Breast augmentation with autologous fat – naturally beautiful, without silicone
Would you like larger breasts, but without artificial materials? Breast augmentation using your own fat – also known as lipofilling – makes this possible. Your own fat is transferred from your stomach or hips to your breasts, providing natural filling. Natural breasts also consist of fatty tissue and glandular tissue.
Result: Soft, natural-looking breasts, no implants – and, as an added bonus, unwanted fat deposits in other areas are reduced (killing two birds with one stone). Here you will find a brief summary of the most important information: from durability to advantages and risks to the treatment process.
Breast Augmentation Facts
| Treatment type: | Inpatient or outpatient |
| Surgery duration: | 1 - 2 hours |
| Anaesthesia: | General anaesthesia |
| Minimum age: | 18 years |
| Costs: | individual depending on the findings |
How long does breast augmentation with autologous fat last?
The good news is that the results are usually permanent. The fat cells that heal in the breast remain there for life. Of course, the body breaks down some of the injected fat in the first few weeks (approx. 30–50%). But this risk of loss is taken into account – a little more fat is usually injected so that enough remains in the end.
After approximately 8 weeks to 3 months, the final result is achieved and stable. After that, your own fat behaves like normal breast tissue – if your weight fluctuates, your breasts may become slightly larger or smaller. This is completely natural.
There is no need for replacement at a later date (as with implants).
Conclusion:
Once the autologous fat has taken hold, you can Enjoy your naturally enlarged breasts in the long term.
Risks and complications
No method is perfect – not even the natural breast shaping with autologous fat has limitations and minor risks:
- Only moderate enlargement: Each procedure can save around half to a maximum of one cup size win. For more volume, you may need to. 2 – 3 sessions If you want a significantly larger bust size right away, implants are the better option. The projection is accurate.A very impressive result can be achieved by combining a small implant with the patient's own fat.
- Sufficient fat required: Slim patients without significant fat deposits are suitable for lipofilling. less suitable – There must be sufficient „material“ available for extraction.
- Part of the fat is lost: Approximately 30-50 The body breaks down % of the transferred cells. This means that the final volume may be slightly lower than immediately after the operation. If necessary, after a few months revised be (second refill).
- General surgical risks: As with any procedure, swelling, bruising or infection may occur. However, serious complications are rare. Hardening (oil cysts) due to dead fatty tissue occur mainly when the procedure has not been performed properly. In experienced hands, this risk is very low.
- No surprises with significant excess skin: In cases of pronounced breast sagging, autologous fat cannot replace a lift – a combination of procedures may be necessary. However, a slight lift (due to increased volume) is often included.
Autologous fat or implants: when is each method appropriate?

Is the autologous fat transfer method suitable for your needs? It is ideal for women who want a gentle, natural breast augmentation aim for a cup size, have sufficient fat reserves and no foreign objects in the body. Particularly suitable For example, it is:
- after pregnancy/breastfeeding – to make it a little „refill an “empty" breast,
- for breasts that are slightly different in size – Asymmetries can be specifically compensated for,
- in case of implant problems – such as recurrent capsular fibrosis, in order to avoid the need for an implant,
- for slimmer silhouettes overall – as the method shapes the hips, stomach and other areas at the same time.
Less suitable is the autologous fat treatment if you dramatically more volume in one step (then it is better to use an implant), or if no fat deposits at all is available (in which case the body literally has no „material“ to transplant). In such cases, we will of course advise you on alternatives.
Often, an individual solution can be found, e.g. B. combinationsThere are hybrid approaches in which a small implant is inserted. and additional autologous fat is injected for fine corrections – the best of both worlds, if necessary.
How does the treatment work? (Briefly)
A Breast augmentation with own fat takes place in a few steps, usually on an outpatient basis or in a day clinic:
Advice & preparation
Goals and donor zones are determined during the conversation. As with any BV, also serene whether you have aneed an ultrasound examination, mammogram or MRI scan. Before the operation: do not smoke (at least 4 weeks beforehand), do not take blood-thinning medication – this will improve healing.
Fat removal (liposuction)
Under general anaesthesia or twilight sleep, fat is removed from agreed areas. This is done via tiny cannulas (a few millimetres) – e.g. on the stomach, thighs, hips. The punctures are minimal and leave hardly any scars.
