Beauty by Design

Natural Breast Augmentation

Las Vegas Breast Fat Transfer
Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Corona Del Mar, CA
Cosmetic and Facial Plastic Surgeon

Breast Augmentation using silicone implants is still the most common cosmetic invasive procedure performed in the United States. Some prefer to use only natural tissues to create a symmetric and enlarged breast and choose Breast Fat Transfer.

The key to the best Natural Breast Augmentation or Natural Breast Surgery is to transfer the most purified and enriched fat. MediKhan’s Filtration-Centrifugation system is arguably the best current technique. Dr. Troell always recommends fat purification. He has used and taught physicians and surgeons in his live-surgical workshops all these technologies, so has the experience and knowledge to choose the optimal method for his patients. Dr. Troell is a leading Liposuction surgeon practicing in Las Vegas, NV, as well as serving Los Angeles and Beverly Hills CA.

Breast Fat Transfer Las Vegas Outcome

Natural Breast Augmentation/Breast Fat Transfer Result After 2 Years/Las Vegas Patient

Indications for Breast Fat Transfer (using one’s own fat) include:

  1. Breast Augmentation
  2. Breast Augmentation after implant removal
  3. Breast Augmentation after breast cancer surgery & radiation therapy
  4. Treating Breast Asymmetries from:
    • natural asymmetry
    • after breast reduction or breast lift
    • after breast implant augmentation surgery

Factors Affecting Breast Fat Transfer Results:

There are over thirty variables affecting the amount of transferred fat that will survive. A list of the most important factors are listed:

* Gentle Fat Harvesting

  • loss suction pressure
  • harvesting cannula larger than 3 mm
  • “Vented” fat harvesting cannulas minimize fat cell trauma (only available with VASER)
  • lactated ringer’s solution to aid in fat separation
  • avoid fat exposure to air (closed system)

Fat architecture in Liposuction

Liposuction Technique for Fat Harvesting for Breast Fat Transfer


* Fat Purification

  • filtration purification (100 micron filter)
  • centrifugation removes debris, dead cells, blood, oil & excess fluid
  • centrifugation compacts fat cells (2500 RPM’s for 5 minute duration)

* Fat Additives

  • increase fat survival
  • Platelet Rich Plasma (from your own blood) has over thirty growth factors
  • Stem Cells & fat derived growth factors (from your own fat)

* Optimal Fat Injection

  • inject fat within one to two hours
  • three level fat placement
  • intra-muscular injection increases survival
  • below (sub-pectoralis) muscle & below the skin (subcutaneous) fat placement multi-plane fat injection optimizes blood vessel formation, increasing fat survival small fat amounts (aliquots) prevent central area of fat dying, improves fat survival

The technique of fat removal (harvesting), purification, addition of growth factors & stem cells, and fat injection (administration) all affect the overall outcome. Optimizing each of these over thirty variables improves one’s results.

To optimize Breast Fat Grafting results for Natural Breast Augmentation four characteristics, need to be present:

  • Viable fat cells in sufficient amounts
  • Growth factors (in platelet rich plasma {PRP} & grafted fat)
  • Stem Cells (both in grafted area and added to the transferred fat)
  • Extracellular matrix or the “spider’s web” of connective tissue with blood vessels

Natural Breast Augmentation using one’s own fat along with PRP and Stem Cells is an excellent alternative to Breast Implant Breast Augmentation.

Why Choose Dr. Robert Troell, MD, FACS?

Dr. Troell is recognized as an expert by his peers. He has taught physicians in twenty live-surgical workshops the Art of Natural Breast Augmentation using a variety of liposuction, stem cell, and fat processing techniques.

Dr. Troell is Stanford University Medical Center residency and fellowship trained and remained as Clinical Teaching Professor for seven years. He currently teaches physicians, medical students, surgical technicians, and medical assistants from three university medical centers and two professional schools.

Dr. Robert J Troell, MD, FACS has multiple surgical board certifications and is a diplomate of the American Board of Cosmetic Surgery in Breast, Body & Extremity, the American Board of Facial Plastic & Reconstructive Surgery, and the American Board of Stem Cell & Fat Transfer Physicians.

Dr. Troell has published two medical text book chapters in an Aesthetic Stem Cell Text and has completed over thirty domestic & international specific presentations on body contouring, stem cell treatment, and fat transfer.


Beauty By Design – Las Vegas

7975 West Sahara Avenue Suite 104 & 103
Las Vegas, NV 89117
United States (US)
Phone: (702) 242-6488

Monday8:30 AM - 4:30PM
Tuesday8:30AM - 4:30PM
Wednesday8:30AM - 4:30PM
Thursday8:30AM - 4:30PM
Friday8:30AM - 4:30PM
Saturday8:30AM - 1:30PM

Beauty By Design – Corona Del Mar

2801 East Coast Highway Suite E
Corona Del Mar, CA 92625
United States (US)
Phone: (949) 220-0532

Monday8:30 AM - 4:30PM
Tuesday8:30AM - 4:30PM
Wednesday8:30AM - 4:30PM
Thursday8:30AM - 4:30PM
Friday8:30AM - 4:30PM
Saturday8:30AM - 1:30PM
Facial Plastic Surgery American College of Surgeons American academy of cosmetic surgery American society of liposuction surgery American academy of otolaryngology head and neck surgery

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