Fat transfer breast surgery

Fat transfer breast augmentation is an alternative to implant-based procedures and involves using a person’s own body fat to enhance the size and shape of their breasts. This technique appeals to those seeking a more natural approach to breast augmentation, without the use of implants.

The fat is typically harvested from areas of the body where excess fat is present, such as the:

• Stomach
• Flanks
• Back
• Thighs

Once collected, the fat is processed and carefully injected into the breasts to create a fuller, more contoured appearance. Some temporary swelling is common as the transferred fat settles into the breast tissue.

However, one limitation of this technique is fat reabsorption. Because fat is a natural substance that the body uses and regulates daily, a portion of the injected fat may be reabsorbed over time. It is estimated that up to 50% of the injected fat may not remain in place long-term. As a result, although the initial outcome may reflect the desired breast size, the appearance can gradually change, and a reduction in volume may occur.

How long is breast augmentation procedure recovery?

Every person's recovery may be different, but the average timeline may follow something resembling the following stages:

• Week 1: breasts may feel swollen, tight and uncomfortable. Implants often sit high on the chest, with visible bruising and limited projection. Rest is essential during this stage.
• Week 2: swelling and pressure may begin to ease. Breasts may show small changes in shape. Some people return to desk-based work if advised by their surgeon.
• Week 3: implants often begin to settle into a more natural position. Temporary asymmetry is common as the body continues to adjust.
• Weeks 4–5: light physical activity may be possible with surgeon approval. Breasts often appear softer and more proportionate. Compression garments may no longer be required, depending on progress.
• Week 6 onwards: more strenuous activity may resume if cleared by a surgeon. Implants typically stabilise in shape and position, though changes in softness and contour can continue over time.

What are your plastic surgeon's legal obligations?

When performing breast augmentation surgery, a plastic surgeon has a clear legal duty of care to the individual undergoing the procedure. These obligations cover every stage of the surgical procedure - before, during and after the operation - and are designed to protect the safety, well-being and informed consent of the person receiving treatment.

A surgeon’s legal responsibilities include:

Before surgery:

• Providing a full explanation of the breast augmentation procedure steps, including the surgical technique, placement of implants, and the expected recovery process.
• Outlining all potential risks, including complications such as capsular contracture, implant rupture or infection.
• Setting realistic expectations about the outcome, including the likely level and location of scarring.
• Discussing alternative options, such as a breast lift and augmentation procedure, if drooping or tissue laxity is present.
• Carefully assessing whether the individual is clinically and psychologically suitable for the procedure.

During surgery:

• Performing the operation to a professionally acceptable standard, using the agreed implant type and placement (e.g. above or behind the breast muscle).
• Ensuring sterile conditions and appropriate surgical technique throughout the procedure.
• Following the agreed surgical plan as outlined in the consultation.

After surgery:

• Monitoring the healing process through follow-up appointments.
• Identifying and appropriately responding to complications such as infection, implant shifting, uneven breasts, waterfall deformity or tissue necrosis.
• Adjusting aftercare where necessary and referring for additional treatment if medical concerns arise.

Failure to meet these obligations may be considered negligent. If a surgeon does not act in line with their professional responsibilities at any stage of your breast enlargement operation, you may have grounds to pursue a legal claim.

What are the signs of breast enlargement surgery gone wrong?

While breast enlargement operations are commonly performed and generally safe, complications can arise when the procedure is not carried out with the appropriate level of care or expertise. If you’re asking what are the signs of breast enlargement surgery gone wrong, there are several warning signs that may indicate negligence or substandard surgical practice.

Key signs to look out for include:

• Uneven breasts: noticeable differences in the size, shape or position of the breasts, implants, or areolae. This may indicate poor surgical planning or performance.
• Inappropriate or unexpected scarring: scarring that appears in unanticipated locations, is larger than described, or significantly differs from what was explained before surgery. While some scarring is expected, misleading information or poor technique may be negligent.
• Infection: although infection is a known risk of surgery, negligence may be involved if:
  • Proper aftercare instructions were not provided
  • Infection was not identified during follow-up appointments
  • The surgeon failed to act appropriately when infection developed
• Symmastia: where breast implants shift and merge across the chest midline, creating the appearance of a single, joined breast.
• Persistent droopiness: if the breasts remain excessively droopy after surgery, it may suggest that a breast lift and augmentation procedure should have been recommended instead of implants alone.
• Double bubble deformity: when the implant falls below the natural breast crease, creating an unnatural double fold or indentation.
• Areola stretching: this can result from failing to use an appropriate round block suture, particularly in cases involving areola resizing or repositioning.
• Waterfall deformity: sometimes referred to as a 'Snoopy nose', this occurs when the natural breast tissue slips below the implant, often due to improper placement or poor technique.

In many of these cases, further surgery may be needed to correct the results. In such cases, your surgeon may opt to have your implants removed and potentially replaced, which can lead to additional physical and psychological strain.

If you are experiencing any of these signs following a breast enlargement, it may indicate that something went wrong during your procedure. Seeking expert legal advice can help you understand your options and whether you may be entitled to compensation.

Claiming compensation for breast surgery negligence

If you have experienced negligent breast augmentation surgery, Cosmetic Surgery Solicitors can help you claim compensation. We specialise in supporting people who have undergone cosmetic procedures that did not meet acceptable medical standards.

To begin your claim:

• Seek medical advice: a medical assessment can help identify what went wrong. Medical reports may be used as evidence.
• Document your experience: record the dates of treatment, conversations with your surgeon, and any written communication. These details can be critical to your case.
• Contact Cosmetic Surgery Solicitors: we will explain your rights, assess your case, and collect the evidence needed to support your claim. Our team is ready to act quickly on your behalf.

Compensation can help you manage the physical and emotional impact of negligent surgery, and reflect the changes you’ve had to make to your life. We are here to ensure you receive the support you need to move forward.