Fat Transfer vs Implants Breast Augmentation Procedure

When it comes to breast augmentation, the choices were once limited to implants. However, advancements in plastic surgery now offer an alternative: fat transfer. At The Piazza Center in Austin, TX, Dr. Rocco Piazza, MD BCPS provides both breast augmentation options. But which is best for you, fat transfer vs breast implants? In this guide, we'll explore the advantages of each method to help you make an informed decision based on your preferences and goals.

Breast Augmentation Options: Fat Transfer vs. Breast Implants

Size And Shape

Selecting the right size and shape is a crucial decision in breast augmentation. Implants allow for significant changes, catering to individual preferences and body proportions. Anatomic implants provide a natural appearance, while round implants offer enhanced fullness in the upper pole.

On the other hand, fat transfer yields a more modest size increase, typically up to one cup size. However, it excels in addressing specific deformities, asymmetries, or scarring, allowing for precise corrections.

Woman debating Breast Implants or Fat Transfer


Both augmentation methods entail a recovery period of approximately two months with reduced activity. Incision care is crucial, whether for the breasts or at the fat removal site. Wearing a specialized support bra for six weeks post-surgery is necessary for both procedures. While light activity is permissible, strenuous physical activities should be avoided for four to six weeks. Initial swelling is common but gradually subsides, revealing the final results within a few weeks.


The surgical techniques for implants and fat transfer differ significantly. Implant augmentation involves general anesthesia, incision creation, and precise placement of the implant.

In contrast, fat transfer begins with marking and numbing the areas for fat harvesting. A meticulous liposuction technique extracts fat, which is then processed and injected into the breasts to shape and sculpt them. Fat transfer requires more time but yields beautifully contoured results. Keep in mind, to be able to do this procedure, you have to have excess fat in other areas of your body that can be used for augmentation.

Five Things to Consider When Debating Fat Transfer vs Breast Implants

1. Size Flexibility

Implants offer a broader range of size options, ideal for those seeking a significant change. Fat transfer provides a more subtle increase, suitable for those looking for modest enhancement or addressing specific concerns.

2. Natural Feel and Look:

Implants can provide a fuller upper pole, while fat transfer results in a softer, more natural feel. Consider your preference for aesthetics and tactile sensation.

Measuring breast for fat transfer or breast implants

3. Longevity and Maintenance:

Both procedures offer permanent results, but maintaining a healthy weight is essential for longevity. Aging naturally affects breasts, causing some volume loss or contour changes over time. Learn more about how long fat transfer lasts in this video from Dr. Piazza.

4. Precision Correction:

If you have specific deformities, asymmetries, or scarring, fat transfer allows for more precise corrections due to its targeted approach.

5. Surgery Duration

Implant surgery is generally quicker than fat transfer. Consider your schedule and priorities when choosing a procedure with a suitable duration.

Which Procedure Is Right for You? Fat Transfer or Breast Implants?

Choosing between fat transfer and breast implants depends on various factors, including your aesthetic goals, body type, and personal preferences.

Consider Fat Transfer if:

  • You desire a modest increase in breast size.
  • You prefer a more natural-looking and feeling enhancement.
  • You have excess fat in other areas of your body that can be used for augmentation.
  • You are willing to undergo multiple procedures for optimal results.

Consider Breast Implants if:

  • You seek a more significant increase in breast size.
  • You prefer a predictable outcome with immediate results.
  • You want a customizable solution in terms of size, shape, and material.
  • You are comfortable with the idea of having implants and potential long-term maintenance.

Consider Breast Implants AND Fat Transfer:

In some cases, the ideal solution might lie in combining both fat transfer and breast implants. This approach allows Dr. Piazza to leverage the benefits of each technique. Implants can provide the desired volume increase, while strategically placed fat grafting can refine the contour, address minor asymmetries, and create a softer, more natural upper pole for a truly customized and aesthetically pleasing outcome. This combination can be particularly beneficial for patients who have minimal existing breast tissue or those seeking a subtle enhancement with improved shape and definition. Here is a recent case study from one of Dr. Piazza's patients: He pulled fat from her underarms and then injected it into her breasts to complement the implants: 

Breasts Before and After Fat Transfer + Implants

Before and After - Breast Implant + Fat Transfer

Still unsure? Don't worry, we understand it's a lot to consider! The best thing to do is schedule a consultation with Dr. Piazza and his team. They will happily walk you through all of your options, discuss your desired outcome, and answer any questions. To schedule a consultation, contact us today at (737) 313-8287.

Breast Implants vs Fat Transfer Dr. discussing which is better

Whether you opt for implants or fat transfer for breast augmentation, Dr. Rocco Piazza and his team at The Piazza Center are committed to delivering a positive experience and the results you desire. Your journey to beautiful, contoured breasts begins with an informed decision.

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