Dr. F. Ouakil, a cosmetic surgeon in Paris, offers all techniques of breast lipofilling through the injection of one's own fat.

Learn about this technique, which may be indicated alone or in conjunction with breast augmentation with implants .

Breast Lipofilling (breast augmentation by fat injection without implants)

Breast augmentation by fat injection has become a very common procedure in recent years. Lipofilling techniques have generally improved, finding numerous indications in modern cosmetic surgery, for example, in the area of the buttocks through BBL . Thus, it is a breast augmentation without implants and almost without scars. Known as lipomodeling, liposculpture, lipostructure, lipoinjection, or lipofilling, it consists of several surgical steps:

A liposuction procedure where the areas will be chosen and defined by the patient and the cosmetic surgeon. This liposuction is particularly appreciated as it enhances the aesthetic result across the entire silhouette. It will be performed gently to avoid traumatizing the fat lobules that are to be grafted.

The aspirated fat will then be prepared for injection. This step includes cleaning, rinsing, decantation, filtration, and/or centrifugation (Coleman method). For some plastic surgeons specialized in breast aesthetic surgery, it is useful to enhance the fat to be injected with PRP or other growth factors. This is an adipocyte graft.

Breast lipofilling (injection of one's own fat) is performed through one or two incisions of less than 1 cm at the periphery of the augmented breast. Small amounts are evenly distributed in the subcutaneous tissue, behind the mammary gland, deposited in a fan shape in the form of "small spaghetti."

This technique is very often combined with the placement of breast implants, either during the first breast augmentation procedure or when changing breast implants. The result is thus even more natural, particularly in terms of the spacing between the breasts and the neckline.

Lipofilling can also be combined with a breast lift to optimize the upper breast contour deemed too flat on sagging breasts and to avoid the placement of breast implants.