BREAST SURGERY IN SALEM, OR

BREAST AUGMENTATION with Fat Grafting

Breast augmentation with fat transfer uses fat collected from another area of your body to add natural-looking volume, improve breast shape and address selected areas of asymmetry. The procedure combines liposuction and breast enhancement in one personalized surgical plan without relying exclusively on breast implants.

Dr. Timothy Connall brings extensive experience in breast fat grafting to Neaman Plastic Surgery. He has used transferred fat for primary breast augmentation, breast reconstruction, implant-related contour concerns, asymmetry and combination procedures.

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Refine Two Areas With One Personalized Procedure

NATURAL BREAST ENHANCEMENT

Breast augmentation with fat grafting begins with liposuction. Fat is carefully removed from areas such as the abdomen, waist, flanks or thighs, then prepared and transferred to the breasts in precise amounts.

This approach can create a subtle increase in breast volume while also improving the contour of the area from which the fat was collected. Because the enhancement uses your own tissue, the breasts can retain a soft, natural look and feel.

Fat transfer is most often chosen by patients seeking a modest change rather than the more predictable volume or projection available with implants.

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Breast Augmentation Before and After Photos

Why Choose Neaman Plastic Surgery?

Breast fat grafting requires experience in two complementary procedures: liposuction and breast shaping. Our surgeons evaluate the breasts and potential donor areas together, creating a plan that considers your entire silhouette rather than treating either area in isolation.

EXPERIENCE WITH BREAST FAT GRAFTING

Dr. Timothy Connall has extensive experience and an early adopter of using fat grafting for aesthetic breast enhancement, breast reconstruction and the correction of selected implant-related contour concerns in the Pacific Northwest.

PERSONALIZED SURGICAL PLANNING

Fat transfer is not a standardized procedure. The amount of fat available, the quality of the breast skin, existing asymmetry and the desired increase in volume all influence the surgical plan. Your surgeon will help you compare fat transfer, implants and combined approaches.

NATURAL TISSUE ENHANCEMENT

For properly selected patients, transferred fat can provide soft volume without placing an implant. Fat may also be used strategically to refine the upper breast, improve cleavage or soften a visible contour irregularity.

BODY CONTOURING BENEFIT

The procedure includes liposuction to collect fat. Your surgeon can select donor areas where fat removal may complement your overall proportions while safely providing an appropriate amount for transfer.

ACCREDITED SURGICAL ENVIRONMENT

Your procedure is performed within a dedicated surgical environment by a team focused on plastic surgery, patient privacy and coordinated care before and after surgery.

COMPLETE PATIENT SUPPORT

Patients have access to a complete campus of resources, including our surgery center, Recovery Suite, Medi Spa and Wellness Center. These services allow your care plan to extend beyond the procedure itself when appropriate.

Who Is a Good Candidate for Breast Augmentation With Fat Transfer?

Fat-transfer breast augmentation may be appropriate for patients who want a more subtle change and have enough donor fat to safely complete the procedure.

YOU WANT A MODEST INCREASE IN VOLUME

Fat grafting is generally better suited to subtle or moderate enhancement than a dramatic increase in breast size. Patients seeking greater volume or highly predictable projection may be better served by implants or a combined approach.

YOU PREFER TO USE YOUR OWN TISSUE

Some patients are interested in breast enhancement but would prefer not to use an implant. Fat transfer offers an option using tissue collected from their own body.

YOU HAVE SUFFICIENT DONOR FAT

Enough usable fat must be available in areas such as the abdomen, flanks, waist or thighs. Very lean patients may not have sufficient donor tissue for fat-only augmentation.

YOU HAVE GOOD SKIN QUALITY

Fat adds volume, but it does not significantly tighten loose breast skin or reposition a low nipple. Patients with meaningful sagging may need a breast lift, with or without fat grafting.

Real Patient Review | Paige | Esprit Cosmetic Surgeons

Hear from one of our patients as she shares her personal surgery experience with Dr. Connell at Neaman Plastic Surgery. From her initial consultation to recovery and results, discover how personalized care and expert guidance helped her feel more confident and comfortable in her own body.

A Breast Augmentation Plan Built Around You

Your consultation begins with a discussion of what you want to change, not with a predetermined procedure. Your surgeon will evaluate:

* Your existing breast size and shape
* Skin elasticity and breast position
* Differences between the breasts
* The amount and location of available donor fat
* Your desired increase in volume

You will receive a candid explanation of the expected degree of enhancement and whether your goals are realistic with fat transfer alone. If another approach would provide a more reliable result, your surgeon will explain why.

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FAQ's About Breast Augmentation

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FAQ: Do I need a breast lift with my breast augmentation procedure?

