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Fat Graft Breast Augmentation in Toronto, ON

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{ Fat Graft Breast Augmentation in Toronto, ON }

The fat graft breast augmentation procedure is the use of the patient’s own fat transferred from an area, where there is undesirable fat and transferring to an area where there is a need for volume, shape and form provided by the survival of the fat graft itself.

Fat Graft Breast Augmentation in Toronto, ON

By taking fat from unwanted fatty areas and transplanting the fat to areas where fat is required, one can improve the contour in one area (the donor site) and add volume and shape to an area where fat is deficient (the recipient site). Essentially, large volume fat grafting to the buttock (“Brazilian Butt Lift”) or breasts (“Natural Breast Augmentation”), is total body contouring with liposuction where you have too much and using the excess fat where you don’t have enough.

Common donor sites for fat grafting include the abdomen, hips, outer thigh. Less common sites include the inner thigh, inner knee and arm.  In general, there is too little fat under the chin and submentum to provide any significant donor material.

The most common areas to have fat grafting and fat transplantation include fat grafting to the face, fat grafting to the breast and the Brazilian Butt Lift.

Fat Grafting Diagram Toronto

Figure 1.  Common areas to have extra fat are the hips, tummy, outer thigh, inner knee in women and love handles or tummy in men.

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The fat graft breast augmentation procedure is relatively simple. The area where the fat is to be harvested is prepped and draped in a sterile fashion and usually the procedure is performed under local anesthesia.  A small harvest needle is used to gently move back and forth the anesthetized fat donor material, harvesting fat cells.

The harvesting process and technique will depend upon the area and size of the area to be grafted or transplanted. Small zone fat grafting such as the face, or isolated body contour indentations (from inherited, trauma, or previous surgery, such as liposuction) can be extracted and removed with small harvest cannulas.

These small zone fat graft procedures will not require much fat, so the patient does not usually see a sizeable difference in the donor site (where the fat is taken).

Fat Grafting Toronto

Figure 2.  Patient having fat taken with a specialized fat harvesting cannula from the donor abdomen. The  syringes will be removed, prepared and grafted to the face or small zone body indentations or irregularities.

Large zone fat grafting or fat transplantation, will require up to 1000 cc (one litre) of fat or more and these areas include fat grafting or transplantation to the breasts (also called “Natural Breast Augmentation”, or fat grafting or transplantation to the buttock (“Brazilian Butt Lift”).

To be successful with large zone fat graft breast augmentation and transplantation, a surgeon must invest in some expensive technology that will be able to harvest large volumes of fat in the least traumatic method possible to ensure enough fat is removed, BUT, the fat cells are not damaged in the process, as they must survive and pick up a blood supply to survive.

The Vaser Lipo system is the best way to remove the large volumes needed to predictably and successfully augment the breast or the buttock without damaging the fat cells to be transplanted.

Stem Cells Vs Fat Cells

Fat cells are a mature form of a cell, well differentiated and store energy as fatty tissue (Trigylerides). Their anatomy and structural integrity of a fat cell lend themselves well to transplanting to form a well vascularized, structural support and shaping tissue for areas of volume deficiency, such as the face, breast, buttock and post liposuction irregularities. Stem cells are naturally occurring cells in human tissue, particularly in human fat.

Stem cells are not differentiated, but rather, are immature cells that, depending up the environment can grow to become many different kinds of cells, fat cells, heart cells, collagen forming cells, called fibroblasts, etc. Fat derived stem cells are also included in a fat transplantation and fat grafting procedure, as they can cause localized stem cells in the face, breast, or buttock to become fat cells adding to the long term result, or themselves can differentiate into mature structural fat cells.

Fat transplantation Toronto

Figure 3. Fat graft breast augmentation and fat transfer will include fat cells and stem cells harvested with gentle advance fat grafting harvesting technique. Both the mature fat cells and stem cells will be transplanted to the recipient tissue, commonly the fat, breast, buttock and body contour indentations.  Both the transplanted fat cells and stem cells will act to build structure and support in the soft tissue.

Can I use fat cells from another person for fat graft breast augmentation?

This is a common question. “Can you use the fat from another person, who perhaps has lots to spare, harvest from them and transplant to you?” The answer, is unfortunately NO. The fat cells and stem cells harvested from another person would be recognized as foreign and your body’s immune system would reject the grafted and transplanted cells.

