Lipofilling of the breasts

(fat autograft)

This procedure allows to increase the volume of the breasts in a way that natural and without implants and without visible scarring. The technique has obtained its authorization only since 2011 in France in the context of cosmetic surgery.

Surgical indications

This procedure is intended for women who wish to have a breast augmentation and a more prominent cleavage without having recourse to implants.

Aesthetic indications

  • Breast volume increase
  • Breast hypoplasia (A/B cup)
  • After weight loss 
  • After the pregnancy

Restorative indications

  • Correction of breast asymmetry
  • Tuberous breasts
  • Breast agenesis (absence of breast)
  • Breast reconstruction after breast cancer

*The repair indications are covered by the social security, a request for prior agreement will be written in consultation by Dr. Alexandre G. LELLOUCH

More information on the Ameli website

Before / After

If you would like to see more before and after results, Dr. Alexandre G. LELLOUCH will share them with you during your consultation

Course of the intervention

The preoperative consultation

It takes place at medical practice. You will discuss with Dr. Alexandre G. LELLOUCH in order to specify your expectations and he will determine with you the best possible option

A additional examinations will be prescribed (adapted according to each patient) as well as preoperative photos will be performed.

At the end of the consultation, the plastic surgeon will give you a estimate and a operative consent.

Course of the intervention

of the intervention

Location of scars: A small incision of 0.4mm under the breast fold / or around the areola (depending on the case and to be discussed with Dr LELLOUCH).

Dr. Alexandre G. LELLOUCH will identify the fat donor areas in agreement with the patient (thigh, abdomen (love handles), other). Dr Alexandre G. LELLOUCH will prepare the fat in the operating room under sterile conditions and reinject it into the breasts using a reinjection cannula. Depending on the patient, there may be 20-40% fat loss after one month.

Associated procedures (breast lift or mastopexy, round block, liposuction)

Type of anesthesia

General anesthesia performed by an anesthesiologist

Duration of the intervention

Between 2 and 3 hours. Performed only by Dr. Alexandre G. LELLOUCH

Type of hospitalization

Ambulatory (same day discharge)


After the intervention


No or little

Control visit

Postoperative consultation with the surgeon at D-1 and 1 month. Dr. Alexandre G. LELLOUCH can be reached in case of additional needs

Duration of convalescence and care

10 days on average until complete healing
(about 3 weeks)

Nursing care

Daily shower and dressing until complete healing. Nurse at home if needed (dressing care)

Resumption of sports activities

1 month (depending on the type of physical exercise)


The patient must be off work for 1 week to 15 days. This period will depend on the job performed

Wear your medical type Z bra day and night for 4 weeks

Wear lipopanty or abdominal belt day and night for 6 weeks

Practical Information
(for everyone

  • Do a blood test prescribed by the surgeon
  • Do a Ultrasound/Mammography prescribed by the surgeon
  • Well Fill out your clinic file before your consultation with the anesthesiologist.
  • Take appointment with an anesthesiologist at the clinic and schedule a consultation between 1 month and 1 week before your surgery date.
  • Stop smoking 3 weeks before and 3 weeks after for optimal results.
  • No exposure to the sun on scars for 1 year
  • Buy postoperative medication/medical equipment before the procedure so that you have as little stress as possible after the procedure

Surgical technical reference of the surgeon

For more information on the intervention


Sensitive but not very painful...

Yes for breast reconstruction procedures (see indication reconstruction).

Not if it's cosmetic surgery.

Both surgeries aim to increase breast volume.

  • Breast implants are a non-absorbable material that can be used to increase breast volume at once.
  • Le lipofilling est une technique autologue, c’est-à-dire que l’on prend la graisse de la patiente et on la réinjecte dans le sein. C’est une technique naturelle mais on à un taux de résorption de 30-50% suivant les patientes. Il est parfois nécessaire de pratiquer plusieurs séances pour obtenir le volume souhaiter. En revanche il n’y a pas de cicatrices et pas de matériel étranger. Généralement Le lipofilling ne s’adresse pas aux patientes avec un IMC < 19 (pas de réserve de graisse). 

During your consultation, Dr. Alexandre G. LELLOUCH will remind you of the advantages and disadvantages of each surgery to give you all the knowledge you need to decide what is best for you.

Yes, but it is very important to discuss with Dr. Alexandre G. LELLOUCH to decide on the best time to undergo surgery. 

The tobacco is recognized as a a factor that delays skin healingwhich results in a longer healing time, increase the risk of complications and to give unsightly scars. The scientific literature agrees with this ( and this is why I recommend to all my patients to stop smoking before a plastic surgery intervention.

For any specific or additional questions, please contact us directly by mail...or on the contact form here.

Doctor Alexandre G. LELLOUCH

The Dr. Alexandre G. LELLOUCH is a surgeon specialized in Plastic Reconstructive Aesthetic Surgery, registered with the Order of Physicians of the city of Paris 16 under the number 75/89697.

The Dr. Alexandre G. LELLOUCH is a specialist in cosmetic surgery, reconstructive surgery, and aesthetic medicine injections, which he practices at the MAISON ABEILLE in Paris 16.