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Breast augmentation
using the patient’s own fat

Breast

Breast augmentation using autologous fat combines body contouring with a gentle enlargement of the breasts.
Autologous fat is harvested from areas where it is unwanted, processed, and then carefully injected into the breasts.

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Vier lachende Frauen verschiedenen Alters als Symbolbild für Schönheitsmedizin

20+ Years of experience

14 Volumes of specialist literature

920+ Satisfied patients

Breast Augmentation with Autologous Fat vs. Silicone

Since 2000, we have been using the vibration-assisted Lipomatic® method, which removes fat particularly gently and is therefore also suitable for autologous fat grafting.

This allows us to precisely remove fat from virtually any part of the body, including sensitive areas.

Effective date

Immediately after the procedure. The healing rate is approximately 40–80%.

Durability

Permanent once healed. The final result can be assessed after about 3 months

Duration

Usually 90–180 minutes, depending on the amount of fat and the areas from which it is removed

Costs

Depending on the duration and scope of the surgery, between €3,500 and €6,500

Check

Several follow-up appointments after the procedure, with a final checkup approximately one year later

First Ordination

The initial consultation is included with the purchase of a book; otherwise, it costs between 250 and 300 euros

Known from:

Breast augmentation using the patient’s own fat is considered the most natural form of breast augmentation, as it does not require any implants. Fat from the patient’s own body is gently harvested, processed, and used to create a harmonious breast shape.

Das Ergebnis: natürlich aussehende und natürlich anfühlende Brüste – bei gleichzeitiger Körperformung an den Entnahmestellen.

Your benefits at a glance

100% body-compatible material – no silicone, no foreign substances
Natural look & feel
Barely visible scars (just small puncture marks measuring 2–4 mm)
Double effect: breast augmentation + body contouring
Harmonious, aesthetic design
Correction of asymmetries is possible
Sustainable, long-lasting results
Low risk of complications
An increase of up to 2–3 cup sizes is possible
Repeat after 3 months

If there is sufficient body fat available, this method offers a particularly gentle and natural alternative to implants.

Breast augmentation using the patient’s own fat allows for a natural enlargement without implants and combines it with body contouring through fat removal.

The procedure is performed in a single session and consists of two distinct steps. First, fat tissue is removed using a gentle liposuction technique. The fat cells are then processed and carefully injected into the breast to enhance its shape and volume. There are few, if any, visible scars.

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Various donation areas

To harvest fat for breast augmentation using autologous fat, almost any area of the body can be considered a donor site:

Stomach
Hips
Inner thigh, front
Jodhpurs
Calves
Upper arms
Back

1
Fat removal
The harvested fat is processed, separated from blood and fluid, and enriched with PRP.

Achieving lasting, natural-looking results requires experience and a gentle technique to ensure that as many fat cells as possible survive.
2
Autologous fat injection
The processed fat is injected into the appropriate layers of breast tissue through tiny incisions using a thin cannula, not into the glandular tissue.

The incisions are sutured and protected. The result looks and feels natural, without any implants.
3
Supportive Bra
Rest is important after the procedure: no sports for two weeks, no jumping sports for eight weeks, and no saunas.

In addition, a special supportive bra with cups should be worn; it provides support without causing pressure. A follow-up procedure is possible after three months.

Breast augmentation using the patient’s own fat

Gentle, leaving no scars on the breast
Gentle on the skin
Natural appearance
No synthetic materials
Minor asymmetries can be corrected
Up to 2.5–3 cup sizes are possible
Two-in-one: Breast and body shaping
Repeat after a break
Not suitable without sufficient fat

Breast augmentation with silicone implants

Established method
Suitable for most women
Implant size can be selected freely
Anatomical or round implants are available
Artificial material in the body
Often looks less natural on slender women
The texture may feel unnatural
Scars remain visible
Short-term and long-term complications are possible

