Arm and chest fat transfer (lipofilling) in Wrocław
Arm and chest lipofilling transfers your own fat to add volume and shape the upper body. In gender-affirming surgery (FtM) it can accentuate a masculine outline of the shoulders, arms and chest; it is also used to correct asymmetries and defects after other operations. At Luna Clinic in Wrocław it is performed by Dr Aleksandra Łuniewska.
Arm and chest lipofilling transfers your own fat to add volume and shape the upper body. In gender-affirming surgery (FtM) it can accentuate a masculine outline of the shoulders, arms and chest; it is also used to correct asymmetries and defects after other operations. At Luna Clinic in Wrocław it is performed by Dr Aleksandra Łuniewska.
Arm and chest lipofilling - what does the procedure involve?
Arm and upper-chest lipofilling is a procedure of transferring the patient’s own fat tissue to soften masculine body features and give the figure a feminine harmony.
In transgender people (MtF) this procedure can complement hormone therapy and surgical gender correction - it can support feminisation of the shoulder girdle and the filling of tissues above the breasts, which visually improves the proportions of the chest and the line of the arms. It is a subtle, natural and biocompatible procedure.
Fat harvested from areas of excess (abdomen, flanks, thighs) is purified and administered in layers into the deltoid and chest areas - along the natural outline of the muscles, giving an athletic yet fully natural effect without implants.
Indications for the procedure
Whether the procedure is advisable for you is ultimately decided by the doctor during the consultation.
- Excessively visible masculinising features in the arms and chest (an angular outline, sharp transitions between structures)
- Dysphoria related to the structure of the shoulder girdle
- A desire for a softer, more feminine chest silhouette
- Insufficient effects of feminising hormone therapy
- As a supplement to breast augmentation (e.g. filling the upper pole or the décolletage)
Contraindications
How to prepare for the procedure?
The procedure is always preceded by a qualification consultation with a plastic surgeon - we discuss expectations, examine the area to be operated on and establish an individual treatment plan. As standard, we order a full set of tests (blood count, coagulation, electrolytes, ECG for general anaesthesia) and, if necessary, additional specialist consultations.
- Surgical consultation, qualification taking into account the state of the skin and the distribution of fat tissue
- 7 days before the procedure, stop medications that affect coagulation (after consultation)
- On the day of the procedure: clean skin, without make-up or lotions
- No smoking for a minimum of 2 weeks before the procedure
The arm and chest lipofilling procedure step by step
Recovery and post-procedure recommendations
- Swelling, tenderness and bruising may persist for 2-3 weeks
- The fat-harvesting and injection sites should be protected and covered with a dressing
- Dressings and sutures cared for according to the doctor’s recommendations
- We recommend wearing compression garments for 4-6 weeks (fitted at the clinic)
- Avoiding intense physical exertion and bending over for a minimum of 4-6 weeks
- No sunbathing or use of a solarium for a minimum of 6 months - SPF 50 protection is necessary
- The fat is not 100% viable - part may be absorbed (up to 30-40%)
- Check-ups: after 7 days, then after 1, 3 and 6 months
Treatment effects
The result of arm and chest lipofilling is a fuller, more athletic outline of the shoulders and chest with simultaneous slimming of the fat-harvest areas. The part of the graft that takes (60-80%) remains permanently; the effect stabilises after about 3 months and can be topped up if needed.
Possible complications and risks
Like any surgical procedure, this one also carries a certain risk. It is reduced by careful qualification before the procedure and by following the aftercare recommendations. Possible complications include:
- Haematoma or bleeding requiring drainage
- Infection requiring antibiotic therapy
- Partial resorption of the fat
- Fat cysts, calcifications
- Discolouration at the injection site
- Longer-lasting swelling or bruising
- An unsatisfactory effect - may require another session
Frequently asked questions
Is the procedure safe?
Yes. The patient’s own fat tissue is a biocompatible material, and the procedure is performed by an experienced surgeon under sterile conditions.
Won’t the fat be completely absorbed?
Part of the transferred tissue undergoes natural resorption - usually 30-40%. That is why we plan the procedure with a slight overcorrection.
Can this replace breast implants?
No. Lipofilling can subtly improve the breast contour, but it does not replace augmentation with implants if the patient expects a large increase.
Does the procedure leave scars?
No. The micro-incisions made during liposuction and the transfer are small and almost invisible after healing.
When can I return to work?
Usually after 5-7 days for office work. In the case of intense physical activity - about 3-4 weeks.
Is the effect permanent?
Yes, for the fat that survives. Lifestyle, weight fluctuations and hormones can, however, affect the final result.
Does it hurt?
Slightly. The discomfort is comparable to muscle soreness and subsides within a few days.
Can I combine this procedure with another?
Yes. We often combine lipofilling with breast augmentation, feminising body contouring or waist contouring.
Do I need a lot of fat?
A small reserve in the abdomen, hips or thighs is usually enough. If needed, two sessions are possible.
Does the procedure affect hormone therapy?
No. The procedure does not interfere with hormone treatment, but it is best performed after a minimum of 6 months of therapy, when the tissues have already partly transformed.
Can lipofilling replace strength training?
It does not replace it but complements it perfectly - it emphasises the muscle outline where genetics or proportions limit the effects of training. Physical activity additionally improves the overall result.
Can the procedure be repeated for a greater effect?
Yes - we usually plan another administration after about 6 months, when the volume of the first graft is already stable.
Arm and chest lipofilling in Wrocław: how much does it cost?
Arm and chest lipofilling is quoted individually. The amount follows the surgical consultation (PLN 300).
Dr Aleksandra Łuniewska
Dr Aleksandra Łuniewska - a plastic surgery specialist with over 17 years of experience, founder and chief surgeon of Luna Clinic. A member of the Polish Society of Plastic Surgery, she completed her specialist training in Gdańsk and Wrocław. Her philosophy is based on natural and harmonious results that emphasise the patient’s individual beauty.
Take the first step
Book a consultation - an honest conversation about expectations, options and the treatment plan.
Arm and chest lipofilling: price and consultation
Arm and chest lipofilling is quoted individually at Luna Clinic. The price depends on the volume transferred, the number of donor areas and the planned stages, since part of the fat is reabsorbed. It is often combined with other operations, such as top surgery; we then quote the whole plan after the surgical consultation (PLN 300).
How to book
Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.
Where we are
Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map