does fat transfer work for breast augmentation?

Q & A’sdoes fat transfer work for breast augmentation?
AvatarAnonymous asked 8 years ago

Hi as per subject line. Will it work if i just want to increase 1 cup size?
and if yes, who is a skilled Dr to go to for this procedure in Syd or Melb?

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1 Answers
Dr Mark HanikeriDr Mark Hanikeri Contributor answered 8 years ago

Hi there and thanks for your question.  Autologous Fat Transfer (AFT) can be used and is a good tool for minor breast augmentation (<150cc volume or 1 cup size), however there are a few issues with using this technique in Australia.  
Firstly, the regulatory body for new technologies in Australia (ASERNIPS) has not yet approved this technique for “normal breasts”. That is, breasts with intact breast gland within it.  Consequently, Medical Defence Organisations (MDO’s) can choose not to cover surgeons who perform AFT in normal breasts if there is a problem.  Some studies from overseas have demonstrated that fats cells and specifically fat derived stem cells have the ability to enhance cancer cell growth in the laboratory.  It is therefore a cause for concern for some surgeons and MDO’s.  The fear is that there are no long term studies demonstrating the safety of AFT, specifically in not causing breast cancers and the data may take decades to retrieve.
Secondly, the amount of “graft take” after AFT can be unpredictable.  As a result, patients may need the procedure performed more than once.  Medicare and the private insurance companies have not yet caught up with AFT in Australia and hence, patients may find themselves with large out of pocket costs for this procedure, especially if it needs to be performed several times. 
There are a number of Plastic Surgeons in Sydney and Melbourne who perform AFT, however some may not be prepared to do so for cosmetic breast augmentation.  You should contact the Australian Society of Plastic Surgeons to find one who does.
I hope this answers your queries but please do let me know if you require further information.
Kind regards
Mark Hanikeri

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