Breast augmentation with autologous fat
about 1 Hour
3 (SCALE 1-10)
After 2-3 months
The cost starts at € 5900.- and can vary depending on the amount of fat to be previously sucked off.
Initial consultation for new patients: € 50.-
Advance bank transfer, cash or bank transfer payment possible. Credit card only in selected cases.
Breast augmentation with autologous fat
You would like nice, firm breasts?
More self-confidence and a new body feeling through a beautiful, full female breast – and without implants, only with the body’s own fat from body parts such as stomach, thighs or buttocks.
Many women want a full breast. 98 percent of the patients opt for a silicone implant. But some patients have a desire for an alternative to implants. If sufficient tissue is available and the shape of the breast does not need to be changed, breast augmentation may be a viable alternative to silicone implants. Strong facial loss or pregnancy and breastfeeding is a very intense time for the female breast, and it is often not as tight and full as before. Breast augmentation using autologous fat results in a very natural result, with a volume build up of about one cup size – depending on the body’s own fat. After more than a thousand surgeries, I have a lot of experience in the field of breast augmentation and work on the 4D concept. This means an accurate analysis of surface changes, volume depletion or loss, gravity and proportions.
Solution in steps
This happens before the operation
In a comprehensive initial discussion, we work together to find out what your desire is and whether it makes sense and is possible with the reality and the physical conditions of your own fat. With a 3D simulation of the possible outcome, you can see the size of your chest after the procedure and better visualize your ideal bosom. Often it is also important to see how others see one – this is well illustrated with the 3D scan.
That happens during the operation
The technique of self-fat breast augmentation is only applicable to a breast that does not need firming if it is not a tubular breast and a patient who desires a particularly natural result without a pronounced décolletage. Of course, the patient must not be too thin. So there must be enough fat in other places.
The procedure is a mixture of liposuction and fat injection. It is taken from body parts such as the abdomen, hip, thigh or upper arms fat, specially prepared and injected by cannulae into the chest. The result is very natural. There are no visible scars through which the implant must be inserted or a possible foreign body sensation. Disadvantage: not all fat cells grow permanently, only about 40 – 70 percent.
This happens during and after the operation
The procedure of breast augmentation using autologous fat takes place in Vienna on a daily basis and in general anesthesia. My highest claim: perfection and safety during the operation. I work with experienced anesthetists and an experienced, experienced surgical team. Overnight at the clinic is rarely necessary today for medical reasons. Our patients like to stay the night when the journey is far away or you just want to spend a night rest from everyday life. At discharge, you will receive a support bra that you should wear for 6 weeks. Me and my team are always available for you should you have any questions. You can reach me after surgery at night always under my mobile number.
Further follow-up appointments in my ordination are important to optimally accompany the healing process. Basically, the healing process is faster than with a breast augmentation with implants.
After a successful operation and waiting for the healing process, you have no pain, can breastfeed and exercise easily.
Video for 3D simulation before the operation
I am naturally fuller, but my breast has lost its volume after two pregnancies. I wanted a nice bust that fits my remaining female body – but without implants, without foreign bodies. At Dr. Bartsch, I was in good hands from the beginning, advised felt and therefore, ultimately, to operate. I am glad to have taken this step together with him.
Auto fat can be an alternative to implants. In some cases, the desire to breast augmentation is possible with autologous fat. But if you want to gain more than one cup size, is better advised with implants. Both the breast shape and sufficient body fat must be present.
Better safe than sorry
Questions that are important to my patients.
How safe is a breast augmentation today?
We offer the all around security service.
- Safety, through my many years of experience, because I have already performed over a thousand breast operations.
- Safety, by the private clinic Währing – a renowned clinic with perfectly trained staff.
- Security, through my 24h accessibility. If you have questions or uncertainties, you can contact me at any time by phone or messenger.
How experienced is my doctor?
Look at Before/After imges and reasearch your doctor online. In the end, the most important thing is that the gut feeling has to fit.
How long is my down time?
Breast augmentation with autologous fat does not take longer than 90 minutes. You can go home the same day. There is no need for an overnight stay unless you have the special request. The first days after the breast augmentation should be sparing. If you do not have a physically demanding job, you can usually work after a week.
How strong will scars and pain be?
