Fat Grafting for Breast Implant Coverage Scars?

my PS told me that he could fix the rippling and flatness of my implant with fat grafting. My concern is that I don't have much fat and I scar very ugly. I'm also concerned with how the area that the fat is taken from going to look like afterwards? I had a 2nd opinion from a Dr. and he told me that the place may not look so smooth afterwards. Will the fat grafting leave very visible scars? I might decide to take the fat from the outer side of my thighs and I'm worried about the scar.

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7 Doctor Answers | Asked by JCSM in Shanghai, China

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Fat grafting for implant rippling

Fat grafting is an extremely useful technique that has gained significantly in the past few years. You have not submitted a picture so I cannot actually see the area you need treated. Small areas are the easiest areas to treat. The fat can be harvested, processed and then re-injected. This is more cost effective than placing any of the acellular dermal matrix products. The only areas where scarring should be visible would be where the liposuction was performed.

Fat Grafting

Fat grafting is a suitable option at this can easily hide many of the ripples caused by implants. If the fat is harvested correctly, you can achieve an aesthetically pleasing result, without significant scarring.

Fat grafts to cover rippling from breast implants

Fat is probably the best material you can use (besides tissue matrix at $1800x2) plus surgery with anesthesia. Fat can be harvested and injected through an 18gauge or 16 gauge needle hole which leaves no scar afterwards. Fat injections can be done under local and/or oral sedation. If you need more fat, another session can be done.

Fat grafting is a great way to increase the soft tissue coverage of the breast implant and hid rippling

When a patient has very limited soft tissue coverage of her breast implants, there is often a problem of being able to see and feel the ripples which are present with all breast implants. Saline implants ripple dramatically more than gel implants. If you have saline implants they could be exchanged for gel with some improvement. Fat grafting is an extremely effective way to add soft tissue to the breast and hide the ripples. It is almost always possible to get fat from the medial... more

Fat grafting would work if done properly

The result of any procedure will depend on the patient and surgeon's skill. For the fat grafting the technique are different from surgeon to surgeon. This is a newer technique for the breast enhancement and you need to make sure your plastic surgeon has enough experience.You can check my web site for some examples.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Fat grafting to cover rippling

Dear JCSM, It is difficult to cover rippling of an implant, but fat grafting is one of the best ways of doing it. The volumes of fat harvested are usually small for this sort of thing and so there shouldn't be much noticeable difference at the donor site. Make sure that your surgeon has some experience of liposuction. The harvesting and the injection of the fat is done through small stab incisions that are usually pretty well hidden. Good luck.

The Scars from Fat Grafting are Very Small

Dear JCSM, Fat grafting is usually performed through very small incisions about 2.5 - 4 mm in size. Thus, the resulting scars are usually quite small. To be a good candidate for fat grafting, you do need to have sufficient fat elsewhere "to donate." Warmest wishes, Larry Fan, MD