Prepare and inject fat
The harvested fat cells are purified and then injected into the breast using fine needles. The surgeon distributes the fat. gently and fan-shaped in the tissue so that the cells are well supplied with blood and can grow. On each side, there are usually 100–300 ml fat transfer, corresponding to approximately one cup size.
Waking up & aftercare
After the operation, you will rest for a short while and then be allowed to go home. You will wear approximately 4–6 weeks a soft support bra that protects the new breast, as well as possibly. Compression garments on the suctioned areas.
Severe pain is unusual – more likely to feel like muscle soreness, but even that can be painful. After 1–2 weeks, you will usually be fit for everyday life again. Sport only after approx. 6 weeks. Important: Avoid pressure on the chest during the first few weeks (e.g. B. Sleeping on your stomach is taboo), so that the fat cells can heal undisturbed.
The final result of this treatment only becomes apparent after several months. Because then the treating doctor can check how many of the fat cells have grown and whether another breast augmentation makes sense. We will be happy to explain your individual possible complications and your individual procedure.

Who is this method suitable for?
The possible applications The advantages of lipofilling in breast surgery are manifold: it is often used as “natural alternative” at cosmetic enlargements used, but also additionally in special cases. Typical examples:
- Moderate enlargementFor anyone who wants a slightly fuller breasts wish, without drastic change.
- After pregnancy or dietingIf the breast has lost volume, it can be restored with autologous fat. gently refill. [
- Uneven or deformed breastsIn cases of asymmetry or congenital deformities (e.g. B. tubular breasts) can be treated with fat Harmonising differences.
- Implant replacement or removal: Anyone who wants or needs to have their implants removed (e.g. B. due to capsular fibrosis), 1–2 autologous fat treatments can still preserve a beautiful breast shape.
- breast reconstruction: During reconstruction after tumour surgery, the patient's own fat is used to Improve contours or to fill small defects.
- In the end, it's a highly personal decision, which method is the right one. Breast augmentation with autologous fat offers a great opportunity for natural results, but requires the right conditions and sometimes a little patience.
Do you have any questions or would you like to know whether this method is suitable for you? In the Noah Clinic Kassel We are happy to advise you individually and honestly. Our experienced team (u. a. Member of the DGPRÄC and VDÄPC) helps you to The best solution for your dream breasts – so you can feel completely comfortable in your own skin!
Why go to the Noah Clinic in Kassel for your breast augmentation?
Specialist expertise and renowned management
Our clinic is managed by Prof. Ernst Magnus Noah, MD, an experienced specialist in plastic, aesthetic and reconstructive surgery. With over 25 years of experience and as Former President of the VDÄPC as well as Founding member of the DGAuf / Isac he brings the highest level of professional expertise and commitment to the table.
We have also received numerous awards, including Quality seal of the VDÄPC, Focus recommendations and Top rankings in the Stern list of doctors from 2022 to 2025.
Medical quality and tested standard
§ 30-licensed clinic as well as at the highest specialist level. Our numerous awards confirm our high quality standards. Billing with private health insurance companies is possible.
Comfort like in a hotel
Our premises offer you a pleasant ambience with single and double rooms, cosy waiting areas, coffee facilities, a terrace and a relaxed atmosphere in which you can feel at ease.
Satisfied patients
Many positive reviews show this: Our patients particularly appreciate the sensitive counselling, the competent execution and the comprehensive care.
Transparent costs & customised planning
With us, you take centre stage. Because every person is unique, every treatment is planned individually - tailored to your wishes and needs.
Holistic patient care
As a patient, you benefit from comprehensive care from our experienced team of specialists. Thanks to the expertise of various disciplines, we can offer comprehensive, individually tailored treatments. This increases our quality and ensures greater safety.
Use our experience to enlarge your breasts
We look forward to hearing from you and will be happy to advise you on your options!
Our awards
List of doctors
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Our medical management
Prof. Ernst Magnus Noah, MD is a specialist in plastic and aesthetic surgery in Kassel. Before setting up his own practice, Prof. Dr. Noah was the head physician of a clinic department for plastic, reconstructive and aesthetic surgery for many years.
Due to his extensive experience, he is a specialist in breast surgery such as breast lift or breast augmentation. Use his experience and skills for your breast correction.
Summary
Breast surgery mamma augmentation can help a woman feel more comfortable in her own body. However, the physical prerequisites and the general state of health must be checked extensively by an experienced specialist or aesthetic surgeon. This is the only way to minimise possible risks so that the best possible result can be achieved.
