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Fat transferred to breasts - Board certified plastic surgeons discuss whether breast augmentation with fat grafting is a legitimate alternative to implant-based approaches. Fat grafting continues to cement itself as one of the most exciting and rewarding modern plastic surgery procedures. The very concept of removing fat from unwanted regions of the body and adding it where volume is deficient seems to be magic, yet that is exactly what the procedure can accomplish. Patients and physicians alike note it’s power, and have thus begun to wonder how it may be applied to breast augmentation. Already, fat grafting has proven itself capable of providing nuance additions to breast augmentation procedures, specifically breast reconstruction. The question patients continue to pose, especially modern patients looking for natural procedures and results, is whether or not a complete breast augmentation can be accomplished with fat alone – no implants. Board certified plastic surgeons answer on the latest PSC Round Table. BREAST AUGMENTATION WITH FAT, NO IMPLANTS Fat grafting can be tricky for many reasons while simultaneously being incredibly useful. It requires serious understanding by the surgeon in order to avoid complications, many of which can be extremely serious. For this reason, the best plastic surgeons, in general, avoid performing a full breast augmentation with fat and no implants. While the severe complications can be readily avoided, aesthetic complications conspire to question whether or not the procedure is really worth it. Fat transfer overview.