In my Louisville Breast Augmentation practice, like most Louisville Plastic Surgeons, I use either saline or silicone implants. Not infrequently though patients will joke and ask if I can suction fat from their rear and inject it into their breasts.
The answer is “Yes, we can.” Fat grafting is nothing new in Plastic Surgery. It has been used for years for facial rejuvenation. Recently its use has increased in breast surgery. The problem is if the fat cells don’t survive the transfer they can die, form masses, or even calcify. This can wreak havoc on cancer surveillance and thus the controversy.
This technology will continue to be evaluated, in the meantime I think it safest to stick with traditional implants until more is known.