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Would You Recommend Fat Grafting to Correct my Tuberous Breasts and Am I a Candidate for a Tummy Tuck or Lipo? (photo)

Overweight as a kid, also been underweight, now I'm 160 and 5'9. I have always had a fat stomach even when thin. Can this be corrected with lipo or is a tummy tuck needed? Also, what is your opinion of fat grafting with lift to correct breast deformity?Iwant to be a C cup. The discoloration on the areolas is from self injury- picking my skin. Is there anything that could be done to restore pigmentation? Can you recommend a good surgeon in my area (Seattle) or somewhere on the west coast? Thanks

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tuberous 5 ft 8 in to 6 ft 0 in 150-169 lbs candidate fat graft

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13 Doctor Answers | Asked by SeattleGirl91 in Seattle, WA

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Mommy Makeover

Breast augmentation and breast lift with liposuction may give good results. However, the issue of skin laxity and fat deposits should be assessed in person.

Mommy Makeover

Thank you for your question and photos. I would recommend that you have a breast lift procedure and if you would like to increase your breast size, have breast implants placed. In regards to your tummy, I think liposuction may give you nice results. Please visit with a well experienced plastic surgeon and ask to see examples of their work. Best wishes.

Fat grafting not recommended for tuberous breasts

Your breasts are too far apart and too low. You need your breasts repositioned and reshaped. This can be done using a circumareola approach that will lif your breast tissue higher, displace it more medially and change the shape of your breasts to increase projection. If you want to be bigger then implants can be placed through the same incision. I recommend silicone gel implants placed retro-pectoral since they look and feel more natural. Your abdomen could be... more

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Would You Recommend Fat Grafting to Correct my Tuberous Breasts and Am I a Candidate for a Tummy Tuck or Lipo?

Yes I would consider all those surgical options you wrote about. Best to seek a few IN PERSON consultations in your city.

Tuberous Breasts and fat grafting

I would not recommend fat grafting for your breasts. You need a concentric lift and an implant. In terms of your stomach you may do very well with liposuction. You do not need a tummy tuck. You will have more areas to pick after your surgery which could lead to more scarring so you need to get that under control before surgery.

Robert Kearney, MD, FACS

6 reviews

La Jolla Plastic Surgeon

Tuberous breasts and fat grafting

Here is my approach to tuberous breasts, and the information in your photos. Avoid fat grafting. Most of the fat will absorb over a year. A combined lift, tuberous release to reshape the breast and a small implant. To find a surgeon, go to the American Society of Plastic Surgeons for the Board Certified Plastic Surgeons in your zip code. Seattle has excellent surgeons. Do you still pick at your skin? It has to stop before surgery or you may pick at the surgical... more

Treatment of tuberous breasts

Hi, you have correctly identified yourself as having tuberous breasts - big areolae, a droopy appearance, the crease under the breasts is high up and the breasts are further apart. I think you will get the best results with an augmentation, rearrange the breast tissue at the same time (I unfold the lower breast so that it is more even on the chest), and a circumareolar lift. If you do just fat grafting, your areolae will still be large and the breasts will not radically change in shape.... more

Options for a not so tuberous breast

Actually your breast is ptotic and asymmetric, and options involve lift, implants, or both, though fat grafting is certainly possible depending on your goals. Your abdomen is likely to need only liposuction and the fat could be put to use in the breast if you wish to avoid an implant, but only a lift will get the nipple up front and center.

Lipo and a pexy

Lipo and a pexy will probably be all you need. You did not mention anything about having kids, I usually save tummy tucks for women who have stretched out the skin and muscles with pregnancy or extreme weight loss.

Tuberous Breasts , Tummy Tuck or Lipo?

Tuberous breast There are a number of features that define a tubular breast: •Wide and puffy areolae •widely spaced breasts •high breast fold •constricted lower pole (deficient tissue in lower half of the breast •minimal breast tissue •high breast fold •narrow base of the breast Most of these are present in your photos. To improve the breast appearance, a breast lift will be required, and some volume increase, and in this setting, an implant is, I believe,... more

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