Modest volume enhancement and contour refinement using autologous fat — for patients seeking a natural alternative to implants in appropriate cases.
Breast augmentation with fat grafting involves liposuction from donor sites, processing of fat, and reinjection in layered planes to enhance breast volume and contour. Multiple sessions are sometimes needed depending on desired change and graft take.
Unlike implants, augmentation magnitude is limited by tissue compliance, skin envelope, and available donor fat.
Patients seeking a modest increase, correction of minor asymmetry, or softening of the upper pole may be candidates. Adequate donor fat and realistic expectations about cup change are required.
Patients desiring a large implant-equivalent augmentation may be better served by implants or combined approaches discussed at consultation.
No synthetic implant in the breast when augmentation is modest
Potential to improve contour irregularities in selected patients
Donor-site contouring as an added benefit when fat is harvested
Structured follow-up for swelling and graft retention assessment
Volume planning
Discussion of achievable change, donor sites, and staging if needed.
Harvest & preparation
Gentle liposuction and fat processing for reinjection.
Micrografting
Layered placement to support smoothness and vascularity.
Aftercare
Garment use, activity limits, and review for symmetry and retention.
Breast swelling can appear exaggerated initially; avoid pressure on grafted areas and follow massage restrictions if instructed.
Donor sites may bruise; maintain nutrition and hydration. A second session may be discussed if retention is below goals.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.
