I agree with Dr Chui, there are certainly many considerations when choosing between fat transfer or implants. While impossible to cover everything in detail, some of the important factors are:
1. Cost?
- At least in my practice, the cost of both options is very similar so this is usually not an important deciding factor.
2. Feasibility?
- Most slim patients wanting a significant augmentation do not have sufficient fat for transfer to achieve a "C" cup. In such patients, implants are the only safe option.
3. Desired Result?
- If you have ample fat to achieve your desired cup size, fat transfer achieves a softer, natural-looking breast which may change shape and position with ageing.
- 5th generation breast implants are usually better for shaping a breast and for larger enhancements. They should not change shape or position with time. However, they can feel slightly firmer than a natural breast if you are slim and have very little breast tissue.
I hope this serves as a good starting point in your decision-making. Ultimately, a detailed assessment and consultation will always be most beneficial.