FAQ: How Do You Know What Breast Implant Size is Perfect?

FAQ: What types of scars will I have after a breast lift procedure?

FAQ: Do I need a breast lift with my breast augmentation procedure?

How Breast Augmentation With Fat Transfer Works

Breast augmentation with fat transfer does not use the same longer breast incisions commonly associated with implant placement or a breast lift. Instead, the procedure generally requires several small access points for liposuction and precise fat placement.

1. COLLECTING THE FAT

Liposuction is used to remove fat from agreed-upon donor areas. Common possibilities include the abdomen, waist, flanks or thighs. The donor area is selected based on fat availability, safety and your body-contouring goals.

2. PREPARING THE FAT

The collected material is carefully processed so that healthy fat can be separated from unwanted fluid and other material before transfer.

3. PLACING THE FAT

The prepared fat is introduced through small access points and distributed throughout selected areas of the breast. Rather than depositing the fat in one location, the surgeon places small amounts across multiple tissue planes to support a smooth contour and help the transferred cells establish a blood supply.

CONTACT US TO SEE WHAT’S RIGHT FOR YOU

The choice of incision pattern depends on various factors, including the patient’s anatomy, implant type, surgeon’s preference, and the patient’s desired outcome. During a consultation with a board-certified plastic surgeon, the most suitable incision pattern for your specific case will be discussed based on your individual needs and goals.

Ways Fat Grafting Can Be Used in Breast Surgery

FAT TRANSFER WITHOUT IMPLANTS

Fat-only augmentation may be appropriate for patients who want a subtle increase and have sufficient donor tissue. It avoids the placement of an implant but generally cannot create the same degree of size or projection.

IMPLANTS WITH FAT GRAFTING

An implant can provide reliable central volume and projection, while fat is used to refine transitions, improve coverage or address selected areas of asymmetry. This is sometimes called composite breast augmentation.

BREAST LIFT WITH FAT GRAFTING

A breast lift repositions and reshapes the breast, while fat can add selected volume. This may be useful for patients who need lifting but also want additional fullness without relying exclusively on a larger implant.

REVISION SURGERY WITH FAT GRAFTING

Fat may be used during selected breast revision procedures to improve soft-tissue coverage, soften visible implant edges or rippling, and correct localized contour irregularities.

MEET OUR BOARD CERTIFIED PLASTIC SURGEONS IN SALEM, OR

Neaman Plastic Surgery offers the services of two board-certified plastic surgeons, Dr. Keith Neaman and Dr. Dustin Christiansen. Both are highly-skilled surgeons who have been trained in the latest surgical techniques. At Neaman Plastic Surgery, the goal is always to help patients look their best. Our surgeons will work with you to understand your goals, educate you on your best options, and work together to ensure the best possible outcome.

Dr. Keith Neaman

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Dr. Dustin Christiansen

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Where Is the Transferred Fat Placed?

Fat grafting does not create a single implant pocket above or below the chest muscle. Instead, small amounts of prepared fat are distributed through selected tissue layers to shape the breast.

WITHIN THE EXISTING BREAST TISSUE

Fat may be placed in targeted areas of the breast to increase volume, improve contour or soften visible irregularities.

BENEATH THE BREAST SKIN

Carefully placed fat can help improve coverage and soften selected areas, particularly when grafting is used with an implant or during revision surgery.

OVER THE CHEST MUSCLE

Fat may be distributed above the pectoral muscle to support breast shape and create a smooth transition between the breast and surrounding chest.

TARGETED CONTOURING

The surgeon can emphasize particular areas, such as the upper breast, cleavage region or an area of asymmetry. Placement is determined by anatomy, blood supply and the desired contour—not by a standard formula.

What Results Can Fat Transfer Provide?

Breast fat grafting is best understood as a shaping procedure rather than an exact cup-size procedure.
Potential improvements may include:

* A subtle increase in breast volume
* A fuller or softer breast contour
* Improved balance between the breasts
* Greater fullness in selected areas
* Softer implant edges or rippling in appropriate revision cases
* Improved contour in the area treated with liposuction

Not all transferred fat survives. The initial postoperative volume includes swelling and more fat than will remain long term. As healing progresses, swelling subsides and the surviving fat establishes itself in the breast.
The fat that successfully establishes a blood supply can provide lasting volume, but it remains living tissue. Significant weight changes, pregnancy and aging may therefore affect the breasts over time.

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WHAT ARE THE DIFFERENT IMPLANT TYPES?

At Neaman Plastic Surgery, we understand that choosing the right breast implant type is a significant decision in achieving your desired breast augmentation results. Here are the key differences between these various types of breast implants, each with its unique characteristics:

SILICONE VS. SALINE BREAST IMPLANTS:

SILICONE IMPLANTS:

NATURAL LOOK AND FEEL:

Silicone implants are known for their natural look and feel, closely resembling the texture of natural breast tissue.

