Fat transfer procedures are very popular nowadays, mostly because they are associated with minimal risks and can be used to add more volume to areas of the body needing it while areas with an excess of fat can also be reshaped during the procedure. The most commonly performed procedure involving the transfer of fat is fat grafting to the butt, also known as the Brazilian butt lift. However, this is not the only procedure that can provide good results when using fat collected from one area of the body to increase the volume in another. Breast lipofilling is another procedure that can be performed with good results on patients who are good candidates for it. Generally speaking, to be eligible for breast lipofilling, the patient needs to have an excess of adipose tissue in one or multiple areas of the body so the plastic surgeon can treat these areas with liposuction to collect the fat. When considering breast lipofilling, many patients wonder about the long-term consequences associated with it. Unlike when using implants, there are little complications and risks associated with fat grafting to the breasts. This means that there are little to no long-term consequences after the procedure. To better understand what to expect in terms of long-term consequences, we should discuss how the procedure is performed. The plastic surgeon will start by performing liposuction on areas designated as donors. After a sufficient amount of fat cells is collected, the fat is processed with a centrifugation process to remove impurities and damaged cells that are not suitable for the transfer. Once this step is completed, the plastic surgeon can proceed to perform the transfer of the fat cells to the breasts. The cells are injected with the help of a special syringe and disposed of in multiple layers in different parts of the breasts to create a nice shape. For the liposuction as well as the fat transfer, very small incisions often no longer than 3 to 4 mm are needed. This means that there will be little signs left after the procedure is completed and the patient won’t have visible scars. Also, because we only use the patient’s own fat cells, there are no long-term complications associated with this, such as capsular contracture when using implants. The only thing that can be considered as a negative consequence in the long run is the alteration of the results achieved with the procedure in case the patient loses weight. This means that the fat cells injected can lose volume if the patient loses weight, and this means the aesthetic results will be negatively affected by weight fluctuations. Other than this, there are no long-term consequences that can represent a worry for the patients interested in undergoing breast lipofilling.