Hi there! I just wrote this huge long thing and accidentally deleted it.....if I actually post this twice my apologies!
Agree with you, this website is great although with so many opinions and experiences it can be a bit overwhelming......so here is my experience! Like you, I developed asymmetrical breasts as a teenager. I was very thin and a full B on one side and an A at best on the other. I understand completely how you feel, it was devastating and made me terribly insecure. I had this falsie that would inconveniently pop out of my bathing suit....I couldn't wear what I wanted, etc. so at 19 I got a single implant to augment one side, a round saline 300cc implant under filled to 275 as my natural side had a sort of bottom heavy shape. I am actually number one on my ps website (Dr Creasman in Palo Alto, under breast problems). It looked great. Yes it felt different but I ha so much more confidence. Other cons for me was major loss of sensation (due to having to stretch from very small to that size) and I did not like anyone to touch it - I sill had major hang ups about that side in general and did not want to discuss or even go there. But I still was very glad I did it. Slightly unusual to just do one side, but I really liked my natural breast and am glad I kept it that way because of the mentioned loss of sensation and also I did NOT want to go bigger and smallest implant would be 150cc if they had put one in that side. Would have looked bad on my frame.
As I aged, I was less please with the implant. My natural breast got smaller, changed shape etc while I think I DID actually gain some tissue in the implant side. My implant may have bottomed out a little (not much) and I did get thinner, so it looked less natural. Since you have more tissue than I did to start with, I doubt this would be such a problem for you. Anyways, my implant side ended up being bigger than the other side and about a year ago I decided I wanted it out. at this point in my life I don't mind a little asymmetry and want something squishy that feels like me. Plus I have a lot more self confidence now and am married.
Three weeks ago I explanted and did a fat transfer at the same time. Turns out my difference was ony 170cc now and I had 240 grafted in....hoping to keep at least 100. I have to say surgery at 19 compared to 29 is a lark.....this one hurt. I did not have any implant exchange because I do not want any more surgeries or scars, there is also a risk of losing breast tissue of the capsule is thick. Mine was thin and the surgery was uncomplicated.
I agree with you fat transfer will improve and more will be known about the risks and results in 5 or 10 years. An implant is more reliable. My only words of advice is not too go too big and don't leave it in too long - my 275cc left in for 10 years definitely left me saggy and the ft won't fix it all. Any lift is out of the question until I have kids (messes with the nipple). The smallest implant is 150cc and I am not sure what difference yoU have, if you do both sides it could be bigger than you want. I was glad that I only did one side and as you have more tissue, they would probably look and feel more natural.
Where I am now, I would be ecstatic to have breasts like yours. But I understand what you are going through and my implant did really make me much happier and more confident right when i needed it. Although the thoughts "wow I wish fat grafting had been an option for me back then" have passed through my mind lately, I think you have very good points and on reflection yeah, I would not want lipo on my young body. Or the possibility of not retaining the fat. Implants can be good but I would definitely stay small, not keep them in very long and consider only doing one side. Less future surgery/sagging and less scarring! I am sure they will perfect fat grafting in the future and you an do it then if you want.
Good luck!
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Posted to Fat Transfer to Breast...Very Nervous but Mind is Made Up! - Florida on 4 Jan 2013