Exploring Natural Breast Augmentation in Portland

Natural breast augmentation, also known as autologous fat transfer, is an innovative procedure that enhances breast size and shape using the patient's own fat. This method offers a natural alternative to traditional implants, appealing to those seeking subtle enhancements without introducing foreign materials into their bodies. At Gilson Plastic Surgery, Dr. Aaron Gilson leverages this technique to provide patients with a natural look and feel, along with the added benefits of body contouring from the liposuction process. In this article, we will delve into the various aspects of natural breast augmentation, including its benefits, the ideal candidate profile, the procedural steps, and what to expect during recovery.

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What is Natural Breast Augmentation? An Introduction

Natural breast augmentation, also known as autologous fat transfer or fat grafting, is an innovative cosmetic procedure that enhances breast size and shape using a woman's own body fat. This method offers a natural alternative to traditional breast implants, appealing to those who seek subtle enhancements without introducing foreign materials into their bodies.

The Basics of Natural Breast Augmentation

Natural breast augmentation involves harvesting fat from areas of the body where it is plentiful, such as the abdomen, thighs, or flanks, and transferring it to the breasts. The process is generally performed in three main stages: liposuction, fat purification, and fat injection.

Liposuction

The first step in natural breast augmentation is liposuction. During this stage, a plastic surgeon uses a cannula (a thin, hollow tube) to remove excess fat from the donor areas. This fat is typically taken from regions with sufficient deposits, such as the abdomen, thighs, or flanks. The surgeon uses tumescent liposuction, which involves injecting a saline solution mixed with anesthetic and epinephrine into the fat tissues to minimize bleeding and discomfort.

Fat Purification

Once the fat has been harvested, it undergoes a purification process to ensure only the healthiest and most viable fat cells are used for the augmentation. This step typically involves spinning the fat in a centrifuge to separate the fat cells from other components such as blood and oil. The purified fat is then prepared for injection into the breasts.

Fat Injection

In the final stage, the purified fat is meticulously injected into the breast tissue. The surgeon uses small syringes to place the fat cells at various depths and locations within the breast, carefully sculpting and shaping the breast to achieve the desired size and contour. This method allows for precise control over the augmentation, resulting in a natural look and feel.

The Science Behind Fat Transfer

The success of natural breast augmentation relies on the survival of the transferred fat cells. After the procedure, these fat cells establish a blood supply in their new location, integrating with the existing breast tissue. The rate of fat survival can vary, and typically, about 60-80% of the transferred fat remains long-term, while the rest is absorbed by the body over time. This variability means that some patients may require multiple sessions to achieve their desired results.

Advantages of Natural Breast Augmentation

Natural breast augmentation offers several distinct advantages over traditional implant-based methods:

  • Natural Look and Feel: Since the procedure uses the patient's own fat, the augmented breasts tend to have a more natural appearance and texture compared to synthetic implants.

  • Reduced Risk of Complications: Using autologous fat eliminates risks associated with implants, such as capsular contracture, implant rupture, and allergic reactions.

  • Dual Benefits: The procedure not only enhances the breasts but also contours and slims the donor areas through liposuction, providing an additional aesthetic benefit.

  • Minimal Scarring: The procedure involves small incisions for liposuction and fat injection, resulting in minimal scarring compared to the larger incisions required for implant placement.

Considerations and Limitations

While natural breast augmentation offers many benefits, it also has some limitations:

  • Subtle Enhancements: This method is best suited for those seeking a modest increase in breast size. Significant enlargements may require multiple sessions or a combination of fat transfer and implants.

  • Fat Availability: Sufficient donor fat is necessary for the procedure. Women with low body fat may not be ideal candidates.

  • Variable Fat Survival: The amount of fat that survives the transfer can vary, which may affect the final outcome.

Natural breast augmentation represents a holistic and innovative approach to breast enhancement. By utilizing the body's own fat, this method provides a natural look and feel while offering additional body contouring benefits. Understanding the process and its advantages can help individuals make informed decisions about their aesthetic goals and treatment options. As with any cosmetic procedure, consulting with a skilled and experienced plastic surgeon like Dr. Aaron Gilson is essential to achieving the best possible results.

Benefits of Natural Breast Augmentation Over Traditional Methods

Natural breast augmentation, or fat transfer breast augmentation, has gained popularity as an alternative to traditional breast implants. This method offers several unique advantages that appeal to women seeking a more natural approach to enhancing their breast size and shape. Below, we explore the key benefits of natural breast augmentation over traditional methods.

woman natural breast augmentation portland

Natural Look and Feel

One of the most significant benefits of natural breast augmentation is the natural look and feel it provides. Because the procedure uses the patient's own fat, the augmented breasts tend to mimic the natural softness and movement of real breast tissue more closely than synthetic implants. This results in a more organic appearance that can be particularly appealing for those looking for subtle enhancements.