01
First ordination
The initial consultation is included with the purchase of the book *Eigenfett*. Without the book, it costs 250 euros. Second opinions following external treatments cost 300 euros and will be credited toward a corrective surgery. An independent second opinion is generally recommended.
02
Hospital stay (optional)
1,500 to 3,500 euros, depending on the duration of the surgery, the number of overnight stays, the room category (suite, single room, shared room), and the hospital.
03
Before the procedure
You can find all the information you need about pre-surgery examinations, as well as a checklist for planning your appointment, hospital stay, and follow-up visits, here:
The procedure will be performed under sedation. Therefore, you will need to undergo the following tests prior to the procedure:
- Chest X-ray and ECG (not always necessary)
- Mammogram
- Complete blood count, including coagulation tests, blood type, HIV test, and hepatitis A, B, and C screening
Surgery clearance from a general practitioner or internist (not always necessary)
Blood tests, mammography, and X-rays will not incur any additional costs for you, provided you have social insurance in Austria and the procedure is medically indicated. The same applies to the surgical clearance by an internist or general practitioner who has a contract with the standard social insurance providers in Austria. Our medical center has a general practitioner who is a private-practice physician. For private-practice physicians, insurance covers approximately 50%–75% of the costs. However, cosmetic breast augmentation is not medically indicated, so the approval would need to be paid for privately.
For a period of 14 days prior to the surgery, anticoagulant medications (aspirin, warfarin, vitamin E, etc.) should be discontinued, as these can delay blood clotting. Alcohol and sleeping pills should also be avoided as much as possible, as they reduce the blood’s ability to clot and thus increase the risk of post-operative bleeding. Cigarette smoking should be stopped if possible—nicotine has a vasoconstrictive effect, which can lead to impaired wound healing.
Please note that the test results must not be more than 10 days old at the time of surgery. If applicable, please bring the X-ray and all test results with you to your surgery appointment.
For medically indicated surgery and hospital admission:
To ensure that admission procedures go smoothly, you should arrive at the hospital at least 2 ½ hours BEFORE the surgery and refrain from eating for 6 hours and drinking for 4 hours prior to the procedure. Once the admission formalities are complete, you will be taken to your room; upon request, you will receive an IV drip to help alleviate your thirst. If the surgery takes place at my surgical center, you will be informed of the exact time the day before.
For breast augmentation, you should expect to stay in the hospital overnight.
- Schedule the surgery
- Finalize the surgery date (take vacation, time off, or sick leave; arrange childcare if necessary, etc.)
- Select implants (size, shape, projection, surface texture) – in consultation with the doctor
- Have the preoperative tests (blood tests, mammogram, X-ray, ECG, surgical clearance) performed no earlier than 2 weeks before the surgery
- Preoperative consultation on the day before surgery. The test results will be reviewed, final details discussed, and the consent form signed.
- The assistant will provide you with an admission form for the hospital; this must be completed and brought to the hospital. Schedule the first follow-up visit at the clinic.
- Arrive at the hospital 2.5 hours before the surgery—admission formalities. Upon request, a staff member will accompany you to help pass the time before the surgery.
- Discharge from the hospital is usually one day after the procedure. Please do not drive yourself; take a taxi or have someone pick you up.
- Plan to rest at home; avoid physically strenuous activities.
04
Anesthesia and the procedure
The procedure is performed under sedation, so an anesthesiologist must be present during the surgery. The cost of the anesthesiologist ranges from €600 to €1,200, depending on the duration of the surgery.
05
After the procedure: Support bra
After breast augmentation surgery, the operated breast should be moved as little as possible and provided with optimal support, but not compressed. Depending on the brand and style, a support bra costs between 90 and 180 euros.
06
Visits & Inspections
1st Follow-up Visit (5–7 days after surgery): Change of dressing to a support bra
2nd follow-up visit (approx. 10 days after surgery): Removal of sutures
3rd follow-up visit (approx. 30 days after surgery): Assessment of the healing of the autologous fat
Additional follow-up visits after two and six months
Final follow-up visit after one year

Physical Requirements

Sufficient donor fat must be available for the procedure; usually, a normal BMI or even slightly below is sufficient, as enough fat can often be harvested from the abdomen, hips, thighs, or upper arms. It is very rare that no fat can be harvested at all.

It is not possible to predict exactly in advance how much fat will permanently take, as this varies from person to person and depends, among other things, on breast size and tissue quality. Softer or already stretched tissue, such as after pregnancy and breastfeeding or after implant removal, often absorbs fat better.

For very small or firm breasts, pre-stretching may be advisable. This is done over several weeks using a vacuum cup and can improve the survival rate.

Medical Requirements

In addition to having sufficient fat tissue and a stable body weight, the patient must, of course, be in good health for the procedure to be performed. Before breast augmentation using autologous fat, we recommend a mammogram and an ultrasound examination—both to rule out breast cancer and to have a baseline image for future imaging.

Important Note

Women who smoke are strongly advised to quit smoking if they are considering breast augmentation using their own fat, as nicotine causes blood vessels to constrict. Good blood circulation is essential for the fat tissue to heal properly.

Depending on the duration and scope of the surgery, the surgical fee ranges from €3,500 to €6,500.

between €3,500 and €6,500

More about the costs

Wichtige Information zur Vorbereitung

In der OP-Vorbereitung finden Sie alle wichtigen Schritte vor dem Eingriff inklusive Untersuchungen und organisatorischer Details. Die OP-Checkliste zeigt übersichtlich, was Sie rund um Termin, Aufenthalt, Heimweg und Nachkontrollen beachten sollten.

Vorher/Nachher Ergebnis: Brustvergroesserung Mit Eigenfett

Dr. Turkof made my lips more beautiful and symmetrical.

He looked from every angle and only injected the filler where I really needed it. I look natural — if it were possible, I would get more injected.

I know Dr. Turkof through a friend who came all the way from Germany specifically for him. She was very happy with him and recommended him to me, as I was really struggling with dark under-eye circles. My surgery was 3 months ago and I am very pleased with the natural result.

