The Answer: As long as fat can be harvested and there is enough space in the breast, fat grafting can be performed repeatedly—even multiple times.

With fat grafting breast augmentation (including the Condensed Rich Fat technique), the maximum survival rate of the injected fat is about 50%. No matter how carefully it is performed, not all of the injected fat remains.

However, with each session, the proportion of surviving fat increases, and the results become more stable and long-lasting.

Case Example

This patient underwent her sixth round of fat grafting.

We performed revision liposuction of the upper arms from another clinic and used that fat to inject 200cc into the right breast and 160cc into the left.

Even though the injected volume was modest, the fat survival rate was excellent, with most of the fat still remaining at 1.5 months post-op.

For Those Who Want a Large Increase in One Session

For patients who wish to achieve a significant size increase in just one procedure, we recommend:

• Silicone implant breast augmentation
• Hybrid breast augmentation (implant + fat grafting)

On the other hand, for patients who want to use only fat for a natural enhancement, multiple sessions of fat grafting are very effective. This approach also helps reduce the risk of fat necrosis or lumps.

Key Takeaways

• Fat grafting breast augmentation can be done as many times as needed, provided fat can be harvested and injected.
• With repeated procedures, fat survival and overall results improve.
• If you want a significant increase in one step, implants or hybrid augmentation are better choices.
• If you prefer a natural look and feel, multiple fat grafting sessions are highly effective.

At AVAN TOKYO Ginza Liposuction Clinic, we take pride in offering tailored approaches for each patient—whether it’s a single hybrid augmentation or multiple rounds of fat grafting—to achieve the most natural and satisfying results.