Reduced Risk of Complications

Traditional breast implants, whether saline or silicone, carry certain risks and potential complications. These can include capsular contracture, implant rupture, and leakage. Capsular contracture occurs when the scar tissue around the implant hardens, which can cause discomfort and distort the breast shape. Implant rupture and leakage can necessitate additional surgeries to replace or remove the implants.

In contrast, natural breast augmentation eliminates these risks since it does not involve any foreign materials. The use of autologous fat reduces the likelihood of adverse reactions and complications associated with synthetic implants. The procedure is considered safer, with a lower incidence of long-term issues.

Dual Benefits of Body Contouring

Another significant advantage of natural breast augmentation is the dual benefit of body contouring. The fat used for the augmentation is harvested from other areas of the body through liposuction. Common donor sites include the abdomen, thighs, and flanks. This means that, in addition to enhancing the breasts, the procedure also slims and shapes these donor areas, providing an overall improvement in body contour. Patients often appreciate this two-in-one benefit, which is not possible with traditional breast implants.

Minimal Scarring

Traditional breast augmentation with implants involves making larger incisions, typically in the inframammary fold (under the breast), around the areola, or in the armpit. These incisions, while often strategically placed to minimize visibility, can still result in noticeable scarring.

Natural breast augmentation, on the other hand, requires only small incisions for liposuction and fat injection. These incisions are much smaller and tend to heal with minimal scarring. The reduced scar visibility is a significant advantage for many women who prefer less noticeable signs of surgery.

Shorter Recovery Time

Recovery time is an important consideration for any surgical procedure. Traditional breast augmentation with implants can involve a longer and more uncomfortable recovery period due to the invasiveness of the surgery and the body’s adjustment to the foreign implants.

Natural breast augmentation generally involves a shorter recovery period. Patients typically experience less postoperative discomfort and can return to their normal activities more quickly. The minimally invasive nature of the procedure contributes to a smoother and faster recovery process.

No Need for Implant Replacement

Breast implants are not lifetime devices. Many women who opt for traditional implants will require additional surgeries in the future to replace or remove them due to rupture, leakage, or other issues. This ongoing maintenance can be a significant consideration over the long term.

With natural breast augmentation, there is no need for implant replacement since the procedure uses the patient's own fat. Once the transferred fat cells establish a blood supply and become integrated with the breast tissue, they are there to stay. This permanence can be a significant advantage, reducing the need for future surgeries and associated costs.


Natural breast augmentation offers numerous benefits over traditional implant-based methods. From a more natural look and feel to reduced risk of complications and the dual benefits of body contouring, this innovative approach appeals to many women seeking breast enhancement. The minimally invasive nature, shorter recovery time, and absence of future implant replacement needs further enhance its appeal. For those considering breast augmentation, understanding these advantages can help make an informed decision that aligns with their aesthetic goals and lifestyle. Consulting with an experienced plastic surgeon like Dr. Aaron Gilson can provide further insights and ensure the best possible outcomes tailored to individual needs.

The Ideal Candidate for Natural Breast Augmentation in Portland

Natural breast augmentation, which utilizes fat transfer to enhance breast size and shape, is a fantastic option for many women. However, it is not suitable for everyone. Understanding who makes an ideal candidate is crucial for achieving the best results and ensuring patient satisfaction. Here are the key characteristics that define the ideal candidate for natural breast augmentation in Portland:

woman considering breast augmentation in portland

General Health

  • Good Overall Health: Ideal candidates should be in good overall health. This means no significant medical conditions that could complicate surgery or recovery, such as heart disease, uncontrolled diabetes, or autoimmune disorders.

  • Non-Smoker: Smoking can impair healing and increase the risk of complications. Non-smokers or those willing to quit before and after the procedure are better candidates.

Specific Physical Characteristics

  • Sufficient Donor Fat: Candidates must have enough excess fat in areas such as the abdomen, thighs, or flanks to be harvested for transfer. This is crucial because the procedure relies on this fat to achieve the desired breast augmentation.

  • Moderate Breast Size Increase Desired: Natural augmentation is best for those looking to achieve a modest increase in breast size, typically one to two cup sizes. Those seeking a more dramatic enhancement might be better suited for traditional implants.

Aesthetic Goals

  • Preference for Natural Results: Women who prefer a natural look and feel over the more pronounced results of implants often find natural augmentation more appealing. The use of one’s own fat leads to softer, more natural-feeling breasts.

  • Desire for Body Contouring Benefits: Since the procedure involves liposuction, ideal candidates are often those who also wish to contour and slim donor areas, such as the abdomen or thighs, thus achieving dual benefits.

Psychological Readiness

  • Realistic Expectations: Candidates should have realistic expectations about the outcomes. Understanding that the procedure results in a natural enhancement and that some of the transferred fat may be reabsorbed by the body is essential.

  • Commitment to Follow Post-Operative Care: Adhering to post-operative instructions is vital for optimal recovery and results. Ideal candidates are those who are committed to following their surgeon’s guidance throughout the recovery process.

