Breast Augmentation, Rejuvenation, and Enlargement

Autologous Fat Transfer (AFT)

Breast Rejuvenation and Restoration

At SkinCentre we want to make you the best version of yourself.

Breast feeding can change the shape of your breasts causing them to lose volume and flatten. These changes in size and shape can have an immense impact on body confidence. Previously a surgical mastopexy and silicon implants under general anesthetic were the only solution to addressing these issues. These invasive procedures have always seemed daunting and come with a long list of risks.

Dr Salmon has worked alongside leading surgeons in the USA to perfect the Autologous Fat Transfer (AFT) procedure to help restore and rejuvenate women’s breasts naturally and permanently, with the added bonus of losing some of the fat from another area of the body you may not love. This procedure is perfect for mothers who have lost volume after breast feeding to restore the breasts and get them looking as good, if not better than before. It is also great for the women who weren’t naturally gifted with full breasts from the beginning.

Come in and have a confidential consultation with one of our lovely cosmetic nurses and Dr Salmon to see how we can help restore your confidence!

Our Results:

All before and after photos are taken of patients of the SkinCentre NZ.
Autologous Fat Transfer (AFT) breast enlargement procedures performed by Dr Paul Salmon.

From our Patients Perspectives:

Dr Paul Salmon

After over two decades of expertise in reducing breast size through tumescent liposuction, Dr. Salmon expanded his field to provide women with the opportunity for natural breast enlargement. This AFT procedure offers the chance to regain volume lost after breastfeeding, or, help to increase breast size for those desiring a larger bust who have always been smaller.

In 2017, Dr. Salmon travelled to Miami to study and collaborate with Dr. Roger Khouri, whose advancements in fat grafting techniques have revolutionised the AFT procedure, enabling fat grafting of up to 300cc per side in a single session.

Dr AJ Seine

Since starting at SkinCentre in 2021, Dr. Seine has worked closely with Dr. Salmon on the Autologous Fat Transfer (AFT) technique for natural breast enhancement. Using his expertise in cosmetic dermatology, Dr. Seine is committed to advancing and refining this transformative procedure in collaboration with Dr. Salmon. Together, they aim to set new standards of excellence and provide patients with outstanding outcomes in breast augmentation through AFT.

The Procedure

We perform AFT under local anaesthetic with light oral sedation right here at the SkinCentre Day Surgery Centre. No need for general anaesthetic. Both your breasts and the area we are taking the fat from, the donor site, will be infused with tumescent anaesthesia.

The fat will be harvested from the donor site by micro-cannula liposculpture, usually from the thighs or abdomen. The fat is then prepared and grafted into your breasts via tiny nicks to ensure minimal scarring. Our nurses will tape your breasts securely to prevent any movement.

We recommend approximately one week of rest and no vigorous exercise or movement until three weeks post-surgery.

Your breasts will be quite swollen at first but usually not tender and final results will not be apparent until 3-4 months post-operatively.

In a single procedure you can expect to increase your breast size by one cup. Two procedures will enable a two cup increase.


Unlike a silicon implant, prior to your Autologuous Fat Transfer it is necessary to prepare the breast tissue to create an optimal environment for the fat grafting procedure. To achieve this we use two preparation methods, our specialised team will help determine which method will work best for you.

We will arrange a pre-operative consultation with one of our cosmetic nurses to discuss this preparation in detail and we are always here for questions throughout.

Options for preparation:

The best option for you will be selected & discussed during your specialist consultation.

PICO Negative Pressure Dressings:

PICO dressings are a new way to prepare your breasts for fat grafts. They work by increasing blood flow to the breast but provide only mild expansion. For this reason the PICO dressing is best suited to those women who have breast fed in the past and are wanting to regain the volume lost, and would not be suitable for women whose breasts are smaller than a C cup but want the biggest improvement they can get from a single procedure.

PICO dressings are discrete and are able to be concealed under clothing, making it easy to continue working right up until your procedure, except those for who are in manual labour job roles.

The dressings need to be worn for continuously for two weeks leading up to the procedure, to ensure the breasts are ready for grafts.

While wearing the PICO dressing you will not be able to exercise and will have to forgo showers in place of sponge baths.

Brava Dome expanders:

Brava type Expander domes are used for maximal breast tissue expansion, making them the best choice for women aiming for substantial enhancement from a single procedure. Due to their size, these domes are meant to be worn at home and cannot be concealed easily under clothing.

Similar to PICO dressings, they stimulate increased blood flow to the breasts and cause temporary enlargement. This temporary enlargement is crucial for fat grafting procedures, as the success of transferring fat depends on the degree of breast expansion achieved prior to surgery.

Typically, over 300 hours of dome usage are needed for significant expansion. This can be achieved through wearing the domes for 12 hours daily for two weeks, followed by 18 hours daily for the third week before surgery. However, the most successful outcomes have been observed with more than 300 hours of dome use spread over an eight-week period or longer. A minimum of three weeks’ use of the domes is recommended for successful outcomes.


Patient Testimonial

I couldn’t believe my luck when I found that AFT breast augmentation existed. After breastfeeding each of my kids for ten months in my 30s, I had reached my late forties with saggy breasts that were a cup size smaller. I dreamed of having beautiful breasts but didn’t like the look of implants or the idea of having something synthetic placed in my body.

At my consultation, Dr Salmon listened to what I was hoping for and told me I didn’t have unreal expectations so AFT was ideal. I left with a pamphlet that explained the process. The pre-surgery process using external expansion cups at home took time and dedication but I had Georgie tirelessly checking in with me and encouraging me along the way, so it felt like a team effort. Life needed to revolve around preparation for a few weeks.

Surgery was fine. Georgie’s friendly, efficient and warm manner is reassuring – and I was uncomfortable but didn’t need pain relief after the first day. The fat donor sites were sore, my breasts were tender and the bruising looked awful but recovery was quick – I was able to walk around, but spent three days resting. I had to remind myself not to lift heavy boxes or hang up laundry because I mostly felt fine. I couldn’t roll onto my side to sleep for at least five weeks because my donor site was so tender and sometimes walking felt jarring but the compression pants were invaluable and I wore them every day for about five weeks.  At my two week post surgery check up, I was advised to be lazy for a month to allow my body to recover, so I cancelled my activities and gave in to the rest.

I’ve had to be patient to allow my body to recover but I’m thrilled with the results. My breasts look full, firm and yet completely natural and now, at the age of 49, I fill out my c-cup bras just as I did in my 20s. The recovery from surgery was fast just with tenderness at the donor sites on my legs for about four months. It’s a year on from surgery, and I feel much happier and confident now that my breasts have been restored to their pre-baby size, shape and look exactly as I’d hoped: natural. I’m very grateful to Dr Salmon, Georgie and the Skin Centre Team.

Complications of Breast Implants

Both AFT and external expansion have been well proven in the literature to be safe procedures that do not give rise to cancer. Where the procedure is carried out under general anesthesia, the risks are those of general anaesthesia. Complications are still possible but very rare and include skin rash from the expander domes, infection, assymetry and need for re operation.

Risks and complications of Breast Implants

US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients

A Long-Term Study of Outcomes, Complications, and Patient Satisfaction with Breast Implants

Contact us today for your confidential consultation