Breast Auto-Augmentation · Norwalk
Lifted breasts. Restored upper fullness. Your own tissue—not implants.
Breast Auto-Augmentation with Dr. Laurence Kirwan, author and coauthor of published research on own-tissue breast reshaping.
Repositioning existing breast tissue does not add new breast volume. Candidacy is assessed at consultation, and individual results vary.
How it works
Illustrative photography. Not a patient result.
How it works
Reshaped, not replaced.
A breast lift restores position and a natural teardrop shape. A standard breast lift does not require implants; many patients choose a lift on its own.
Breast auto-augmentation adds a further step: a portion of your own lower breast tissue is redistributed to the upper breast to improve shape and upper fullness. Redistribution does not add new volume; it works with the tissue you already have.
Optional fat transfer is a separate technique that may add some volume. It is not part of auto-augmentation itself, and its suitability and limitations are discussed individually.
- What moves
- Your own lower breast tissue
- Where it goes
- The upper breast
- New volume from redistribution
- None

Who it may suit
Questions worth bringing.
Breasts that sit lower over time
Pregnancy, breastfeeding, weight change, genetics, and time can all reduce upper fullness and change breast position.
A preference to avoid implants
Auto-augmentation redistributes tissue you already have, so no implant is placed.
Planning implant removal
In suitable patients, implant removal can be combined with own-tissue reshaping in the same operation.
Enough breast tissue to reshape
Whether there is sufficient tissue can only be judged by examination at consultation.
Candidacy depends on your history, anatomy, and goals, and is determined at consultation.
Simultaneous Salvage Auto-Augmentation
After implants, your own shape.
Removing implants alone can leave the breast looking flat or lower. Simultaneous Salvage Auto-Augmentation, or SSAA, combines implant removal with own-tissue reshaping in the same operation for suitable patients.
Eligibility and results are not guaranteed. SSAA is a reshaping procedure; it is not presented as a cure for any illness, and any health concerns related to implants should be discussed with your physicians.
Breast implant removal and alternativesYour journey
One conversation at a time.
- 01
Consultation
Dr. Kirwan reviews your history and goals and examines your breast tissue to discuss whether a lift alone, auto-augmentation, implant removal with reshaping, or another approach may suit you.
- 02
A personalized plan
If you proceed, your plan is explained individually, including anesthesia, expected scars, risks, recovery, and costs.
- 03
Follow-up
Follow-up care is arranged with the office. Swelling settles gradually, and individual results vary.
Clinical results
A small, approved selection.
Selected SSAA comparison views from Dr. Kirwan’s existing reviewed collection. These are examples of own-tissue reshaping with implant removal, not predictions of your result. Sensitive photographs remain blurred here; choose a view to open the gallery.
Patient SSAA-007
Breast SSAA auto-augmentation with documented implant removal, front view. Follow-up interval not documented
Dr. Kirwan patient result
View this comparisonPatient SSAA-008
Breast SSAA auto-augmentation, 4 months after surgery, front view
Dr. Kirwan patient result
View this comparison
The wider gallery includes different approaches, not only auto-augmentation. No figures from the research papers are used as marketing results here.
Individual results vary.
Published work
Grounded in the literature.
Dr. Kirwan authored a 2007 paper on breast auto-augmentation and coauthored papers published in 2015 and 2023 on own-tissue breast reshaping and implant removal.
These publications describe surgical techniques and retrospective patient series, not guaranteed outcomes or a current recovery schedule. Full papers include clinical photographs and surgical details.
2007 · Research publication
Breast autoaugmentation.
Laurence Kirwan.
Canadian Journal of Plastic Surgery, 2007;15(2):73–76.DOI: 10.1177/229255030701500201
Read the 2007 full paper (publisher PDF, 4 pages)2015 · Research publication
Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation—A Retrospective Series of 107 Procedures.
Laurence Kirwan, Umar Wazir, Kefah Mokbel.
Archives of Plastic Surgery, 2015;42:438–445.DOI: 10.5999/aps.2015.42.4.438
Read the 2015 full paper (PubMed Central, with PDF)2023 · Research publication
Simultaneous Salvage Auto-augmentation: Contemporary Strategy for Management of the Breast Explantation Patient.
Laurence Kirwan, Umar Wazir, Kefah Mokbel.
Plastic and Reconstructive Surgery Global Open, 2023;11:e4860.DOI: 10.1097/GOX.0000000000004860
Read the 2023 full paper (publisher full text)If the publisher asks you to verify access, use the official archive:
Alternative 2023 full text (PubMed Central, with PDF)
Papers open on the publisher’s site or its official PubMed Central archive, where available PDF options are provided. They are not republished by this practice.
A little clarity
Good questions.
Honest answers.
Video consultations are available only to patients located in US states where Dr. Kirwan holds a medical license. Contact the office to confirm eligibility and arrange your consultation.
Ask about a virtual consultationWill my breasts be bigger?
Redistributing your own tissue does not create new volume. It moves lower breast tissue to the upper breast to improve shape and upper fullness. Fat transfer is a separate technique that may add some volume for some patients; its suitability and limitations are discussed individually.
What scars will I have?
The scar pattern depends on your anatomy and the degree of lift needed. Dr. Kirwan will explain the expected scars for your plan at consultation.
How do I know if I have enough tissue?
Only an examination can tell. Candidacy depends on your history, anatomy, and goals and is assessed at consultation.
Can this be done at the same time as implant removal?
In suitable patients, yes. Simultaneous Salvage Auto-Augmentation (SSAA) combines implant removal with own-tissue reshaping in one operation. Eligibility is not guaranteed and is decided at consultation.
What does it cost, and is financing available?
Costs are discussed as part of your personalized plan. You can read the practice’s existing financing information on the patient financing page.
Can I start with a virtual consultation?
Video consultations are available only to patients located in US states where Dr. Kirwan holds a medical license. Contact the office to confirm eligibility and arrange your consultation. Do not send photographs through the website.
The next step is a conversation
Your tissue.
Your options.
Start with a private consultation with Dr. Kirwan to learn whether auto-augmentation fits your anatomy and goals. Individual results vary.


