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Natural Breast Augmentation
with Dr. Farbod Esmailian

Dr. Farbod Esmailian is a board-certified plastic surgeon in Orange County with over 26 years of clinical experience. He specializes in breast enhancement procedures using fat harvested from troublesome areas of the patient's body, a technique often referred to as autologous fat transfer breast augmentation.

"Many of my patients in Orange County are looking for a subtle, natural enhancement that avoids the use of synthetic materials," says Dr. Esmailian. "By using their own fat, we can achieve a beautiful, soft result while simultaneously contouring other areas of the body through liposuction."

What is Fat Transfer Breast Augmentation?

Fat transfer breast augmentation is a natural-looking alternative to traditional breast augmentation procedures that use silicone or saline breast implants. Through a series of intricate steps, Dr. Esmailian harvests the patient's own fat from a donor area and transfers it into the breast tissue to provide a fuller, more voluminous appearance.1

The process begins with liposuction to remove excess fat from areas such as the buttocks, waist, or thighs. Dr. Esmailian uses this as an opportunity for beautiful body contouring in the targeted area. Once the fat cells are harvested, they are cleaned and processed into purified fat. Dr. Esmailian then precisely distributes the fat injections into the breasts, carefully considering their shape and integrity to ensure optimal results.

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Benefits of Natural Breast Augmentation

Choosing a fat transfer procedure over traditional breast implants offers several unique advantages:

  • Natural Results: Breasts augmented through fat grafting tend to appear and feel more natural than those with manufactured products.
  • No Foreign Materials: Utilizing your own fat eliminates the risk of an allergic reaction or adverse reactions to foreign substances.
  • Reduced Complications: This method eliminates the risk of implant leakage and significantly reduces the likelihood of capsular contracture, which results in hard breast implants.
  • Dual Benefits: The procedure involves body contouring, as fat is removed from areas with fat deposits that are resistant to diet and exercise.
  • Minimal Scarring: The procedure requires only small incisions, leaving virtually invisible scars at the donor site and minimal scarring on the chest.
  • Maintenance-Free: Unlike implants, which may require replacement over time, transferred fat that survives the grafting process provides long-lasting results.

The Art of Fat Grafting: Achieving Upper Pole Fullness

One of the primary reasons patients seek Dr. Esmailian's expertise is his artistic approach to fat placement. Unlike implants, which have a fixed shape, fat can be strategically injected to address specific concerns:

  • Upper Pole Fullness: Dr. Esmailian uses micro-fat grafting techniques to add volume to the top portion of the breast, creating a youthful "lifted" appearance without a full breast lift in some cases.2
  • Cleavage Enhancement: Fat can be placed medially to improve the appearance of the cleavage.
  • Correcting Asymmetry: If one breast is naturally smaller or shaped differently, fat transfer allows for precise, customized corrections that are difficult to achieve with standard implant sizes.

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Are You a Good Candidate?

Breast augmentation via fat transfer is an excellent choice for women in Orange County and Newport Beach who:

  • Desire a mild increase in breast size, typically half to maybe one full cup size.
  • Have realistic expectations about the volume increase achievable in a single surgical procedure.
  • Have an adequate amount of fat in other areas of the body to harvest.
  • Wish to fill hollowing in the upper pole of the breast.
  • Prefer a natural breast augmentation without the use of breast implants.3

During your initial consultation, Dr. Esmailian will review your medical history and examine your breast volume and potential donor areas to determine if you are a good candidate for this fat grafting procedure.

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The Fat Transfer Procedure: What to Expect

The procedure is typically performed as an outpatient surgery at our accredited surgical center in Los Alamitos under general anesthesia or sedation, depending on the extent of the liposuction required.

  1. Harvesting: Dr. Esmailian uses a specialized cannula to harvest natural fat from the donor area. A tumescent solution is used to minimize bleeding and bruising.
  2. Purification: The harvested fat is processed to isolate the most viable fat cells.
  3. Injection: Using his artistic skill and medical expertise, Dr. Esmailian delicately injects the purified fat into specific areas of the breasts to achieve your aesthetic goals.
  4. Closing: The small incisions are closed, often with dissolvable sutures, and bandages are applied.

Recovery and Results

Recovery time for a fat transfer breast augmentation is generally shorter than traditional surgery. Most patients return to work within 3 to 5 days.