The advantage of having breast augmentation with autologous fat is that there are no additional scars and there is no potential foreign body sensation. The puncture sites are about 1 cm in size.
What are the risks and how do you deal with complications?
Every intervention involves risks. In addition to the general surgical risks, such as nerve injuries and wound healing disorders, it can come in rare cases to infections, thrombosis, hardening, tissue necrosis and emotional disorders. As a disadvantage, it can be seen that not all fat cells grow permanently, only about 40 – 70 percent.
What kind of anesthesia will I get?
Breast augmentation surgery takes place in Vienna on a daily basis and in general anesthesia.
Has there ever been any complications with anesthesia in your surgery?
No. The risk of anesthesia is determined individually for each patient by our team as part of the anesthesia ambulance. We use a very short-acting anesthetic, which allows the patient to wake up a few minutes after the anesthesia and leave the clinic a few hours after the procedure. In principle, our anesthesiologists are in close contact with the AKH Vienna, which is located next to the private clinic Währing, if it should come to a complication during anesthesia after all these years.
May an accompanying person be present before / after the operation?
Yes! After about 1 hour of care in the recovery room, all patients come to the ward, where they can then receive a visit in their room.
How long in advance is the surgery appointment agreed?
The waiting time for an OP appointment is usually around 4 weeks. Normally, the patient comes for the first consultation and – if you decide to have an operation – a surgery appointment is reserved. At least 15 days before the surgery, there will be a meeting with the anesthesiologist and Dr. med. Rolf Bartsch to clarify the procedure again and to answer any questions. At this time, the official documents must be signed.
What does the aftercare look like?
Further follow-up appointments in my ordination are important to optimally accompany the healing process. Basically, the healing process is faster than with a breast augmentation with implants. After 1-2 days it comes to plaster change, after about 7 days, depending on the technique, for suture removal. Until the suture is removed, avoid exercise and do not wet the sutures.
I still have a child wish. Will my breastfeeding ability be preserved?
Yes, the ability to breastfeed is preserved. You can usually breastfeed your baby without any problems. Should the desire for a child be within the next year, we advise to wait with an operation.
What technique do you use in the operation?
The technique of autogenous fat breast augmentation is only applicable to a breast that does not need firming if it is not a tubular breast and a patient who wishes to have a particularly natural result without a pronounced décolletage. Of course, the patient must not be too thin. So there must be enough fat in other places. The procedure is a mixture of liposuction and fat injection. It is taken from body parts such as the abdomen, hip, thigh or upper arms fat, specially prepared and injected by cannulae into the chest. The result is very natural.
Will the breast have a higher sitting overall?
No, as no implants are used, the breast looks very natural.
Do you work with trial sets of implants or a 3D simulation so I can see what my chest looks like after the procedure?
We have a state-of-the-art 3D simulation. With the help of an infrared camera, the own breast is scanned and simulated. With a software, only the size and type of the implant as well as the position can be determined. The 3D simulation can make static and moving images. The simulation can be rotated in all directions and can be estimated exactly how the desire breasts might look like. Whether from the side, from the front or from above – from every angle we get a good visual idea, whether the chest will suit you or not. You get an online access to the simulation of the breast augmentation.
There are already slight stretch marks on my chest, does the OP affect them?
Normally, no stretch marks are produced after this procedure. If strong stretch marks already exist, they can in rare cases turn red. In this case we should not plan a “too big” together.
What about weight gain / weight loss? What effect do these have on my operated breast?
You should avoid weight fluctuations of more than 5kg after breast augmentation, as these may cause the breast to hang faster. During growth and declines, the supporting tissue of the breast is stretched and thus the shape of the breast can change.
How much does breast augmentation with autologous fat cost?
Starting from €4.900,-
In which clinic am I operated, with which anesthetist?
All operations take place in the 18th district in the private clinic Währing in the Kreuzgasse 17, since this hospital has an operating room with a special clean room ventilation. This is unique to this clinic in Vienna. The anesthesiologists are specializing in these surgeries, who will meet you in person during the anesthetic outpatient procedure during the pre-surgical ordination.
When may I leave the clinic.
