Fat injections for breast enlargement

Fat Injections to Breasts


I have previously written about fat injections for breast enlargement but new information keeps on coming up and cosmetic plastic surgery patients continue to show interest in this plastic surgery procedure. here are photos from an article in the Aesthetic Surgery Journal of March 2014 by Drs. Spear and


Breast augmentation with fat injections  Breast augmentation with fat injections

Breast Enlargement with implants

The traditional methods of breast enlargement by either placement of saline or silicone breast implants under the chest muscles have been performed by board certified plastic surgeons since the late 1960 s.  Breast augmentation surgery has withstood the test of time. The surgery will produce consistent results and has a 98% satisfaction rate amongst patients.

Multiple variations of breast sizes and shapes are possible now that moderate profile implants, moderate -plus sized implants, and high profile implants are available from multiple breast implant manufacturers. These implants satisfy the needs of patients who typically are looking for at least a 2 cup size increase in their breasts.

Breast implants are foreign objects for the body and will form capsules of scar tissue around them which can become problematic at time. The implants can also break or rupture and in general need upkeep.

100% of patients will get a substantial improvement in breast size that is long lasting. Breast surgery with implants takes one hour.

Breast Enlargement wit Fat injections

In order not to have the problems that implants can sometimes cause, fat injection to the breasts has been advanced as an alternative surgery by some plastic surgeons.

Fat is removed by liposuction from one area of the body and injected into the breasts to enlarge them. Breasts are made up of a combination of breast glandular tissues and fat. Breast enlargement with fat injections adds to the fatty tissue already there.

Advantages of breast augmentation with fat injections

  1. Natural tissue and feel of breasts

Disadvantages of breast augmentation with fat injections

  1. Un-predictable loss of  breast volume- some of the fat always dies after a fat transfer. How much will die is unpredictable despite multiple techniques for handling and injection of the fat. Typically the latest study shows that only 30% – 40% of the fat injected remains within 6 months.
  2. Risk of development of breast cancer – The fat that is injected will have stem cells which when in the vicinity of breast tissue could cause breast cancer. This has been shown to occur in animal models. Even the latest plastic surgery article about breast enlargement with fat injections mentions that patients should be counselled about the risk of developing breast cancer!
  3. Small volume of breast enlargement possible.  In general breast augmentation achieved with fat injections only gives one cup enlargement of the breast. Typically about 250 cc fat is injected.  Within a few months after surgery only 30- 40 % of the fat remained. How much of that actually stays long term is unknown.
  4. Longer operative time. Typically surgery took 3 hours for fat injections.
  5. 10% of patients have substantial improvement in breast size, and 50% have a moderate improvement in breast size.


Breast enlargement with fat gives minimal improvement in breast size ,has un-predictable results, of unknown duration, requiring three times longer surgery, and increases the risk of breast cancer.

No thanks- I’ll stick to implants for now.




Buttock enlargement without surgery

The other day a patient came to see me for a Brazilian buttock enlargement surgery. She told me that she had had buttock enlargement without surgery by taking a number of herbal medications that she had found on the internet.

Butt enlargement pills


She showed me these two pill and professed to being happy with her results. The irony of the fact that she was there to see me for an even larger buttock escaped all .


This herbal concoction that advertises larger buttocks by specific accumulation of fat in the buttocks. it retails for about $49.95 per bottle and “best results are after 6-9 months”.

There are the usual mix of great reviews and terrible reviews of the product- which mean nothing!

The ingredients include, Maca Root, Dong Quai, Saw Palmetto, Fenugreek, Wild Mexican Yam, Soy Extract, Rose Hips, Citrus Bioflavonoids, Dandelion, Watercress Extract, Tyrosine, Genistein

A nice disclaimer says

” Legal Disclaimer
GluteBoost is an all natural supplement which has not been evaluated by the Food and Drug Administration. GluteBoost is not intended to diagnose, treat, cure or prevent any disease. Results may vary.”

It is commonly sold as a package with another product called Major Curves Butt enhancement ( the white bottle above).

Major Curves Butt enhancement

This “2 x stronger than other supplements” promises a 31% increase in size. It retails for $49.95.

Major Curves Proprietary Blend: 1036mg Saw Palmetto Berries, Fenugreek Seed, Fennel Seed, Wild Mexican Yam (root), Blessed thistle (whole herb), L-Tyrosine, Kelp (whole plant), Dong Quai (root), Mothers’s Wort (whole herb). Other ingredients: Gelatin, Magnesium Stearate

This product is also marketed along with a pill to make your breasts larger, and a cream to rub on the buttocks for extra buttock enlargement ( another $49.95).

Buttock enlargement

I am a reasonable sort of person open to new ideas and technology. I even eat my “really raw Honey” to prevent seasonal allergies.

There are only one group of products that I know of that can cause localized accumulation of a specific type of fat and those are steroids. Patients on long term steroid use can develop a so called “Buffalo hump” on the back of the neck as a result of the specific action of steroids on that fat. This is not the usual nice yellow fat but a hard, dense  brown fat that accumulates. No one knows why that happens.

Estrogen can also increase breast size in both men and women, but that is to a great extent due to enlargement of the breast glandular tissue rather than just the fatty tissues around the breast.

The whole concept of a collection of plant extracts and supplements, none of which have ever been tested for efficacy, being able to work on just one area of the body is…stupid.

Even if these extracts were able to increase fat accumulation in the body, our bodies just do not have the ability to store fat selectively in an area that is not determined genetically. You cant change where your fat goes.

The nutritional supplement business in the US is a multi-billion dollar industry in a society that is forever trying to find the easy way out of problems.

Whenever you see a product that purports to be a god-send and cure all just ask yourself ” if it really works why are we all not taking it, and why is every doctor in the world not prescribing it?

Save your money for a Brazilian buttock lift!