  • Post-Op Care: You will need to wear a compression garment to support the newly contoured areas and reduce inflammation.
  • Activity:Strenuous activities should be avoided for several weeks to ensure the transferred fat cells successfully integrate into the breast tissue.
  • Follow-up: Regular follow-up appointments in our Orange County office allow Dr. Esmailian to monitor your healing.
  • Final Results: While some fat reabsorption is normal, the final results are typically visible after 4 to 6 months once all swelling has dissipated. According to the American Society of Plastic Surgeons (ASPS), the survival rate of transferred fat can vary, but typically 50-70% of the injected fat remains permanently.4

Safety, Risks, and Long-Term Considerations

Dr. Esmailian prioritizes patient safety and transparency. While fat transfer is a safe alternative to implants, it is important to understand the potential risks:

  • Fat Reabsorption: Not all transferred fat survives. Typically, 30-40% may be reabsorbed by the body, which is why Dr. Esmailian may slightly overfill the area initially.
  • Calcification: Small firm lumps (calcifications) can form. Modern fat grafting techniques and advanced imaging allow radiologists to distinguish between fat-graft-related calcifications and suspicious lesions.
  • Cysts and Infection: As with any surgical procedure, there is a small risk of infection or the formation of oil cysts, which Dr. Esmailian manages with meticulous surgical technique.
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Hybrid Breast Augmentation and Implant Revision

For patients who desire more volume than fat transfer alone can provide, or those undergoing implant removal, Dr. Esmailian offers advanced "Hybrid" options:

  • Hybrid Breast Augmentation: Combining a smaller silicone implant with fat grafting to provide a soft, natural feel and better coverage of the implant edges.
  • Breast Implant Removal (Explant) with Fat Transfer: For patients choosing to remove their implants, fat grafting can be used to restore lost volume and improve the breast's natural contour during the same procedure.
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Why Choose Dr. Farbod Esmailian?

When considering cosmetic surgery in Orange County, the expertise of your surgeon is the most important factor. Dr. Farbod Esmailian is a board-certified plastic surgeon with a reputation for excellence in breast enhancement and reconstruction.

  • Board Certified: Certified by the American Board of Plastic Surgery, ensuring the highest standards of safety and surgical skill.
  • Elite Training: Completed his General Surgery residency at the University of Southern California (USC) and his Plastic Surgery residency at the Indiana University School of Medicine.
  • Hospital Affiliations: Dr. Esmailian is affiliated with prestigious institutions, including MemorialCare and University of California, Irvine..
  • Compassionate Care: Dr. Esmailian is known for his individualized approach, ensuring every patient feels heard and understood without pushy sales pitches.
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Patient Testimonials

"I am truly grateful to Dr. Farbod Esmailian. His professionalism, kindness, and patience helped me overcome my fear of surgery and feel completely at ease. I am very satisfied with the results and highly recommend him."

Y.K.

"I had the BEST experience I could imagine. I couldn't recommend him more, he was so knowledgeable and thorough and I got the exact results I wanted! I'm soooo happy! Every time I saw Dr.Esmailian he answered all of my questions and I never once felt rushed, he was fully present. It was seriously the best decision I ever made."

M.

"Dr. Esmailian and his staff were so amazing and I felt they were the right choice for me from my first consultation. He addressed my questions and listened to my needs and was always so professional and caring. The day of the surgery he made me feel at ease and I went in there 💯 confident that I was in great hands. I cannot be happier with my results. I will recommend your incredible patient care and service to everyone I can. Thank you!"

R.A.

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Ready to achieve a more voluminous, natural-looking figure? Contact the office of Dr. Farbod Esmailian today to schedule your private consultation. Our team is dedicated to providing you with the compassionate, high-quality care you deserve.

Frequently Asked Questions (FAQ)

Where can I find fat transfer breast augmentation near me?

Can I combine any other treatments with fat transfer breast augmentation?

How much does fat transfer breast augmentation cost in Orange County?

Are the results permanent?

Where can I find fat transfer breast augmentation near me?

If you are looking for fat transfer breast augmentation in Orange County, Dr. Farbod Esmailian offers personalized care and exceptional results at his Los Alamitos office. Serving patients from Newport Beach, Long Beach, and throughout Southern California, Dr. Esmailian combines artistic vision with surgical precision to help you achieve your aesthetic goals.

Can I combine any other treatments with fat transfer breast augmentation?

Yes, many patients choose to combine fat grafting with a breast lift to address both volume loss and sagging for a more comprehensive rejuvenation. It can also be part of a mommy makeover, which may include a tummy tuck or additional liposuction. Some patients also opt for facial fillers or a facelift to achieve a fully refreshed appearance.

How much does fat transfer breast augmentation cost in Orange County?

The cost varies based on the amount of fat being transferred and the areas requiring liposuction.. We offer flexible financing options, including CareCredit, to help make your aesthetic goals attainable.

1 Cleveland Clinic. Fat Transfer Breast Augmentation. Available: https://my.clevelandclinic.org/health/treatments/24033-fat-transfer-breast-augmentation. Accessed December 30, 2025.
2 PRS Global Open. Fat Grafting and Breast Augmentation: A Systematic Review of Primary Composite Augmentation. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952123/. Accessed December 30, 2025.
3 ASPS. Fat Transfer Breast Augmentation. Available: https://www.plasticsurgery.org/cosmetic-procedures/fat-transfer-breast-augmentation. Accessed December 30, 2025.
4 ASPS. Fat Transfer Breast Augmentation. Available: https://www.plasticsurgery.org/cosmetic-procedures/fat-transfer-breast-augmentation. Accessed December 30, 2025.

Page updated: January 22, 2026

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