Is Fat grafting necessary for Breast Lift?

People that get my blog know that I am a huge fan of facial fat grafting.  I have even modified my cannulas to 1.2mm for even smaller fat.  But this is the key for fat grafting-small product through little cannulas.  This is ideal for the face.  It is not appropriate for the breasts. You... more

A breast implant is often used in conjunction with a breast lift to provide fullness. This is a time proven excellent technique that produces good results. Recently, a paper was presented at the American Society of Aesthetic Plastic Surgeons meeting in Las Vegas showing fat injections to improve fullness... more

 It is unlikely that fat grafting is the correct procedure for you.  If you lack breast volume then the accepted method for rejuvenation of your breasts would be a breast lift in combination with a breast implant.  It sounds like a second opinion is in order.  

This smells fishy.  Fat grafting is currently not approved for breast augmentation by the ASPS.  The problem is that it can obscure future mammograms, and that it is not predictable.  The accepted way to augment the breast is with implants, and in your case, it sounds like a breast lift would be... more

You sound like you need a breast lift for sure.  If you feel that in a bra, you are large enough and don't need any padding, an implant might not be necessary.   For upper pole fullness, an implant is the best option.  Fat grafting is not yet mainstream and concerns are that it can produce... more

    There is literature that supports that when performed properly, fat grafting can be accomplished to the breast. The problem is if the plastic (or any) surgeon is not meticulous, the graft may not heal and in fact cause scarring that the radiologist may be concerned about on a mammogram. If your... more

 Fat grafting to breasts is still a bit controversial.  You probably can have a breast lift to achieve the fullness that you want.  Even with fat grafting the sloping that you describe may still appear as the tissues relax overtime.

Fat grafting in breasts is not a generally recommended procedure for augmentation. First of all, fat grafting is not highly predictable. Second, lumpiness or cysts that form can confuse the physical exam. In addition, it is difficult to achieve a uniform, smooth contour across a large area of the chest that is... more

 Dear Idez36 You are asking a very good question. A breast lift can be done without any other procedures and you can have a nice result. The procedure and result will depend on your starting breast shape.  Sometimes the addition of other procedures will improve the overall result, but this is not... more

Hello,  In my opinion, women tend to look more natural after a breast lift without fat grafting. The question is: "Will you like it?" Far grafting is not standard practice in breast lift surgery. I would look carefully at your doctor's before and after images before I'd let that grafting occur.