Take the First Step Toward Natural Confidence
Are you ready to take the first step toward looking and feeling your best with natural breast and body shaping? Contact us with any questions or to schedule your consultation appointment.
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All Me Augmentation™ is Dr. Sean Boutros’ signature, implant-free approach to natural breast enhancement. Using advanced cosmetic DIEP flap techniques, this procedure reshapes your breasts using fat and tissue from your lower abdomen—delivering fullness and softness without the risks of implants or fat reabsorption.
Unlike traditional fat transfer, which may reabsorb unpredictably, DIEP flap tissue includes its own blood supply, creating long-lasting results that look, feel, and age naturally with your body. Dr. Boutros has refined this method to minimize recovery time and maximize outcomes, making it an ideal choice for women seeking safe, natural breast enhancement.
Dr. Boutros offers several options for patients considering natural breast augmentation, including DIEP flap with a breast lift, a mommy makeover that includes DIEP flap, and a total intact (en bloc) capsulectomy with natural breast augmentation, if desired. Our team works with patients to ensure you achieve the look you desire.
If you’re looking for a natural way to enhance your breasts—or seeking relief from complications like capsular contracture—cosmetic DIEP flap breast augmentation offers a solution grounded in safety, softness, and longevity. Patients who have had a full tummy tuck are typically not candidates, but a consultation with Dr. Boutros can help determine the best option for you.
Many women want larger, fuller breasts to feel more confident in their bodies. Still, they hesitate to get breast implants due to safety concerns, an unnatural feel, or simply a desire to avoid anything artificial.
All Me Augmentation™ provides natural breast augmentation, a safe, holistic alternative using your own tissue—with no implants, no reabsorption, and no compromise.
Your Own Tissue
Natural Look and Feel
Guaranteed Results
99.9% Tissue Success Rate
Understanding your breast augmentation options is key to making the right decision. Many women think implants are the only solution, but that’s no longer true. Natural breast enhancement offers many benefits over traditional techniques.
There are also patients who have had breast augmentation, but have experienced unfortunate complications. Capsular contracture is a relatively common breast implant complication in which the tissue around the implant hardens, causing the breast to look unnatural and feel hard to the touch. Breast revision surgery with new implants is not always a solution since the capsular contracture can recur with the new implants. Since cosmetic DIEP flap breast augmentation does not involve implants, it offers a 100% resolution of capsular contracture while still allowing you to keep the breast size and shape that you want.
If you are interested in natural breast augmentation and breast implant alternatives, you may have considered a fat transfer procedure. Fat transfer, in which fat from liposuction is inserted into the breasts, can offer only a very subtle augmentation and results are unreliable because typically between 60% and 90% of the injected fat will be reabsorbed by the body. A key advantage of cosmetic DIEP flap breast augmentation is that living tissue with blood vessels and blood supply is transplanted to the breast — similar to an organ transplant, this tissue can remain alive and become a permanent, soft, natural part of the breast with no risk of fat reabsorption.
Recently, several types of breast implants have been recalled at the request of the FDA due to an investigation of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), a type of non-Hodgkin’s lymphoma that has been linked to textured breast implants. Women’s health experts are also investigating increasing reports of an autoimmune condition called Breast Implant Illness (BII) that has been linked to all types of breast implants. Cosmetic DIEP Flap Breast Augmentation may be a solution for patients who would like breast augmentation without the risk of BIA-ALCL or BII, including women who would like to remove their breast implants as a preventative measure or to cure symptoms of BII. Learn more about BIA-ALCL and BII.
“I had breast augmentation in 1992 at age 26 and experienced problems from almost the beginning. My body seemed to reject the implants and I began having severe capsular contracture which different doctors treated differently over the last couple of decades. One doctor used a manual method (using his hands to break or release the contracture) which caused severe scarring. Another doctor fixed the scarring by removing breast tissue in my left breast. After several surgeries and trying three different sets of implants, I was done with experimenting with ways to stop the pain. There were not many options for someone in my situation wanting to remove the implants, but having minimal breast tissue of my own. I knew I could not continue with the implants but did not want to have less breast tissue and more asymmetry than when I started after the removal by the prior surgeon.”
Patient: Colleen
Procedure: Cosmetic DIEP Flap Breast Augmentation
The first step is a consultation either by phone or at our Houston office to determine if natural breast augmentation is right for you. This is your opportunity to ask any questions about your breast augmentation options and discuss your medical history and aesthetic goals with Dr. Boutros.
