+34 696 922 398 info@drhamers.es

Breast Augmentation without Implants


Have you ever dreamed about getting rid of unwanted fat (for instance, love handles, belly, thighs or back) and put it all to your breasts? Fat grafting is a good option if you want a distinctly female and aesthetically pleasing breast shape and moderate breast augmentation.

The fat is harvested from an unwanted donor side (for instance, love-handles, inner thigh or belly) by using water-jet assisted liposuction. Fat graft take is significantly better than would be the case with conventional fat harvesting techniques and not only gentler for the patient, but also less harmful to the cells. Fat cells extracted in this way are in a better state which means that a higher survival rate is achieved once they are transplanted. Dr. Hamers transplants the fat cells to the breast with EVL (expansion–vibration–lipofilling). EVL is an innovative technique to expand the recipient tissue with vibration during the fat transfer procedure. The result is both a higher transplant volume and a higher take rate compared with conventional lipofilling techniques. This enables Dr. Hamers to create a full, yet natural cleavage, resulting in a distinctly female and aesthetically pleasing breast shape. In specific terms, this involves tastefully shaping the upper pole and cleavage area as well as narrowing the breasts.

Nevertheless the volume increase (per session) is limited to half a cup size.

That is why the technique is best for women who are looking for a better breast shape with limited volume increase. If a patient wants a bigger augmentation without implants, the surgery can be repeated after a few months. On each occasion the volume effect become greater due to an increasing recipient bed.

Duration of the surgery:

approximately 45-120 minutes


general anaesthetic or local anaesthetic with sedation, outpatient procedure


No sports, lifting and heavy workout for 6 weeks, compression bra and garments

Normally fit for flying after 1 week

Minimally invasive, tiny incisions of about 3-5 millimeters are needed for fat to be washed out of the body. Various techniques exist. The most advantageous and gentle is water-jet assisted liposuction, using just a small cannula with a pulsation water-jet on the tip. The water-jet’s gentle loosening and washing action makes it possible for large amounts of fat to be atraumatically removed. Compared with conventional liposuction, the sculpting of tissue is more precise and there is less trauma, pain and recovery time. Apart from being, gentle and more precise, the quality of the fat cells is superior to that resulting from other techniques, meaning that a higher survival rate of the transplanted fat cells is achieved.

Having a special clinical interest in natural body contouring, Dr. Hamers can reuse the patient’s own extracted fat to shape, fill or augment various parts of the body where it might be needed (for instance face, breast and buttock, but also calves or scars).

Dr. Alexander Hamers has specialised in Water-jetstream assisted fat transfer technology since 2012.

The transplanted fat needs to grow in. That is why it needs to be treated gently. Smoking, nicotine, pressure and cold all harm the freshly transplanted fat and should be avoided in the period immediately after surgery. Once the fat is grown in, it is part of the body and just part of normal aging.

Expansion vibration lipofilling (EVL) is the latest innovation in fat transfer. Using a vibrating cannula, the recipient tissue is gently expanded while grafting the fat. This results in both, a higher graft-able volume and a better take rate of the fat (higher percentage of fat cells growing in and remaining). Thus, if desired, more fat cells can be transferred to the same recipient area compared with conventional techniques. Dr. Hamers is the first surgeon to have established the EVL technique in Europe.

Would you like to learn more? + 34 696 922 398 or info@drhamers.com

Before and after gallery breast augmentation with fat grafting


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