Breast Augmentation: Q&A

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Saline Implant Or Fat Transfer Procedure? (photo)

I'm 18, 170cm tall, 63kgs and a small build. My left breast (B cup) is a full cupsize larger than my right. I wanted to get a fat transfer procedure to enlarge the right breast to match the left. However, as I live in Australia, the technology/research of the fat transfer hasn't been approved and won't be until at least another couple of years. I didn't want to get implants as I want a completely natural look and feel. So my question is; would saline implants achieve this result?

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17 Doctor Answers | Asked by kay_55 in Warragul

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Implants or fat grafting for breast asymmetry

Hi there, You present an interesting question. At 18, and with substantial asymmetry, it is very understandable that you are considering options to correct this. The first thing to say is that your left breast is perfect, and your desire to increase the right side to match it is the correct strategy. On the right, there is asymmetry of both volume and shape. The right side has less skin. Sometimes, if the volume on the smaller side is increased, the skin envelope naturally... more

Fixing Asymmetrical Breasts

Dear Kay, The quick answer to your question is YES; Saline implants could correct the asymmetry you have. Looking at the photo attached, you could benefit from a lift aside the breast augmentation if you want to achieve perky breasts. Nonetheless, with the photo alone it is hard to provide you with a definitive solution but submuscular saline implants are to be considered. As for the autologous fat grafting, there are some limitations: 1. Do you have enough fat... more

Treatment for breast asymmetry

You have a very notable asymmetry and there are several ways to approach the issue. In the end, you need to find a plastic surgeon with whom you feel confident in their approach. Your right breast is short on both volume and skin. Whatever you decide will need to address both of these issues in order to have best results. Your surgeon might suggest implants, liposuction, tissue expansion, or breast lift surgery on the left. I don't think that your situation is as simple as just saline... more

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Saline or Fat Transfrer to Breast?

Neither procedure will make your breastlook alike. Certainly saline implants of different fills could give you breast that are about the same size in a bra or swim suit, but the sagging of the left breast would persist without some sort of lift. Of course even with a lift there will be a difference in the two breast.

Saline implant or a fat transfer procedure

I would either recommend silicone (not saline) or a fat transfer here in the United States to get the most natural feel and look that works for you.

Jimmy S. Firouz, MD

6 reviews

Beverly Hills Plastic Surgeon

Saline or Fat Transfer

Choosing a small saline implant would best benefit you and give you the outcome you are looking for. Fat transfers to the breast are not usually condoned by the American Society of Plastic Surgery because it may block the diagnosis of breast cancer.

Fat transfer is a very versatile procedure

Even in Australia, I don't believe fat transfer requires actual 'approval' more importantly it's about finding a plastic surgeon who is comfortable and experienced with the procedure. Unfortunately simply enlarging the right breast will not achieve symmetry, as the right breast is significantly higher and more to the side than the left, with a different shape to the breast and fold. One of the benefits of fat grafting is that it can be placed where needed to shape the breast so to some... more

Fat Transfer vs Augmentation

Thank you for the photo and the question. From your information it does look like you have a reasonable degree of asymmetry and fortunately have several options to correct this. You could undergo fat grafting to the smaller breast, but because of lack of skin it will still look different that the left side. Also, you could have liposuction of the larger breast, and at your age you will likely have skin contraction to begin to match the smaller side. Adding an implant on one breast is an... more

Saline Implant Or Fat Transfer Procedure

Saline implant is the better solution to address your breast asymmetry. Consult with 3 - 4 experienced and expert board certified plastic surgeons to explore your options.

Fat transfer or implant

Dear Australian, Your goal is to match the right breast to the left one. From looking at you picture, you have two reasons for the asymmetry. The right breast is smaller and the sub-mammary crease is significantly higher. In my opinion, a saline implant is your best bet. Fat injection, has its problems - absorption, cysts, irregularities etc, but most importantly, it can not lower the sub-mammary crease adequetely. Saline implants will give the surgeon more... more

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