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Breast augmentation surgery with fat grafting| Breast lipofilling

English subtitled video

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There are several ways to increase the size of the breasts, and at Clínica Sanza Barcelona we give you this possibility that we are increasingly being asked for, it is called “breast lipofilling“. It is an alternative to breast prostheses.

It consists of performing a small liposuction of an area where the patient has excess fat (normally the abdominal area or legs), we process it to purify it and then it is infiltrated into the breasts.

This technique has certain limits in terms of the size of the breasts we can increase and the shape we can give them.

More details are explained below.


At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
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Women that have small breasts and have enough fat to be removed in other parts of the body. This improves the body silhouette and increases breast size.

Patients that are transgender and also looking to achieve the same results.

Other options:

  • Also indicated to correct breast asymmetry
  • To correct the “reepling” that can happen when using implants. These are wrinkles that occur on the neckline or the lateral side in patients that are very thin and have breast prothesis.
  • For reconstructive purposes, as when a patient has had a mastectomy due to cancer.
  • Not recommended for patients with a genetic family line of cancer or risk of developing cancer.


We have to evaluate the patient, determine which size is wanted and if there is an area with enough fat to be removed. After this, if the person is suitable for the procedure, the surgery will take place in the hospital, with no scaring as it is done with small liposuction cannulas.


  • From 3 to 4 hours



  • Evaluate the patient
  • Follow the Doctor’s specific indications
  • Preoperative tests: Blood test, electrocardiogram, chest x-ray and a mammography or breast scan.


  • Local and sedation, or general if the patient prefers


  • Ambulatory or 24hour hospitalization


  • Take prescribed medication
  • No lymphatic massages required
  • No need for a compressive chest corset. However, there will be a need for one on the area where the liposuction has been realized
  • Wear a bra without being too tight. The fatty tissue is made of live cells and there is no need to massage them into the tissue
  • It is essential to not touch the area at least within the first 15 days as with any graft, the skin, muscle, cartilage, bone, etc…can have a risk of reabsorption
  • Obligatory postoperative revisions to control progress, avoiding any complication


  • 2 to 3 days of rest due to the liposuction
  • Avoid any impact and great efforts on the breasts during 15 days
  • Sleep upwards or on one side 15 or 10 days
  • Use a bra that is not too tight, or no use at all
  • No sport should be practiced until 20-30 days have passed


  • Breast augmentation as desired and an improvement of body silhouette as there is also elimination of fatty tissue from other parts of the body
  • Natural consistency and appearance
  • Improvement of the psychological profile and self-esteem


  • Half difficulty


  • Low, if a correct postoperative has been followed
  • Intervention risks: possible partial fat reabsorption, therefore, not achieving the breast size desired
  • Intervention risks: bleeding, bruising, infection. Very rare


Before After
Before After
Before After
Before After
Before After
Before After
Before After
Before After

Do you want to know what breast scars look like?

 We have a very informative article that talks in detail and shows graphics of what breast operation scars look like, where the scar is made, and much more.

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Frequently Asked Questions about Lipoinjection or Lipofilling -FAQS

What is lipoinjection or lipofilling treatment?

It is the treatment that fills the part of the body where we want more volume by infiltrating the fat itself.

Benefits of lipoinjection?

Lipoinjection offers the great advantage of providing autologous filler material, and therefore, allergy problems or rejections are reduced. This technique also grafts cells with great regenerative power. Currently very fashionable in rejuvenation, as they are found in fat tissue in large quantities.

How is the lipofilling procedure?

When lipoinjection is to be performed, previous liposuction is necessary to obtain the fatty tissue. It is a classic liposuction to preserve fat in the most suitable way and maintaining its properties. (LIPOLASER CANNOT BE DONE). We then process the fat and graft it to the recipient area.

Does fat affect mammography and ultrasound studies at a later date?

No. The studies can be carried out without any inconvenience. Fat is easily differentiated from other tissues. In addition, it must always be placed in the posterior plane to the mammary or subdermal tissue.

How long does this procedure take? Is hospitalization necessary?

Treatment by lipoinjection lasts approximately 2 hours and is ambulatory.  Depending on the areas to be liposuctioned, it will take longer.

Is the injected fat absorbed?

With today’s techniques, a small part can be absorbed, but not all of it. Formerly it was absorbed, but now we have developed techniques for cleaning fat cells (adipocytes) that allow their survival and obtain natural and definitive results.


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