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Am I a Candidate For Fat Transfer in One Breast Only? I Have Uneven Breasts and Already Had Encapsulated Implants Removed.

asked 3 months ago by CuriousLadyOnline
Latest answer by J. Jason Wendel, MD
Question viewed 183 times
Tags: 20 years post-op, encapsulated, options, uneven

I am 42 5'2" & about 130 pounds. I had breast implants 20 yrs ago. They encapsulated and caused me lots of complications. I got them replaced & removed 4 years later. I now have uneven breast - 1 A cup & 1 AA cup & they are different shapes now. My question is -since Im not a candidate for implants, would you recommend fat grafting for me if I only want to inject fat into the smaller breast (AA) so that it can be the same size & shape as the (A) cup? How much fat would I need? thanks!

13 answers to Am I a Candidate For Fat Transfer in One Breast Only? I Have Uneven Breasts and Already Had Encapsulated Implants Removed.

Yes, fat transfer for breast assymetry in small breasts

Thank you for your question. I can't say for sure with no pictures and without examining you but fat transfer can be a safe alternative and works the best when the volume of fat transfer is not significant...150cc or less. Yes, it can be done on one breast only. Not all plastic surgeons are trained and comfortable performing this procedure. To see if you actually are a good candidate, see at least two or more board-certified plastic surgeons in your area for a full and complete... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

Fat Grafting works, but for Breasts Implants are Probably Still Best

Hi there- In order to maximize safety and achieve the most natural result, grafting of fat to the breasts should be limited to areas needing small volume enhancement. It is also important that you understand the risks of the procedure complicating your future breast cancer surveillance. On the other hand, I agree with Dr. Posner that your previous history with breast implants should not necessarily mean that you cannot achieve a pleasing, soft, natural result with implants in the... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Fat Grafting is great when done right!

Fat grafting is operator and system dependent. Different fat harvesting systems have different long term outcomes. The key to any good result is harvesting and reinjecting live tissue. Normal liposuction techniques are typically too rough on fat cells. look for a system that is designed to preserve fat. I am the developer of the Viafill fat Transfer System which provides 20.8 million live cells for injection in each ml. With such a high number of live cells cysts and resorption are minimized. more

Robert M. Freund, MD
New York Plastic Surgeon

Good candidates for fat transfer to the breast

First you must understand that fat grafting is very operator dependent, and can result in cysts and calcifications which can make breast examination more difficult. Fat grafting is gaining interest and traction and a modest increase in your smaller breast does make you a better candidate. Smaller well dispersed volumes seem best, and more than one session may allow the grafts to build up with less loss. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Fat Grafting for One Breast

You are an ideal for fat grafting to the breasts. I am doing this procedure more and more for women with and without implants. The wonderful thing about fat is that we can put it literally where you want it and as much as you would like as well.

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Fat transfer may be your answer

Fat transfer is tricky business. The process requires some estimation and you should plan on 2 procedures. Some fat lives and incorporates into the breast, some doesn't. Dr Del Vecchio has a large experience with this procedure, but nobody is perfect. Most people have fat to transfer, but this is a new technique in PS and errors will occur. If you adopt the attitude that you are augmenting your smaller breast naturally, you will accept the tradeoff! At A or AA, you may want to seek... more

David Janssen, MD
Oshkosh Plastic Surgeon

Fat grafting or small volume correction of breast asymmmetry

It is possible that fat grafting may be an option for you especially if you are looking for a relatively minor correction of asymmetry. There are new options available for those patients who have had difficult times with capsular contracture. A discussion with your plastic surgeon is in order.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Breast reconstruction

You may very well be a candidate for fat grafting to your breast for asymmetry, but jsut because you had capsules in the past does not mean you can not have them redone. Strattice with new implants may be the best choice, but an exam is essential.

Steven Wallach, MD
Manhattan Plastic Surgeon

Fat grafting as an option for the breasts

Based on your history you may be an excellent candidate for breast fat grafting. This may not be your only option as a history of breast implant problems does not necessarily rule out the possibility of using breast implants to accomplish your goals. Fat grafting can certainly offer an alternative which has certain advantages. This should be discussed with a board certified plastic surgeon who can offer their opinion during a consultation. good luck.

Sean A. Simon, MD
Miami Plastic Surgeon

Fat transfer to breasts

Fat grafting to correct breast asymmetry is a viable option but it is difficult to assess your particular case without at least photos to see the shape, degree of asymmetry and amount of fat in your body. I am curious as to why you say you aren't a candidate for implants just because you have had previous capsules. I have treated many patients who have had previous capsular contracture with capsulectomy and Strattice placement who now have soft breasts.

Jason Pozner, MD
Boca Raton Plastic Surgeon

Yes You can Have this Procedure

Breast Augmentation using Fat Transplantation is a good approach for patients who have had problems with implants (you) and for patients with breast Asymmetry (you again). We have a large experience with this technique and first published our results in the Journal Plastic and Reconstructive Surgery (see link). For further information, please visit the site dedicated to fat transplantation to the breast using you natural fat: bostonbreastcenter.com Best... more

Daniel Del Vecchio, MD
Boston Plastic Surgeon

www.bostonbreastcenter.com

FAT GRAFTS

It sounds like you may be a candidate for fat graft breast augmentation. You have reasonable desires. Photos would be helpful. I would seek a consultation with a Board Certified Plastic Surgeon familiar with this approach.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Fat Graft to the breast

From your history, you seem to have some problems with the implants which were removed, resulting in different shape and size. you have two options 1: Breast implants under the muscle with the use of acellular matrix to reduce the incidence of capsular contracture. 2: Fat Transfer, requires expertise, and multiple procedures. and a full understanding of the procedure and all the questions surrounding the fat transfer to the breast. 3: Do nothing