Bigger isn't better... but you can attain your ideal results with these three breast-enhancing procedures.

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Many women want a voluminous and natural-looking set of breasts, but this can be challenging to maintain as gravity takes hold. Before you come out with a set of double Ds on your tiny frame, we talked to three experts who can help you decide how to make the most of your girls without going over the top.

This week's expert is cosmetic plastic surgeon Dr. Atul Kesarwani, MD, FRCSC, from Cosmedical Rejuvenation Clinic (cosmedical.ca).

Q: How do I make my breasts look fuller?
A: With fat transfer.

“We are now using the same techniques that have been used to transfer fat to the face from the buttocks and to transfer fat from unwanted areas to the breast. Patients are often looking for a more natural way to enhance their breasts without the need for implants. Breast augmentation with fat transfer is suited to patients who are looking for a moderate increase in breast size and do not want implants.”

To begin this procedure, fat is harvested by liposuctioning fat from other areas of the patient’s body where there is excess fat. Once the fat is ready for reinjection (after it is concentrated and purified), it is placed in layers in the fatty layers of the breast, where it has to pick up blood supply to become living fat.

In order to increase the amount of fat survival, patients wear an external expander (a plastic dome with negative pressure over the breast) for at least six hours a day for a month before surgery. This expands and increases blood flow to the breast so that there is more room and improved blood supply in the breast tissue, allowing more of the transferred fat to survive.

Recovery is like that after liposuction. Whatever fat is going to survive has picked up blood supply in the first week after the operation, but we still wait three months to see the final results, allowing for swelling to subside and for any non-surviving fat to disappear. Most patients are able to return to work and regular activities in about a week.

We’ve only been offering this procedure for the past six years after radiologists confirmed that they can tell the difference between the changes that may occur with breast disease from the changes that could occur with fat transfer. Transferring fat from one area to another shouldn’t cause any disease, but you don’t want to be in a situation years later where further investigation is required because of the misinterpretation of a mammogram."