The procedure of natural breast augmentation with fat transfer, performed by Dr. Leonard Grossman in New York City, consists of two primary stages, each meticulously designed to ensure the best possible outcomes for patients.

Fat Harvesting

The initial phase involves the harvesting of fat from areas where it is not wanted, such as the thighs, waistline, or abdomen. This is done using a syringe or specialized vacuum pump and a very small cannula, which is a needle-like instrument. The careful extraction process is designed to be gentle and precise, minimizing trauma to the surrounding tissues and ensuring the viability of the harvested fat cells. Dr. Grossman’s technique is so refined that most patients experience minimal bruising and discomfort, often requiring only mild pain relievers like Acetaminophen or Ibuprofen.

Fat Processing and Injection

Once the fat is harvested, it undergoes a thorough purification process. This involves washing the fat cells, centrifuging them to separate the most viable cells, and chemically stabilizing them to prepare for transfer. These live fat and stem cells, rich in regenerative properties, are then injected into the breasts using a specially modified needle. This injection process is scarless and carefully controlled to ensure even distribution and optimal integration of the fat cells into the breast tissue.

Permanent Results

The transferred fat and stem cells will permanently survive and thrive in their new location, behaving as they did in their original site. This results in a natural and long-lasting enhancement of breast size and shape. Patients can typically expect an increase of one to one and a half cup sizes from a single procedure. For those desiring a more significant increase, additional sessions may be required. Alternatively, saline or silicone implants can be considered for larger enhancements.

Recovery and Benefits

Dr. Grossman's approach to fat removal and transfer is designed to maximize patient comfort and minimize downtime. Most patients do not require compression garments and can return to their daily activities, including work, within a day. Exercise, including gym workouts, can usually be resumed within a few days, and beach activities are safe after just one week. The breasts feel natural and are typically pain-free almost immediately, aside from some initial swelling which subsides quickly.

Anesthesia and Postoperative Care

The procedure is performed under twilight anesthesia, which helps eliminate postoperative nausea and facilitates a swift recovery. Many patients feel well enough to enjoy a normal dinner on the evening of their procedure.