Breast Augmentation with Own Fat (Fat Transfer)

Breast augmentation with the patient's own fat (lipofilling) combines liposuction of a donor area — typically the abdomen, hips, or thighs — with careful injection of the purified fat into the breasts, all in a single operation under general anaesthesia. The result is a natural, modest volume increase (typically up to one cup size per session) with no implant, plus the bonus of slimming the donor area. At MEDICent the full two-stage procedure costs 60,000–75,000 Kč with anaesthesia included, performed by doc. MUDr. Tomáš Kempný, Ph.D.

Fat transfer breast augmentation is the implant-free alternative for women who want a natural look and feel and a moderate size increase. Because the augmentation material is the patient's own living tissue, there is no foreign body, no implant maintenance cycle, and the breasts age naturally. **How it works:** Under general anaesthesia, the surgeon first harvests fat by gentle liposuction from an area where you have surplus — commonly the abdomen, flanks, or thighs. The harvested fat is processed to concentrate viable fat cells, then injected into the breasts in many fine passes across multiple tissue planes. Distributing the graft in small parcels maximises the share of fat that establishes a blood supply and survives permanently. **What to expect:** A portion of grafted fat (commonly 20–40%) is naturally resorbed in the first months; the volume present at around three months is essentially permanent. Typical gain is up to one cup size per session; patients wanting more can repeat the procedure once the first graft has stabilised. The donor area benefits from contouring at the same time — effectively two procedures in one. **Recovery:** Compression garments are worn on the donor area for several weeks; bruising and swelling in both areas settle over 2–3 weeks. Most patients return to desk work within a week. **Suitability:** Best for women with realistic expectations of a modest increase and sufficient donor fat. Very slim patients or those wanting a large size jump are usually better served by implants — the consultation at MEDICent covers both options honestly, and the clinic offers both.