Breast Augmentation
Breast augmentation through fat transfer
Fat transfer also known as fat grafting, autologous fat transfer, lipofilling or lipo-injection—is the ultimate in upcycling your own tissues. Fat is removed from areas of excess and transplanted to other areas such as the breasts, face, scars
Dr Rozina Ali is proud to be a leading advocate of fat transfer (lipofilling) to enhance breast size and shape, add curves and cleavage where required and to even out any asymmetry or differences in volume. She has an extensive experience and great outcomes in fat transfer. Increasingly her clients are choosing to have implants and capsules removed and where possible have breasts augmented with their own fat alone. Not only does this avoid problems of implants, capsular contracture and scars, it also results in breasts that feel soft and natural.
Rozina is renowned for minimising the scar beneath the breast, using a well-placed curved incision.
Breast lipofilling is a harmonious series of several minimally invasive steps designed to transfer fat from an area of excess to an area where it is desired. The aim of breast lipofilling is to render a soft, natural looking breast, that feels and behaves more naturally than implants and without a specific large scar. Breast lipofilling is an excellent tool for breast asymmetry, partial breast reconstruction following excision biopsy, lumpectomy, radiotherapy and for bilateral breast enhancement with the ability to focus on any specific area (upper pole, side boob, lower pole, projection, cleavage).
Fat is harvested from your own body, often the inner/outer thighs, knees, abdomen or flanks, in a procedure superficially similar to conventional liposuction (cosmetic fat reduction). Fat harvest is performed using a blunt tipped cannula inserted through multiple small 3-5mm incisions into the skin, a more gentle tumescent fluid and lower suction pressures to ensure the fat cells are harvested intact and viable. The harvested fat is then washed and filtered in a sterile closed system (puregraft) , then prepared as a fluid fat mix that is smoothly injected into the breast(s). This is done by, passing a narrow, blunt-tipped injection cannula in and out of the area to be filled multiple times at multiple angles and layers. As the injection cannula is withdrawn at each pass, small micro aliquots of fat are deposited until the desired enhancement is achieved. Lipofilling allows for different volumes of fat to be inserted into each breast and specific areas of concern (cleavage, upper pole, projection etc).
Breast lipofilling surgery allows for a modest but meaningful enhancement (1-1.5 cup sizes) and is limited by the size, therefore skin surface area of your current breasts. Much greater volume enhancement can be achieved by serial surgery that may require 2 or more procedures, separated by several (6-9) months.
Take of the grafted fat is dependent on the recipient site and its blood supply as well as the volume and type of fat injected. There are emerging technologies such as continuous wave radiofrequency now being used to optimise blood flow and optimise the outcome.
Lipofilling surgery is of course also dependent on the amount of fat available to harvest. Sometimes there are insufficient subcutaneous fat deposits.
Breast lipofilling can:
• Increase fullness and projection of your breasts by up to 1-2 cup sizes
• Improve the proportion/balance of your figure
• Enhance your self-image and self-confidence
Breast augmentation through implants
The art of breast enhancement is to create a breast that is pert, shapely, sits correctly on the curved chest wall and feels soft. The ultimate goal is to enhance breast appearance not just size. Rozina is particularly skilled in selecting appropriately sized and shaped implants depending on the natural breast tissue quality and the dimensions of the breast. Rozina is experienced in using all types of implants: round, shaped, textured, smooth, microthane coated.
23yr old. Moderate-profile 330cc round implants.
25yr old. High-profile 380cc round implants.
32yr old. 235cc shaped implants (DiagonGel).
Breast Augmentation - Fat transfer (Lipofilling)
Mastopexy (Breast lift)
A mastopexy, more commonly known as breast lift, is a highly sought-after procedure for those wanting to achieve a more youthful, pert and aesthetically pleasing decollete. Breast lifts often help women regain confidence in their figures by restoring their feminine proportions and helping them feel more comfortable in their bodies and clothes.
The answer to the longevity of a breast lift is: it depends on your breasts. How far up the nipple-areola complex needs to be moved and the weight of your breast tissues. And the surgical technique used re breast shape, size reduction and nipple areola movement.
The effects of surgery are of course permanent BUT life does not stand still and as your weight and hormones change, so too will your breasts. Gravity sadly always exerts its effects downwards and although it is a mild force it is consistent and ongoing.
Augmentation Mastopexy (Lift with implant)
45yr old. Augmentation mastopexy 300cc round implants.
39yr old. Augmentation mastopexy 240cc round, textured implants.
Breast Reduction
Rozina considers breast reduction to be one of the most fulfilling and effective chest rejuvenation procedures and it frequently leads to a significant improvement in quality of life. Where possible Dr Rozina Ali prefers to avoid drains and to minimise hospital stay.
22 yr old Bilateral breast reduction (BBR). 1.37Kg reduction.
Areola reduction
Nipple eversion/reduction
Free Tissue Transfer (DIEP Flap)
Nipple Reconstruction/Share
Areola tattooing
Other Procedures
Exchange of Implants
Capsulotomy/Capsulectomy
Breast Reconstruction
Acellular dermal matrix (ADM)
Expander/Implant sequence
Latissimus Dorsi Muscle (LD) + Implant