Patients with minor to extensive contour defects continue to present a challenge to plastic surgeons. Surgical techniques that were previously used are often associated with a high degree of morbidity and complications. Past experience with fat transplantation has been combined with the latest advances in fat harvesting methods. The patient described in this article had a breast augmentation for symmetry and soft-tissue correction after breast reconstruction following mastectomy. Using fat removed by liposuction, autologous tissue was transplanted by transcutaneous injection. To date, our follow-up on this patient is almost 3 years. Excellent aesthetic results and volume augmentation have been maintained.