
Choosing to remove breast implants is a personal decision, and many patients want to maintain a balanced, feminine shape after explant surgery. Breast implant removal with fat transfer offers a thoughtful approach that restores natural volume using purified fat from your own body.
At North Florida Plastic Surgery, Dr. Mateo combines advanced explant techniques with precise fat grafting to reshape and enhance the breasts while maintaining soft, natural-looking results.
Procedure Length: 2–4 hours, depending on implant removal and fat harvesting
Downtime: About 1–2 weeks before returning to most normal activities
Technique: Combines explant surgery with liposuction and fat grafting
Long-Term Results: Restores natural breast volume using your own fat
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Breast implant removal with fat transfer is a surgical procedure that removes existing breast implants and replaces some of the lost volume using fat harvested from other areas of the body.
During the procedure, excess fat is gently removed through liposuction from areas such as the abdomen, flanks, or thighs. The fat is then purified and carefully injected into the breasts to restore soft, natural fullness and improve contour after implant removal.
This approach allows patients to transition away from implants while maintaining a balanced breast shape using their own natural tissue.


The procedure begins with the careful removal of the breast implants. In some cases, the surrounding scar tissue capsule may also be removed or adjusted to support healthy tissue and optimal breast shape.
Once the implants are removed, liposuction is performed to harvest fat from donor areas such as the abdomen, hips, or thighs. The collected fat is purified to isolate healthy fat cells, which are then strategically injected into the breast tissue.
Dr. Mateo places the fat in small, precise layers to create smooth contours and long-lasting results. Because the transferred fat integrates with your natural tissue, the breasts can regain gentle volume and softness after implant removal.


This procedure focuses on restoring shape and volume to the breasts after implant removal. Fat used for transfer is typically harvested from the abdomen, flanks, thighs, or hips via liposuction.
Many patients choose this procedure because it offers a balanced solution between implant removal and maintaining breast shape.
Because the enhancement uses your own fat cells, the breasts feel soft and natural without the presence of implants.
Fat grafting replaces some of the volume lost when implants are removed, helping preserve feminine proportions.
The liposuction portion of the procedure removes excess fat from donor areas, providing additional body contouring benefits.
Patients who prefer to avoid foreign materials in their bodies appreciate the natural approach of fat transfer.
Fat grafting allows Dr. Mateo to refine the breast shape gradually and precisely for natural-looking results.

You may be a candidate for breast implant removal with fat transfer if you:
Patients seeking dramatic volume increases may not be ideal candidates for fat transfer alone. A complimentary consultation at North Florida Plastic Surgery can help determine the best approach for your goals.
Recovery after this procedure involves healing from both the implant removal and the liposuction used to harvest fat.
Most patients can return to light activities within about one week, though strenuous exercise should be avoided for several weeks. Mild swelling, bruising, and tenderness in both the breast and donor areas are common during the early stages of recovery.
Patients are advised to wear compression garments to support healing in liposuction areas and a supportive surgical bra to protect the breast tissue as it settles. Following post-operative instructions carefully helps ensure optimal fat survival and the best long-term results.


Patients often notice an immediate improvement in breast contour following implant removal and fat grafting, though final results continue to develop as swelling resolves and the transferred fat integrates with the surrounding tissue.
Because the surviving fat cells become part of the breast tissue, results can be long-lasting. The outcome is typically a softer, more natural breast appearance that aligns with the patient’s desire to move away from implants while maintaining balanced proportions.
North Florida Plastic Surgery provides patient-centered care focused on safety, precision, and individualized results. Our surgeons have extensive experience performing both implant removal and advanced fat grafting techniques.
Each treatment plan is customized to the patient’s anatomy, goals, and long-term vision for their body. From consultation through recovery, the team prioritizes clear communication, thoughtful surgical planning, and natural-looking outcomes that help patients feel confident in their decision.


Dr. John W. Tyrone, founder of North Florida Plastic Surgery, is a board-certified plastic surgeon known for his years of surgical experience and a longstanding reputation in the Gainesville community.
His commitment to patient safety and surgical excellence helped establish the foundation that the practice continues to build upon today.


Dr. David Mateo de Acosta is a board-certified plastic surgeon known for his signature "Body by Mateo" breast and body contouring procedures.
Originally from Havana, Cuba, Dr. David Mateo’s diverse academic background and global surgical training have helped him become an intentional, efficient, and adaptive surgeon. Additionally, Dr. David Mateo is fluent in Spanish, enabling him to assist a diverse range of patients in achieving their beauty goals. Now serving patients across North Florida, Dr. David Mateo is an experienced plastic surgeon, dedicated to helping patients achieve their aesthetic goals.

Fat transfer typically provides a modest increase in volume. It can restore natural fullness but may not replicate the size of larger implants.
Fat transfer avoids synthetic implants, which some patients prefer. However, the best option depends on individual anatomy and goals.
Not all fat cells survive the transfer process. Typically, a majority of the transferred fat remains long-term, which is why surgeons may slightly overfill the area during surgery.
Yes. Many patients combine implant removal and fat transfer with a breast lift to address skin laxity and improve breast positioning.
The fat that successfully integrates into the breast tissue becomes permanent. However, natural aging and fluctuations in weight can affect the appearance of the breasts over time.