It would attack these foreign transplanted cells, as they would for bacteria or a virus and destroy the cells and the fat grafts and fat transplantation would fail.

What is Vaser Lipo?

The Vaser Lipo, the fat grafting system is a very high tech, high speed and elegant process of removal of the undamaged fat from the unwanted donor site. It then prepares the fat cells and perform standard fat grafting and fat transplantation procedure to augment the breast, buttock or body defects from surgery.

Vaser Lipo fat transplation device

Figure 4.  The Vaser Lipo and Fat Transplantation Device.

The Vaser consists of a gentle ultrasound probe that is inserted in the fat painlessly, as the fat has been completely frozen with local anesthesia. The probe moves back and forth slowly in the fat to the grafting and the ultrasound waves gentle dislodge the fat cells so they can be easily extracted without trauma.

fat graft torontoA. The anatomy of the normal fat cells  B. The Vaser emitts gentle sound waves and the fat cells are shown in yellow. They are tightly packed.

Figure 5A and 5B .  The Vaser Lipo probe emits gentle ultrasound wave that loosen up the fat cells for fat grafting from the attachments, gently without traumatizing their integrity for grafting and optimizing the fat cell transplantation.

Once the Fat from the donor or harvest site has been dislodged gently with the Vaser lipo system, it is extracted with a power assisted aspiration system, under low pressure to minimze any trauma to the fat cells and stem cells.

The Vaser Cannulas used to harvest the fat grafts are specially designed to minimize the trauma to the fat cells and stem cells during the actual harvest. The harvest cannulas are small, use low pressures and are able to remove the already loosened fat cells gently, almost like a “fat cell smoothie”.

Vaser Cannulas

Figure 6. Patients under go Vaser lipo to loosen the fat cells from the tissue attachment without damage and then are gently aspirated using the atraumatic ventex Vaser cannulas which are small, blunt nosed and low pressure. They are specifically designed to remove fat after the Vaser and minimize trauma for survival during the fat graft breast augmentation and fat transfer process.

Once the necessary amount of donor fat is harvested, the refinement in body contouring and liposuction is continued until the body contour shape is optimized in the donor site, providing the patient with greatly improved shape and contour in the donor sites.

Fat Grafting Layers

Figure 7.  After Vaser Lipo harvest the fat content in the donor site shrinks providing a localized body contour, or liposuction-like result.

Vaser lipo sterile canister

Figure 8.  The Vaser fat graft cells are collected in a sterile canister where they can be extracted in a sterile fashion in small syringes for sterilization.

Once harvested, the fat cells are transferred in a sterile fashion to a refinement process that often includes centrifugation or spinning the fat done and removing the unwanted elements of the fat graft material including unwanted blood, serum and local anesthesia.  Other forms of preparation, such as washing the fat tissue or segmentation and separation of stem cells and non-stem cell segments can also be performed.

Following the preparation phase, the purified fat and stem cell segments are then placed atraumatically into small injection syringes in preparation for injection into the recipient area or the area to be grafted.

Breast Fat grafting

Figure 9.  Vaser lipo fat graft cells are placed in small syringes, 1cc for small zone, delicate fat graft areas like the face and in 10cc syringes for large zone fat grafting zones like the breast or buttock.



Figure 10.  Using specialized fat graft breast augmentation and fat transfer micro cannulas, the fat cells are injected in the donor site soft tissue using a highly specialized structural fat grafting technique that creates multiple tunnels with small “tooth pick” sized fat grafts embedded securely in the donor site to pick up a blood supply for long term survival and viability.

Multiple layers of fat structure

A.  Multiple layer structural fat grafting  B. The new blood supply for the fat graft cells and the stem cells

Figure 11.  11A. Multiple layers of fat graft cells are injected throughout the donor site, the breast, buttock, face or body indentation. 11B. The fat cells must be close enough to each other to facilitate a smooth structural augmentation but just far enough away from each other to allow the in-growth of a blood supply to ensure long term survival.

Good candidates for fat graft breast augmentation

Good candidates for fat graft breast augmentation are individuals who are realistic and well-selected.  At SpaMedica and under Dr. Mulholland’s expert guidance, well-selected patients are those individuals that want modest enhancement and volume of their deflated areas of their face or upper or lower poles of their breast or areas of the buttock.  Other fat graft breast augmentation areas include post-liposuction indentations and defects, as well as some deep cellulite pits.

