Advice after your nerve block for surgery
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What is fat transfer?
A dynamic procedure in which fat is borrowed from area and implanted into another.
Who would potentially benefit from this type of operation?
- Previous lumpectomy defect
- Tethering of tight skin or scars
- Breast reconstruction but still have an area within the breast that is hollow
- Breast implants and are experiencing thin skin due to radiotherapy
- Deep inferior epigastric perforators (DIEP) or Latissimus Dorsi breast reconstruction but still lack fullness of contour, due to asymmetry (unequal breast size).
What will the operation involve?
Fat grafting procedures start by taking the right amount of fat required. This is usually taken from the abdominal and thigh area. Like a liposuction operation.
It is then centrifuged (spun at a high speed to separate the fat from any liquid)
The fat cells are then re- injected into the area to be re-contoured.
The procedure may need to be repeated several times to achieve the desired results. depending on the area that needs to be filled. Patients go home on the same day.
Is it safe to have the procedure?
Fat grafting is an established procedure which is safe.
Are there any risks?
Potential risks can include:
- Up to 40% of the fat injected may be reabsorbed by the body
- Therefore, repeated attempts may be needed to get the desired result
- You may experience some lumpy areas in the breast where the fat becomes hard. However, this can improve with massage.
- Bleeding
- Infection
- Swelling and bruising, especially around the abdomen and hips where the fat cells are removed
What happens on the day of surgery?
This is a day case procedure, normally done under a local anesthetic. However, if you have a general anesthetic, you will be advised to stop eating for 6 hours prior to the
operation but can have water for up to 2 hours before the procedure.
Sign a form consenting to the surgery. The skin will be marked where the incisions are made. You will have opportunity to ask any questions.
Will there be scarring?
The incisions are 1-2 cm in size made in the naturally occurring skin
Will I be in any pain?
You may have discomfort and bruises where the fat is taken from. Simple painkillers like paracetamol are normally sufficient to help with this
What can I do after the operation?
We normally advise you to wear cycling shorts with Lycra as this will help reduce the swelling and bruising around the thigh and buttock area.
You can get back to normal within a couple of days of the operation but do not overexert yourself or do any heavy lifting for 2 weeks.
We recommend that you DO NOT wear a compression Bra, this will put pressure on and around the fat grafted site, restrict blood flow and spread and flatten the injected fat cells.
Please buy a loose singlet top, or a loose bra for 2-3 weeks after the procedure will give sufficient support for both breasts
When can I drive?
You can drive once you have recovered; however, it is best to check with your insurance company as some will not cover you immediately following an operation.
How do I care for my wound?
The nurses will check the operation before discharge
You will be able to shower after your first clinic appointment in a week when all your dressings have been removed, the nurse will advise you accordingly. You will see the consultant in 4-6 weeks after the operation.
Where should I seek advice or help?
If you have any worries, however small, do not hesitate to call
- Kamal Paul, Clinical Lead Nurse for Plastics and Breast, on 0300 615 3031 Tuesday to Friday 7.30 - 15.30
- Plastic Surgery Dressing Clinic on 0300 615 3031 Monday to Friday 8.00-16.00
- For general advice you can also contact your GP (General Practitioner) or the NHS111 service
- Email and send photos to fhft.plasticsurgentcare@
nhs.net for specific advice
Contact us
If you have any queries relating to this information, please contact the Plastic surgery service.
About this information
Service:
Plastic surgery
Reference:
T/020
Approval date:
21 April 2026
Review date:
1 April 2027
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Important note
This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.