Age Considerations

  • Adults in Stable Health: While there is no specific age limit, candidates should be adults in stable health. Typically, this includes women aged 25-65 who have fully developed breasts and are experiencing natural aging or changes due to weight fluctuations or pregnancy.

Lifestyle Factors

  • Active and Healthy Lifestyle: Maintaining a stable weight and an active, healthy lifestyle supports better surgical outcomes and long-term results. Candidates should be willing to maintain their health and fitness post-procedure.

Natural breast augmentation is an excellent option for many women, but it requires careful consideration of individual health, physical characteristics, and aesthetic goals. By ensuring these factors align, candidates can achieve beautiful, natural-looking results. Consulting with an experienced plastic surgeon like Dr. Aaron Gilson can help determine if natural breast augmentation is the right choice, providing personalized insights and guidance tailored to each patient’s unique situation.

Recovery and What to Expect Post-Procedure

Recovery from natural breast augmentation involves several stages, each requiring careful attention and adherence to post-operative instructions to ensure optimal healing and results. Here's what patients can expect during the recovery process after undergoing a fat transfer procedure for breast augmentation.

woman recovering after breast augmentation in portland

Immediate Post-Procedure

Initial Recovery Phase

  • Monitoring: Immediately after the procedure, patients are monitored in a recovery room to ensure they are stable as the anesthesia wears off. Most patients can go home the same day, but they should have someone to drive them and assist them for the first 24 hours.

  • Dressings and Compression: The treated areas, both donor and recipient sites, will be covered with dressings. Compression garments are often recommended for the donor areas to minimize swelling and support the new contours.

  • Pain Management: Mild to moderate discomfort is common in the first few days. Pain medication and anti-inflammatory drugs prescribed by the surgeon can help manage any pain or discomfort.

The First Week

Managing Swelling and Bruising

  • Swelling and Bruising: Swelling and bruising are expected in both the liposuctioned areas and the breasts. These symptoms typically peak within the first few days and gradually subside over the next couple of weeks.

  • Activity Level: Patients are advised to rest and avoid strenuous activities during the first week. Light activities and gentle walking are encouraged to promote circulation and reduce the risk of blood clots.

Care Instructions

  • Incision Care: Keeping the small incisions clean and dry is crucial. Patients should follow their surgeon’s instructions on how to care for these sites to prevent infection.

  • Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can aid in the healing process. Adequate protein intake is particularly important for tissue repair.

Weeks Two to Four

Gradual Return to Normal Activities

  • Activity Restrictions: By the second week, most patients can return to light activities and non-strenuous work. However, heavy lifting, vigorous exercise, and any activities that may impact the chest area should be avoided for at least four weeks.

  • Follow-Up Visits: Regular follow-up appointments with the surgeon are essential to monitor healing and ensure there are no complications. The surgeon will assess the fat survival and overall progress.

Long-Term Recovery

Final Results and Maintenance

  • Swelling Reduction: Significant reduction in swelling occurs over the first month, but minor swelling can persist for several months. Final results of the fat transfer typically become more apparent after three to six months as the body fully adjusts.

  • Fat Survival: The amount of fat that survives the transfer process varies, with an average survival rate of 60-80%. The final volume may decrease slightly as some fat cells are naturally absorbed by the body.

  • Long-Term Care: Maintaining a stable weight is crucial for preserving the results of the fat transfer. Significant weight fluctuations can affect the fat cells and alter the breast shape.

Potential Complications

While natural breast augmentation is generally safe, potential complications can include:

  • Fat Absorption: Some of the transferred fat may be absorbed by the body, which might necessitate additional procedures to achieve the desired volume.

  • Infection or Asymmetry: As with any surgical procedure, there is a risk of infection or asymmetry, though these are relatively rare with proper surgical technique and post-operative care.

Recovery from natural breast augmentation is a gradual process that requires patience and adherence to post-operative care instructions. By understanding what to expect and following the guidance of their surgeon, patients can ensure a smooth recovery and achieve beautiful, natural-looking results. Consulting with an experienced plastic surgeon like Dr. Aaron Gilson provides the necessary support and expertise to navigate the recovery process successfully, ensuring optimal outcomes and patient satisfaction.

woman natural breast augmentation portland oregon



Natural breast augmentation offers a compelling alternative to traditional implants, utilizing the body's own fat to achieve natural-looking and feeling results. This procedure not only enhances breast size and shape but also provides the additional benefit of body contouring through liposuction. The process involves several stages, including fat harvesting, purification, and precise injection, ensuring that the results are both safe and aesthetically pleasing.

Ideal candidates for this procedure are those in good health with sufficient donor fat and realistic expectations about the outcomes. Recovery is typically quicker and less invasive compared to traditional breast augmentation, with minimal scarring and reduced risk of complications.

By choosing a skilled and board certified plastic surgeon like Dr. Aaron Gilson, patients can ensure they receive the highest standard of care tailored to their unique needs and goals. Natural breast augmentation is an excellent option for those seeking a holistic approach to enhance their appearance, combining the benefits of fat transfer with the expertise of a board-certified plastic surgeon.

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