Unlike a silicon implant, you will need preparation before your breast are ready to be enlarged by fat grafting. Starting slowly for a just a few minutes a day you will slowly build up your use of the expander domes to enlarge your breasts over the ten weeks before your surgery. The expander domes will enlarge your breasts and increase the blood supply to them providing both the space for the grafts and the oxygenation they need for optimal take. Moisteurise your breasts well before using the expanders as this will assist with the vacuum seal.
In a single procedure you can expect to increase your breasts by one cup size. Two procedures will enable a two cup size increase. The procedure is carried out under Tumescent Anaesthesia with light oral sedation at the Skin Centre Day Surgery Centre. Your donor site will be infused with Tumescent anaesthesia as will your breasts. (See Tumescent Liposculpture) The fat will then be gently harvested by micocannula liposculpture, usually from the thighs or abdomen and prepared before being grafted into your breasts via tiny nicks. Your breasts will then be strapped up to immobilise them. We recommend a week of rest. No vigorous exercise until week three. Avoid running and arm based exercise. Your breasts will be quite swollen at first but usually not tender and final results will not be apparent until 3-4 months post-operatively.
All photos are taken of patients of the SkinCentre NZ and the Autologous Fat Transfer (AFT) breast enlargement procedures were performed by Dr Paul Salmon.
Complications of Breast Implants
Both AFT and external expansion have been well proven in the literature to be safe procedures that do not give rise to cancer. Where the procedure is carried out under general anesthesia, the risks are those of general anaesthesia. Complications are still possible but very rare and include skin rash from the expander domes, infection, assymetry and need for re operation.