LESS LIKELY TO RIPPLE:

They are less likely to ripple or wrinkle, making them an excellent choice for patients with minimal breast tissue.

PRE-FILLED:

Silicone implants come pre-filled, requiring a slightly larger incision for placement.

SALINE IMPLANTS:

ADJUSTABLE VOLUME:

Saline implants are filled with sterile salt water after placement, allowing for adjustable volume during surgery.

SMALLER INCISIONS:

They require smaller incisions for placement, resulting in potentially less noticeable scarring.

RIPPLING POTENTIAL:

Saline implants may have a higher risk of visible rippling, particularly for patients with thin skin or minimal breast tissue.

DEFLATION NOTICEABLE:

In the event of a rupture, saline implants deflate noticeably, making it easier to detect the issue.

ROUND VS. SHAPED BREAST IMPLANTS:

ROUND IMPLANTS:

VERSATILE AESTHETICS:

Round implants provide fullness in both the upper and lower poles of the breast, resulting in a more noticeable “augmented” look.

LESS CONCERN ABOUT ROTATION:

Implant rotation does not affect them, as their shape remains constant.

SHAPED IMPLANTS (ANATOMICAL OR TEARDROP):

NATURAL CONTOUR:

Shaped implants mimic the natural slope of the breast, providing a more anatomical appearance.

POTENTIAL FOR ROTATION:

A rotation risk may affect the appearance and necessitate revision surgery.

TEXTURED VS. NON-TEXTURED BREAST IMPLANTS:

TEXTURED IMPLANTS:

REDUCED RISK OF CAPSULAR CONTRACTURE:

Textured implants may have a lower risk of capsular contracture, a complication where scar tissue tightens around the implant.

POTENTIAL FOR SURFACE IRREGULARITIES:

Some patients may find that textured implants have a slightly rougher feel than smooth implants.

NON-TEXTURED (SMOOTH) IMPLANTS:

SMOOTHER FEEL:

Smooth implants have a smoother surface and a more natural feel.

POSSIBLE SLIGHTLY HIGHER CAPSULAR CONTRACTURE RISK:

There may be a slightly increased risk of capsular contracture compared to textured implants.

WHAT TYPE OF IMPLANT IS BEST?

Choosing the right type of implant for breast augmentation is a complex decision. Dr. Keith Neaman, our breast and body expert, offers a breakdown of everything you need to consider. He explains the details of implant materials, sizes, shapes, and ideal placement options to complement each patient’s unique body type and cosmetic goals.

Why Gummy Bear Implants Are Our Implant of Choice:

NATURAL AESTHETICS:

Gummy bear implants provide a teardrop shape that closely mimics the breast’s natural contours. This anatomical shape ensures a seamless blend with your existing breast tissue, creating a beautifully balanced and natural appearance.

DURABILITY AND LONGEVITY:

Their highly cohesive gel ensures durability and longevity, reducing the risk of rippling and maintaining their form over time. This means your results will remain consistent and aesthetically pleasing for years.

REDUCED RISK OF RUPTURE:

Gummy bear implants have a lower risk of rupture than traditional silicone implants. Their cohesive gel minimizes the chance of gel leakage in the event of a rupture.

CUSTOMIZED RESULTS:

We value achieving results that align with your unique goals and body type. Gummy bear implants allow for a tailored approach, enabling us to select the perfect size and shape that enhances your natural beauty while ensuring proportionality.

PATIENT SATISFACTION:

The track record of patient satisfaction with gummy bear implants is outstanding. Many individuals appreciate the natural look and feel and the peace of mind that comes with their long-lasting performance.

Exceptional outcomes

At Neaman Plastic Surgery, our commitment to delivering exceptional outcomes and patient-centric care leads us to offer gummy bear implants as a preferred choice for breast augmentation. We believe that achieving the desired results while preserving your appearance’s integrity is paramount. With gummy bear implants, we can help you realize your aesthetic aspirations with confidence and natural elegance, empowering you to embrace your enhanced beauty.

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Breast Augmentation With Fat Transfer Recovery

Recovery involves both the breasts and the areas treated with liposuction. Patients commonly experience swelling, bruising, tenderness and temporary firmness.

A compression garment may be recommended for the liposuction areas. Your surgeon may also provide specific instructions intended to reduce unnecessary pressure on the breasts while the transferred fat begins to establish a blood supply.

Many patients return gradually to normal daily activities, but exercise, lifting and direct pressure must be resumed according to their surgeon’s instructions. Because procedures vary considerably, your personal recovery schedule may differ from another patient’s.

