Breast augmentation with fat transfer is a plastic surgery procedure that adds projection and shape to the breasts. If your breasts lack shape or projection and the condition is affecting your self-esteem, you may consider breast augmentation with fat transfer. Compared to breast implant surgery, the breast augmentation with fat transfer is relatively safer, and the results are more natural and sustainable. The procedure involves the use of your body fat to deliver the desired outcomes. You need to have excess fat in different areas of your body to qualify for the surgery. The excess fat is removed via liposuction and transferred to the breasts. Many patients are curious as to how long the results of breast augmentation with fat transfer will last. To get the answer to this question, you should first understand what the procedure involves. Breast augmentation via fat transfer Fat transfer to the breasts is a popular type of breast augmentation. Every year, hundreds of thousands of women undergo surgery to improve the aesthetic features of their breasts. Unlike breast implant surgery that uses artificial objects, the fat transfer procedure involves the use of your body fat to deliver the desired aesthetic results. The goal of fat transfer surgery is to enhance the shape of the breasts, besides making them look fuller and projected. It does not make your breasts considerably bigger. If you aim to make your breasts considerably large, you should consider implants instead of fat transfer. The surgery is performed under general anesthesia. It can also be performed under IV sedation when the surgeon thinks the use of general anesthesia will not be suitable for you. A board-certified anesthesiologist will administer the anesthesia, after which the plastic surgeon will get to work. The surgeon will make tiny incisions on the fat donor sites and then insert the liposuction cannula into the area. The cannula is a hollow tube used for removing fat from the fat donor sites. The surgeon will then give the cannula back and forth motions to dislodge the fat from the nearby areas. A tumescent solution will also be introduced in the fat donor site during this process. It will restrict bleeding and make the procedure comfortable. In the next step, the surgeon will connect a suction pump or a special syringe to the liposuction cannula and remove the fat from the donor site. The incision will then be sutured and closed. The same process will be repeated on all donor sites until enough fat has been collected for transfer. Next, the plastic surgeon will process and purify the collected fat by treating it in a centrifuge at high speed. During this process, the dead and damaged fat cells, fluids, blood, and other impurities will be removed from the fat. Only the healthy and living fat cells will be retained for transfer to the breasts. In the last step, the surgeon will carefully inject the fat cells in the breasts. The doctor will use a special needle to do this. Also, the surgeon needs to have a great sense of aesthetics and artistry to implement this step to the satisfaction of the patient. Results After the fat cells have been injected into the breasts, it will take your body time to start blood flow to the fat cells. The fat cells will not survive without blood supply. Normally, vascularization takes place within the first two weeks after surgery. After the fat cells have been vascularized, they will behave just like fat in other areas of your body. The fat cells will nurture and expand. You will gradually see the improvements in your breasts over the next several weeks or even months. When the final results emerge, you will notice that your breasts have become fuller, shapelier, and projected. Many patients want to know how long the results of fat transfer will last. With proper care, the results can be permanent. However, there are certain factors that can affect the results. There is a risk your body may absorb some of the fat cells, which can lead to change in your breast shape and projection. In such case, you will be required to get touch-up fat injections to make up for the lost fat and restore the results. The fat cells will act like the other fat in different areas of your body. What this means is that your body will treat the fat in your breasts in the same way as the fat in other areas of your body. In case of weight changes, the fat will be affected. For example, if you experience considerable weight loss after the intervention, your breasts will shrink because the weight loss will affect the fat injected into the breasts. If the weight loss is severe and prolonged, the fat will be converted into fluids, and there will be no chance of restoring the lost results by gaining weight. To enjoy the achieved results on a continuous basis, you must avoid considerable weight loss after the procedure. If the surgeon is experienced and has performed fat extraction, fat processing, and fat grafting carefully and by paying attention to detail, the results of the surgery may remain with you for a lifetime. The post-operative care also determines the sustainability of the results. It is crucial for the patient to be extremely careful during the recovery period. Sleeping on your abdomen is not allowed during the first two weeks because the pressure applied to your chest can damage the fat grafts and void the results. Also, be sure to avoid physically demanding activities like workouts, jogging, weight lifting, jumping, stretching, etc. These activities apply pressure to the incisions used for fat extraction, which can cause other health complications. Also, you should wear support bras for the time recommended by your surgeon. The bras are designed to keep your breasts intact and expedite the healing process. Normally, the patient will be able to resume work two weeks after the surgery; however, if your work involves strenuous activities, you must take more time off work. Complete recovery takes six weeks. To get sustainable and impressive results with the fat transfer surgery, the patient must be certain to have the surgery performed by only a highly experienced, board-certified plastic surgeon. If the surgeon is inexperienced, you may not be able to achieve the intended results, and the results will not last for long. To make the results of breast augmentation with fat transfer last longer, patients should stick to a balanced and healthy diet. It will prevent weight loss and keep your weight stable. Keep in mind that the sustainability of the results depends on your weight stability after the surgery. Many patients try to lose weight to get in shape after the fat transfer procedure. Doing so will do no good to the results. If you want to lose weight, you should do so before the intervention. It is also important for the patient to be to the best of physical and mental health. It will help keep the results sustainable. People with poor health often experience health problems that lead to weight loss, which, in turn, causes the breasts to lose shape and projection achieved via fat transfer. If you have diabetes, heart disease, an autoimmune or blood disorder, you should rethink your decision to get breast augmentation with fat transfer. Conclusion Breast augmentation with fat transfer is an effective and common plastic surgery intervention. The procedure is used to make the breasts shapelier and add projection to the breasts. It can also make the breasts fuller and aesthetically appealing. One of the common questions about the surgery is how long the results will last. As explained above, the results will last a lifetime if the surgery has been properly performed and if the patient is careful after the procedure. Weight loss tends to affect the results of breast augmentation with fat transfer. It can shrink the fat in your breasts, which will result in reversal of the achieved outcomes. To have the results on a long-term basis, you must avoid weight loss and you must follow the plastic surgeon’s instructions.