Breast augmentations are usually performed on a daily basis. This means that the patients come to the clinic in the morning to sign up, are operated on during the day, and in the evening between 17: 00-18: 00 leave the clinic again. At the express request of the patient, or in case of longer arrival from another federal state, for one additional charge of approx. € 400.- one night can be spent in the clinic.
Do cycle-related differences in breast size influence the time of surgery?
The cycle-related hormone fluctuations can change the size of the breast or the glandular tissue for a short time.
Do I have to do a mammogram before surgery?
No, mammography is usually not necessary before breast augmentation. We recommend it only to those patients who have painful knots or similar before surgery. But you should definitely do a mammogram if you are over 35 years old. This as part of the classic breast cancer screening.
Can I have a breast enlargement if there is breast cancer in my family?
If you have any known cases of breast cancer within the family, we recommend taking blood samples to rule out a genetically increased risk of breast and cervical cancer (BRCA 1 or BRCA 2). Then we can individually make the right decision for you. In patients over the age of 35, we recommend ultrasound and breast mammography before the procedure.
Do I have to buy cool packs for after the surgery?
No, you do not have to. Immediately after the operation, a thin tape bandage is applied over the chest to reduce swelling. This should stay on for 5-7 days.
How long do I have to wear a support bra?
Upon discharge you will receive a support bra, which you should wear for 6 weeks.
When is what kind of sport possible again?
After a 6-week break after the operation, all sports activities can be carried out again.
What do I have to look out for in the sun and solarium?
Direct sunlight and solarium should be avoided for a while.
When can I sleep on my stomach again?
On the side after a few days, on the stomach after a few weeks.
Is it possible to wear a push-up bra with an operated breast?
Yes, you can.
Do I get antibiotics after surgery?
No, our anesthesiologists already administer the antibiotic during the operation, so that no more antibiotics have to be taken afterwards. In rare cases, such as second surgeries, it may be useful for several days afterwards.
Do I have to inject a remedy for thrombosis?
No, since you are not bedridden after breast augmentation but should move normally, no thrombosis injections are necessary.
Should I take glutamine for wound healing?
No, you do not have to take any wound healing remedies after the operation. However, you should stop smoking one week before surgery and for up to 3 weeks thereafter, as this has a negative effect on wound healing.
Should I make a lymph drainage appointment after surgery?
Lymph drainage has the advantage that swelling after surgery can disappear faster. We offer this possibility through our ordination, which makes most sense within the first 14 days.
Do I get drainages?
No, we do not use drainage in autogenous breast augmentation, as we already carefully and conscientiously stop bleeding intraoperatively. Even internationally, hardly any drainages are used for breast augmentation.
How long does the plaster stay up?
After 1-2 days your plaster will be replaced.
When will the seams be removed?
After about 7 days.
When may I have sex again?
After 6 weeks.
When may I shower again?
After the suture removal, after about 1 week.
At what intervals do the control appointments take place after the surgery?
Further follow-up appointments in our surgery are important to accompany the healing process optimally and are agreed with you before the procedure. The first appointment usually takes place on the day after the surgery. Then after 7 days for suture removal, after a further 6 weeks after the surgery for control and the final control takes place 3-6 months after the procedure.
Which painkillers do you get?
After the surgery, you will receive a prescription from us. Please adhere strictly to the instructions we give you. The perfect pain management is also one of the reasons why our patients usually report almost no pain after breast augmentation.
Which scar ointment do you recommend?
We recommend the scar cream AND Repair and Protect and Bionect Hyaluron Gel. It is important to care for the scars until they completely fade and are no longer red. If the scar turns white, it will not change much. That means from this point on you can not make any big changes with the scar care.
Important: Apart from each checklist, you can listen to your gut feeling for the operation and to the treating surgeon.
Why Dr. Bartsch?
We always say: “the gut feeling must be right”. Let your instinct guide you. But there are some hard facts that can help you make a decision:
- Experience: More than 1,000 breast attacks in the last 10 years
- Safety: through a professional team, anesthetic outpatient clinic and a specialized clinic
- Accessibility: Dr. Rolf Bartsch can be reached 24 hours a day via messenger at +4369911222000
- Technique: Surgical planning using 3D scan
- Innovation: Dr. med. Bartsch is a trainer for breast surgery European College of Aesthetic Medicine & Surgery and speakers at international congresses.