Lift with Fat Graft, or Lift with Implants? (photo)

I have tuberous breasts that are widely spaced [5 inches apart] and have meet with two consultants. The first MD suggested I go with a vertical breast lift and a fat graft to plump up the area and enhance cleavage. The second suggested I avoid fat grafting completely and go for a doughnut lift with moderate profile implants. My ultimate goal is lifted, fuller breasts that are much closer together. Which path is more likely to achieve this? I'm 20 years old, have never given birth or breastfed.

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9 Doctor Answers | Asked by Ria77654 in USA

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Yes, a lift is needed to address the condition of tuberous breasts.

Thank you for your question and the photo. Yes, a lift is needed to address the condition of tuberous breasts. For volume and a wider breast base, you can go with fat grafting if you only expect a slight increase in volume. If you want a larger increase in volume, then breast implants will likely be necessary for a good and predictable result. Keep in mind, however, that you are young and implants do not last forever. It is almost certain that at least once or twice in your life... more

Lift with Fat Graft, or Lift with Implants?

A periareolar lift will not be satisfactory with the amount of lifting needed. I would favor implants, but if you size increase goal is modest, might consider fat grafts. None of these will bring your breasts as close together as you or your surgeon would like. All the best.

For tuberous breasts you need a vertical lift and implants

They are both half right and half wrong. You need a vertical lift with implants. The donut lift will not correct your degree of sagging. A fat graft will leave you disappointed. If you want your breasts close together, with a decent cleavage, there is no substitute for implants. The tubeous breast deformity tends to be well-treated with a combination of a vertical lift and implants. You should look at plenty of before and after photos provided by your... more

The Ultimate Breast Lift is designed to customize the ideal breast

Dear Ria, Thank you for your question and photos. There is a new technique that uses engineering principles and reconstructive techniques to design the ideal breast for any type of sagging problem. It reshapes your breast and lifts/moves your breast in a permanent position to provide longevity to the lift-unlike current techniques. The UBL is not a cookie cutter technique like the others. It is not like any other technique. It does not require a vertical scar. The vertical... more

Breast lift and breast implants

Based on your posted photo your goal of lifted fuller breasts that are closer together is not achievable. There currently are no reliable surgical techniques for improving cleavage (moving the base of the breasts closer together towards the midline). You will need surgery on the breasts to adjust the positioning of the tissue within the breast skin envelope and surgery on the skin itself to adjust the position of the nipples as well as most likely an implant. Your case is a difficult one and... more

Tuberous Breast Surgery and Cleavage

Your breast anatomy poses a difficult challenge in achieving an ideal result. You most definitely need a lift with implants and there would be some differences of opinion aboout what type of lift and type and size of the breast implants. But one reality that you will have to accept is that cleavage from any type of breast procedure is not going to be obtainable. Your breasts are too widely spaced apart and fat grafting is not going to achieve cleavage no matter what other breast... more

Lift and implants for tuberous breasts

Fat grafting would not help because it would be much like dropping a ball in a sock. Your goal is to; 1. Improve shape of breast mound 2. increase width of your breast base 3. decrease areola size and reposition higher Initially, I was inclined to consider the donut lift, but the amount of excess skin removal you need from the area around the areola would do better with a vertical lift and be more stable long-term. A moderate size implant... more

Implants and lift

Without an exam it is difficult to say, but based solely on your photographs, you probably will need implants with a lift. This may be accomplished with a vertical. I perform a lot of circumareola lifts, but I am not sure that you are a candidate without examining you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Correction of tuberous breasts

With what I can see in the photo, you would need a lift and implants to correct your breast tuberosity. The exact lift would have to be determined by a qualified surgeon examining you. A fat graft would not be indicated because it would not be able to correct your cleavage gap. In addition, there is still debate in the scientific community about whether or not we should be injecting significant amounts of fat into breasts due to the unknown long-term effects (such as... more