Fat Transfer to Upper Breasts to Hide Rippling from Implants?

Due to some reason, I can only have breast implants placed over the muscle. I know that chances that I'll ripple are high, especially since my upper chest is very "bony" with little fatty tissue and thin skin.

I am concerned about the implants being palpable and visible. I'm hoping that while having my breast augmentation, fat transfer could be done at the same time on the tops and sides of the breasts to provide better tissue coverage for the implants, and to camouflage the bony chest. Is this possible? What would be the average cost for this?

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breasts chest skin rippling female costs over muscle thin

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5 Doctor Answers | Asked by rainyrainy in KL

Doctor Answers (5)
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Breast augmentation, fat grafting, silicone implants

Dear Rainy Rainy Thank you for your question. Fat grafting at the same time as your augmentation is possible. Certainly you need to have extra fat for the harvesting and injection. The fat grafting can also be done at a later date if you desire, The recovery from the combined procedure may be a little longer- bruising and swelling but should not inhibit you from resuming normal activities immediately after surgery. With Warm Regards, Trevor M Born MD

Fat augmentation and breast implants

Hi, the best way to avoid rippling in this situation is to have silicone gel implants placed. Saline implants placed over the muscle, especially if you are very thin or have very little native breast tissue, will be more obvious and will be more likely to show ripples. Fat augmentation can be done, but this is very controversial in the plastic surgery community. Many of us hesitate to place fat into an organ that is at risk for cancer, as we don't know if this will make your mammograms... more

Yes fat can be used to camouflage rippling

Fat grafting can be an excellent option to add fullness to the upper pole of the breasts and to cover rippling of underlying implants, and to correct assymetries However fat grafting is very technique sensitive, and surgeons who do not pay attention to each aspect of the process may not get consitent results. Every component of the procedure from fat harvesting, to fat purification, to micrografting technique, can make a difference. With careful attention to every step, anywhere... more

Fat Transfer

Fat transfer can be used but it may or may not be advisable at the time of your augmentation surgery. It really would depend on your anatomy. The real question is why can't your implants be placed submuscular. The only patients in whom this is not possible are patients who lack the pectoralis major muscle.

Breast Enlargement with Fat Transfer AND implants

In general, placing the implants under the muscle decreases visible rippling, as does the use of silicone gel rather than saline. I'm not sure why you can only have them placed above the muscle...but, if accurate, you can also have fat grafting, which should help. Doing it at the original time is also possible, though you may need additional procedures at some point to fully correct the contour and to adapt to whatever changed occur to your implants over time. I hope that... more