Final breast contour develops gradually as swelling resolves and the retained fat settles. Your surgeon will monitor both the breasts and donor areas during follow-up appointments.

BREAST AUGMENTATION RECOVERY

Recovery after a rapid recovery breast augmentation at Neaman Plastic Surgery is a meticulously planned and patient-centered process aimed at minimizing downtime and discomfort while ensuring a smooth and comfortable healing journey. Here’s a breakdown of what you can generally expect during your recovery:

Immediate Post-Op Period

Pain Management: Our experienced surgeons prioritize your comfort. Pain is typically well-managed with prescription medications provided by your surgeon. Many patients report experiencing only mild to moderate discomfort and are using over-the-counter medications only within a few days.

First Few Days

Reduced Swelling: While some swelling and bruising are common, our rapid recovery technique often results in less severe post-operative swelling compared to traditional breast augmentation procedures. Many patients go out to dinner the day after surgery.
Limited Physical Activity: You’ll be advised to avoid strenuous physical activities for the initial days. However, we encourage rest and gentle movements to prevent stiffness.

First Week

Return to Daily Activities: A significant advantage of our approach is that many patients can return to light daily activities within just a few days and return to work within 5-7 days
Supportive Bra: Wear a supportive surgical bra or compression garment to minimize swelling and provide essential support during healing.

Weeks 2-4

Resuming Exercise: You’ll have the opportunity to gradually reintroduce exercise and physical activities and return to light-impact cardiovascular activity and isometric lower-body weight lifting within three weeks. Most patients are released to full unrestricted activity within 4-6 weeks.

Never in my life have I been any happier then after my extended tummy tuck and fat transfer. Dr. Connall is a straight shooter and will not only help you get the results you want, but results you cannot even impinge you could have. He has it dialed in and works with the most caring and professional team.

Lauren Kuenziopen

Frequently Asked Questions About Breast Fat Transfer FAQ's

How much larger can my breasts become with fat transfer?

Will all of the transferred fat survive?

Can I choose an exact cup size?

Do I need enough fat for the procedure?

Can fat transfer lift sagging breasts?

Can fat grafting be combined with implants?

Can fat grafting be combined with a breast lift?

Is breast fat transfer permanent?

Will I have scars?

Can fat transfer correct breast asymmetry?

Will I need more than one procedure?

How does fat grafting affect mammograms?

How much larger can my breasts become with fat transfer?

Fat transfer is generally used for a modest increase rather than a dramatic change. The result depends on how much donor fat is available, how much can be safely transferred and how much remains after healing. Your surgeon will help you decide whether fat alone can reasonably achieve your goals.

Will all of the transferred fat survive?

No. Some of the transferred volume is naturally reabsorbed during healing. Surgeons account for this when planning the procedure, but the precise amount retained cannot be guaranteed.

Can I choose an exact cup size?

Cup sizing varies significantly between bra manufacturers, so it is not a reliable surgical measurement. Your consultation will focus on proportional changes, reference photographs, breast dimensions and the amount of enhancement your anatomy can support.

Do I need enough fat for the procedure?

Yes. Fat must be collected from another part of your body. Very lean patients may not have enough donor tissue for meaningful fat-only augmentation.

Can fat transfer lift sagging breasts?

Fat can restore selected volume, but it does not reposition the nipple or remove loose skin. If breast sagging is a primary concern, a breast lift may be necessary.

Can fat grafting be combined with implants?

Yes. Fat may be combined with implants to improve tissue coverage, soften implant edges, enhance cleavage or correct selected contour differences.

Can fat grafting be combined with a breast lift?

Yes. A lift reshapes and elevates the breast, while fat can be used to restore selected volume. Whether the procedures should be combined depends on your anatomy and goals.

Is breast fat transfer permanent?

The fat that successfully establishes a blood supply can provide long-lasting volume. However, the transferred fat remains responsive to weight changes, pregnancy and aging.

Will I have scars?

Yes, although the access points are usually small. You will have small scars in the liposuction areas and at the breast injection sites. Additional scars apply if the procedure is combined with implants or a breast lift.

Can fat transfer correct breast asymmetry?

It may improve selected differences in volume or shape because fat can be placed strategically. Perfect symmetry cannot be guaranteed.

Will I need more than one procedure?

Some patients are satisfied after one procedure. Others may choose an additional session to add volume or refine a particular area. This possibility should be discussed during consultation.

How does fat grafting affect mammograms?

Fat grafting can produce imaging findings such as calcifications, oil cysts or areas of fat necrosis. Inform your mammography facility and radiologist about your surgical history and continue the screening schedule recommended by your healthcare providers.