I had two operations with autologous fat transfer to the breast and ribs with Prof. Turkof.

The result is fantastic and I am very satisfied. The quality of Prof. Turkof as a plastic surgeon is, from my perspective, undisputed.

Who is a good candidate for breast augmentation using autologous fat?

Breast augmentation using the patient’s own fat is suitable, for example:

after breast cancer to correct defects resulting from breast-conserving surgery
in capsular fibrosis
after implant removal
in cases of funnel chest or pectus carinatum, in conjunction with surgical correction
after pregnancy and breastfeeding
to even out uneven breasts
for a natural breast shape
for targeted correction of specific areas of the breast (cleavage, lower poles, upper poles, etc.)

Can breast augmentation using autologous fat replace breast augmentation with implants?

Breast augmentation using the patient’s own fat tissue can already produce remarkable results. Of course, there are limits to the procedure, which depend on the anatomical characteristics of the breast (size, firmness, prior stretching, etc.). From a medical standpoint, there is no upper limit to the amount of fat that can be injected, as long as the breast tissue remains soft and supple after the fat injection and the fat is injected in multiple layers. Generally, however, 350 ml of transplanted fat is usually the upper limit for the first surgery if the patient has not previously been pregnant or had an implant removed. To inject 700 ml of fat, approximately 1000–1200 ml of fat must be harvested; however, not every woman has this amount of fat available. If the woman is very slim and fat must be conserved, it is recommended to proceed in small stages.

What is the minimum age requirement for having breast augmentation surgery using my own fat?

The patient should be fully grown before undergoing the procedure. Patients aged 18 and older are eligible for the treatment.

How do weight fluctuations affect my breast after surgery?

After breast augmentation using your own fat, you should avoid weight fluctuations of more than 5 kg. If you lose weight, the augmented breast may naturally become flatter; if you gain weight, the skin will stretch, but this is only a problem with significant weight gain. When you lose or gain weight, the supporting tissue in the breast is stretched. This can cause the shape of the breast to change.

Does the body break down the transplanted fat after breast augmentation?

No, once the fat has been absorbed into the breast tissue, it does not break down any further. The results are permanent. The absorption rate in the breast ranges from 40% to 80%. This means that 2–3 procedures are typically required to achieve the desired result, although some patients are satisfied after just one surgery.

What results can be achieved with autologous fat in breast augmentation?

With this method, the breasts can be enlarged by a maximum of 2–3 cup sizes, depending on the patient’s anatomy and the amount of fat available.

Can complications arise during breast augmentation using autologous fat grafting?

Complications are rare with this procedure. Aside from the usual general surgical risks, such as infection (extremely rare), only mild bruising and swelling may occasionally occur, but these subside over time. Occasionally, unevenness may occur around the harvest sites, or minor asymmetries in the breasts may remain; both can be easily corrected. Since autologous fat heals at varying rates, it is impossible to predict how much fat will remain. The final result can be assessed after three months.

Can scars remain after breast augmentation using autologous fat?

During this procedure, only very small incisions—between 2 and 4 mm in length—are made. Essentially, they heal almost without a trace after the operation. Because the incisions are so small, no stitches are needed. As a result, there is hardly any scarring. If any scars do remain, they are barely noticeable.

How can I reduce swelling in my breasts after the procedure?

After surgery, patients should preferably sleep on their backs and use a raised headrest. Since good blood circulation is necessary for the fat cells to take hold, the area should not be cooled. During the day, limit physical activity and avoid sports for two weeks.

When is it possible to undergo another breast augmentation using autologous fat?

Breast augmentation using autologous fat can be repeated after 3 months.

Can I sleep on my side or stomach after the procedure?

After breast augmentation using autologous fat, you should avoid sleeping on your side or on your stomach. The most comfortable position is to sleep with the head of the bed elevated.

When can I start lifting heavy objects after breast augmentation with autologous fat?

Lifting heavy objects is generally not a problem after two weeks, but you must not put any pressure on your chest. You should avoid saunas for at least four weeks, refrain from all sports for two weeks, and avoid high-impact activities (such as running and aerobics) for eight weeks.

Could my breasts lose sensitivity after an autologous fat transfer?

Yes, sometimes breast sensitivity may change after breast augmentation using autologous fat. Sensitivity may either increase or decrease. However, these changes are usually only temporary.

Up to what age is natural breast augmentation using autologous fat grafting possible?

It is not age itself that matters, but overall health. This means that even older women in good health can undergo breast augmentation using their own fat.

Is breastfeeding still possible after breast augmentation using autologous fat?

Yes, since the mammary gland is not damaged during breast augmentation using the patient’s own fat, breastfeeding is generally still possible.

Do you have any further questions or would you like some general information? We offer personalized, comprehensive advice, drawing on our experience since 1997.

You can schedule your appointment online at any time.

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Breast augmentation
using the patient’s own fat

Breast Augmentation with Autologous Fat vs. Silicone

Key points at a glance