Dr. Boutros and his team will give you detailed pre-surgical instructions to follow prior to your procedure. The procedure is performed in a specialized DIEP flap center, ideal for this type of surgery. In the procedure, Dr. Boutros will remove fat and tissue from your lower abdominal area and then transplant that tissue to your breasts. Liposuction will likely be performed on the abdomen to further define your abdominal shape. If there is any separation of your abdominal muscles or diastasis recti, your muscles will be repaired to improve your core strength and further define your waistline.
During the surgery, Dr. Boutros will use his published technique of microfascial incision to harvest the DIEP flap. Unlike other DIEP flap procedures, with the microfascial incision there is almost no disruption to the muscle, limited discomfort, and typically no short or long-term complications. In addition, Dr. Boutros performs this surgery without the removal of a rib. This technique, which he has published extensively on, allows him to access the blood vessels without the pain and long-term problems associated with the rib removal common with the typical DIEP flap procedure.
Traditional DIEP Flap for breast reconstruction surgery has been associated with a long and difficult recovery. However, Dr. Boutros has pioneered advanced techniques that have been proven to allow DIEP patients a quicker and easier recovery. You can expect to stay overnight in the specialized DIEP flap center the evening of your procedure and then finish your recovery at home or a nearby hotel. You’ll be able to resume many day-to-day activities, but you will be restricted from heavy lifting and strenuous movement for two weeks. You should be ready to get back to your regular routine completely in approximately four to six weeks.
Dr. Boutros’s cosmetic DIEP technique delivers breast and body renewal that is naturally you. You can expect fuller, perkier breasts that look and feel natural along with a tighter, more shaped and toned-looking abdomen. Dr. Boutros has pioneered advanced techniques that have been proven to allow DIEP patients a quicker and easier recovery.
Q: How does DIEP Flap compare to fat transfer breast augmentation?
A: The DIEP flap offers more volume, permanence, and predictability. Unlike fat transfer, which can lose up to 90% of its volume over time, DIEP tissue is fully integrated into your body with its own blood supply, leading to natural, lasting results.
Q: What is DIEP flap recovery like?
A: Thanks to Dr. Boutros’s advanced techniques, patients typically recover faster than with traditional DIEP. Expect about 2–3 weeks of modified activity, with most returning to full routines in 4–6 weeks.
Q: Will my breasts feel natural?
A: Yes. Because the procedure uses your soft tissue, the result feels natural—unlike breast implants’ firmer feel.
Q: Can I have this procedure if I’ve had breast implants before?
A: Absolutely. DIEP Flap augmentation is ideal for patients removing implants due to rupture, illness, or personal preference—and can often be done in the same surgery as implant removal.
Q: What if I’ve had a tummy tuck?
A: Patients who’ve had a full abdominoplasty are typically not candidates for DIEP Flap because the donor tissue has already been removed or compromised. Dr. Boutros will explore alternative options during your consultation.
Cosmetic DIEP Flap breast augmentation is a highly specialized procedure that is typically not covered by insurance unless performed as part of a medically necessary reconstruction. However, financing options are available to help make your surgery more accessible.
Dr. Boutros’s team will provide you with a personalized quote and help explore payment plans that fit your budget.
Are you ready to take the first step toward looking and feeling your best with natural breast and body shaping? Contact us with any questions or to schedule your consultation appointment.
Contact Us
References
1 American Society of Plastic Surgeons. 2018 Plastic Surgery Statistics Report. Available: https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf Accessed January 6, 2020
2 U.S. Food and Drug Administration. Risks and Complications of Breast Implants. Available: https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants#Capsular_Contracture Accessed January 6, 2020
3 Martinez CA, Reis SM, Rednam R, Boutros SG. The Outpatient DIEP: Safety and Viability following a Modified Recovery Protocol. Plast Reconstr Surg Glob Open. 2018;6(9):e1898. Published 2018 Sep 14. doi:10.1097/GOX.0000000000001898
4 Delay E. Lipomodeling of the reconstructed breast. Surgery of the breast: principles and art. Philadelphia: Lippincott Williams & Wilkins; 2006. p.912-33.
5 Boutros SG. Double venous system drainage in deep inferior epigastric perforator flap breast reconstruction: a single-surgeon experience. Plast Reconstr Surg. 2013 Apr;131(4):671-6. doi: 10.1097/PRS.0b013e31828189e6.