Undergoing combined procedures is no longer news when it comes to plastic surgery. Nowadays many people want to make the most out of their plastic surgery experience and correct multiple imperfections at once. However, in some cases, combined plastic surgery procedures are necessary to achieve the same result or improve the results achieved with one procedure. For example, we use the combination of fat transfer and implants to get bigger breasts. Why could this be the recommendation of the plastic surgeon? To answer this, we need to discuss the eligibility for breast augmentation surgery and what each type of breast augmentation procedure can deliver. When it comes to finding out if you are a good candidate for breast enhancement surgery and what is the procedure that will help you achieve your aesthetic goals, it is the pre-operative consultation with the plastic surgeon that will make things clear. To be able to undergo breast augmentation with fat transfer, you need to have adipose deposits in other areas of the body that could be harvested and used for grafting. However, the patient should know that fat transfer alone can’t offer an impressive increase in the size of the breasts. The usual result is often a better shape of the breasts, a roundness and a minor to moderate increase in the size of the breasts. If the patient has little breast tissue, we can’t inject a lot of fat into the breasts because this fat will die or be reabsorbed by the body. Breast implant surgery can be performed even on patients who are very thin and have small breast tissue. However, if the patient wants to get the biggest implants possible recommended for her body type, chances are the results will not look as natural as the patient might want. The plastic surgeon often recommends the combination of implants and fat transfer when the patient has little breast tissue but presents an excess of adipose deposits in other areas of the body. The implants are inserted first, either behind the mammary gland or the pectoral muscle, and then fat transfer is performed. Fat transfer defines the shape of the breasts and make the implant edges less visible. When implant surgery is performed in combination with fat transfer, the plastic surgeon will recommend general anesthesia for the comfort of the patient as the combined procedures can be quite lengthy in terms of operating time. Aside from the aesthetic benefits that will be seen on the breasts, the patient will also notice an improvement on the areas where liposuction was performed to collect the fat for the transfer. In a vast majority of cases, these procedures performed in combination can deliver impressive results with just minor risks associated.