Good candidate realize there are sometimes other augmentation procedures that could be performed, such as breast implant surgery or buttock implant surgery or facial implants, but would prefer to have a more natural, autogenous augmentation performed with their own fat material by taking it from where they don’t want the fat and transplanting it to where they need it.

Contraindications for fat grafting include any patient or individual who is unrealistic, who may be pregnant at the time of the procedure or any patient with inflammatory, infectious or cancerous lesions to the area to be harvested or grafted.

Anesthetic used during the procedure

Commonly, Dr. Mulholland will perform fat grafting under local anesthesia alone with some oral sedation.  However, if a patient is already undergoing general anesthetic, fat grafting can also be performed during the procedure.

Is fat graft breast augmentation and fat transfer painful?

Once the local anesthetic is instilled, fat grafting and fat  transplantation is completely painless. Both the donor site and recipient site are filled gently with local anesthesia so they should not have discomfort or pain. Both the donor and recipient sites are “marked out” or diagramed out according to plan, to optimize the body contour results.

How long does the fat grafting procedure take?

In general, fat graft breast augmentation and fat transfer takes approximately one hour for both the harvest and the injection.  For substantial natural large zone cases, such as breast augmentation with fat grafting, or buttock augmentation, more fat is required and, as such, generally the procedures will take 2-3  hours.

How long is the recovery following fat grafting and fat transplantation?

The recovery following fat graft breast augmentation and fat transfer is relatively short.  Individuals that have undergone body fat grafting to the breast for breast augmentation or to the buttock for buttock augmentation or even for post-liposuction defects and indentations or cellulite, patients can return to normal activities the following day, as clothing conceals the areas. Individuals that undergo facial fat grafting, even though the post-operative course is relatively comfortable, have a significant amount of swelling and generally require between five and seven days off following their procedure until the swelling subsides to acceptable levels.

What kind of results can I expect following my fat grafting?

In general, Dr. Mulholland finds that certain regions in the face, such as the temple, brow, under-eye, nose and jawline have a great longevity in take.  In general, the number of fat grafts that take is in the order of 30% to 60% and, as such, Dr. Mulholland will over graft, understanding that between 30% and 60% of the fat grafts will not take.  Fat grafting to the breast tends to be very successful, with a high degree of fat graft take.  In the buttock and more mobile areas of the body, such as the thighs, the fat graft take is generally 30% to 50%.

Most patients undergoing fat grafting are very happy with their results and most patients who undergo breast, buttock and body fat grafting are told in advance that two sessions are often required, separated by 12 months.

Before and after fat grafting Toronto

Figure 12.  Toronto fat transplantation patient who underwent fat grafting to the smile lines, marionette lines and lips at the time of a neck lift.  The fat grafts and fat transplants provide an excellent improvement even at 2 years post op, like this photo.

Is there any maintenance required following fat graft breast augmentation and fat transfer?

There’s no specific maintenance required following your fat grafting to the face or body.  Once the fat grafts have taken, it is just then the fat graft shape and contour improvement that is subject to normal aging processes, such as normal aged related deflation and loss of fat volume.  If this occurs, repeat fat grafting and fat transplantation may be required several years following your initial sessions, as long as there is sufficient donor site fat.

How much will my fat graft breast augmentation and fat transfer cost?

The cost of fat grafting depends upon the area being treated and the amount of fat required.  In general, one can harvest the fat grafts from the donor site and then inject them into the recipient site, be that face or body, and generally this price can range anywhere from $3,000 to $6,000.  Some individuals undergo extensive liposuction following the harvest of their fat grafts and fat graft augmentation of their breast and/or buttocks and this is additional, although somewhat discounted, cost as well.

For large-volume fat grafting areas, such as the breast or buttock, more fat is required and more harvesting is required to procure the fat grafts and this will raise the cost to be commensurate with what one would spend for non-fat grafting breast augmentation or buttock augmentation.

Affordability and Payment Plan

Patients can have Medicard payment plans arranged for their procedure

Payment periods can be spread over 36, 60 and 72 months

Patients can have low interest rate payment plans and be approved in under 30 minutes

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto fat grafting patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I schedule a consultation for my fat grafting?

To schedule a consultation, simply call 877-695-2835 or book an appointment online and a SpaMedica client service representative will respond to you promptly.  Call or e-mail now to begin your fat graft journey today.


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-695-2835