transferred to the breast, it is typically placed in the sub-glandular plane, meaning it is placed behind the glands where most of the fat already resides. Your surgeon will then suture the small incision site closed.

What They’re Saying:

Reports from plastic surgery’s leading authority, the American Society of Plastic Surgeons (ASPS), confirm what we already know — that fat transfer breast augmentations only provide a relatively small increase in size. It is recommended primarily for individuals who prefer natural results and wish to see a subtle increase in breast size.

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Breast Implants: In Greater Detail

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About Breast Implants

Soft silicone gel implants are now an industry standard for breast augmentation surgeons across the world. Various projections, profiles, sizes and cohesivities can be combined during your breast implant selection to create a unique implant tailored to your body and personal preferences.

Consistency Matters

Not only do we mean that breast implants offer long-term dependability, but the actual consistency of the silicone gel matters, as well. This is known as the cohesivity of the implant. Depending on the cohesion of the implants, you can achieve an incredibly natural enhancement or a firmer, more augmented look. Ultimately, you have more control over the shape, size, and overall look of the breasts than you would with a fat transfer.

How is it Performed?

Both Dr. Donaldson and Dr. Sieffert perform breast augmentation using silicone implants. Once you are comfortably resting under general anesthesia, your surgeon will numb the area and carefully make an incision along the outside edge of the areola or underneath the natural fold of the breast. He or she will create a pocket beneath the breast tissue and muscular wall within which to place the implant. Remember those layers of the breast we talked about earlier?

Breast implants are usually placed under both the muscle and breast tissue using a dual-plane approach. In a Dual-Plane style breast augmentation, the upper part of the implant is placed under the muscle (which prevents rippling or implant visibility) and the lower part of the implant sits behind your natural breast tissue. Once the implant is placed, your surgeon will close up and place sutures along the incision site.

By the Numbers

For decades, breast implants have reigned as the most popular option among augmentation patients and plastic surgeons alike. According to the ASPS’ 2020 Plastic Surgery Statistics Report, 84% of total 2020 breast augmentations reported used silicone implants. Closer to home, about 90% of breast augmentation patients in our practice opt for breast implants over fat transfer to the breast.

Explore The Most Popular Breast Implants

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Which Method Should You Choose?

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Your surgeon may have a recommendation for your unique frame, or one option may be better suited for your goals than the other. However, like all of the decisions you make for your body, the choice between breast implants or a fat transfer is completely yours to make. As board-certified plastic surgeons, it is our job to educate you about your options and help you make an educated decision.  We strive to empower our patients to make the final decision for themselves.

We strongly recommend that you choose a board-certified plastic surgeon well-versed in breast augmentation surgery and with experience performing both methods if you do choose a fat transfer augmentation with another practice. It is important that you do your research on your surgeon’s credentials and technique.

Why Our Surgeons Prefer Breast Implant Surgery Over Fat Transfer 

Breast implant surgery tends to offer more consistent results in terms of volume, shape and symmetry while reducing uncertainty about how much fat will be absorbed versus preserved over time. Patients generally report higher satisfaction due to this predictability and clearer outcome expectations. Also, implants allow us to more reliably achieve larger or more noticeable enhancement when desired, something that fat transfer alone often cannot match without compromising other areas.

Main Takeaway: There are many choices involved with breast augmentation, but the first and most important decision you’ll make is to select a board-certified plastic surgeon.

Still Researching Your Options? We Can Help!

We know that the choice to receive a breast augmentation is a big decision. The research stage is important for anyone looking into a breast augmentation, and a consultation with our team can be a great way to expand your research in a fun, pressure-free way. Even if you’re not ready for surgery, you’ll leave your consultation with more information, a general surgical treatment plan and even a customized quote for your breast augmentation. You may even have additional questions you didn’t think of before — we’re here to answer those, too!

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Check out some of our other helpful breast augmentation resources:

• Breast Augmentation Patient Testimonials
• How to Choose the Right Breast Implants For You
• What is a Dual-Plane Breast Augmentation? by Dr. Jeffrey Donaldson
• Breast Augmentation Incisions
• Breast Augmentation Implants
• Breast Augmentation Position
• Dr. Donaldson Explains Scarless Breast Augmentation
• Answers About Fat Transfer
• Can You Breastfeed After Breast Augmentation?
• Does Breast Augmentation Hurt?

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About The Author

As a board-certified plastic surgeon, Dr. Michelle Sieffert specializes in helping patients choose the best surgical route forward based on their specific anatomy and cosmetic goals. She has performed hundreds of successful breast augmentation surgeries throughout her tenure, with an emphasis on creating natural-looking results with the safest breast implants available. 

Editor’s Note: This article was updated 9/15/2025 to reflect our change in procedures offered.