Fat Transfer to Upper Breasts to Hide Rippling from Implants?
I am concerned about the implants being palpable and visible. I'm hoping that while having my breast augmentation, fat transfer could be done at the same time on the tops and sides of the breasts to provide better tissue coverage for the implants, and to camouflage the bony chest. Is this possible? What would be the average cost for this?
Doctor Answers 7
Breast augmentation, fat grafting, silicone implants
Dear Rainy Rainy
Thank you for your question. Fat grafting at the same time as your augmentation is possible. Certainly you need to have extra fat for the harvesting and injection. The fat grafting can also be done at a later date if you desire,
The recovery from the combined procedure may be a little longer- bruising and swelling but should not inhibit you from resuming normal activities immediately after surgery.
With Warm Regards,
Trevor M Born MD
Fat augmentation and breast implants
Hi, the best way to avoid rippling in this situation is to have silicone gel implants placed. Saline implants placed over the muscle, especially if you are very thin or have very little native breast tissue, will be more obvious and will be more likely to show ripples. Fat augmentation can be done, but this is very controversial in the plastic surgery community. Many of us hesitate to place fat into an organ that is at risk for cancer, as we don't know if this will make your mammograms more difficult to read in the future. We do sometimes place fat for breast reconstruction patients after mastectomy, as they have no breast tissue left that might be prone to cancer. i would discuss this with your plastic surgeon to make sure that you are advised about the risks and benefits. The cost would vary depending upon where you are and how much fat would need to be placed. I personally would recommend using gel implants and then assessing your results once the swelling has resolved. Chances are that you would not need fat grafting that time. Good luck, /nsn.
Factors that are associated with increased rippling include:
- Traditional Saline implants (IDEAL® Saline implants less likely)
- Textured implants
- Large implants
- Thin patients with low BMI
- Implants placed above the muscle
- Prior history of rippling
- Heavier and larger breasted women
- Using a highly cohesive form-stabile silicone implants (gummy bear)
- Smooth implants
- Smaller implants
- Submuscular placement
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Yes fat can be used to camouflage rippling
Fat grafting can be an excellent option to add fullness to the upper pole of the breasts and to cover rippling of underlying implants, and to correct assymetries
However fat grafting is very technique sensitive, and surgeons who do not pay attention to each aspect of the process may not get consitent results. Every component of the procedure from fat harvesting, to fat purification, to micrografting technique, can make a difference. With careful attention to every step, anywhere from 70-90% take of the injected fat can be expected to survive.
We have installed the first Liquid Gold mini fat bank in the US, and with just one liposuction procedure we are able to successfully store fat, which allows us to save as much fat as needed for one or more procedures.
Fat transfer can be used but it may or may not be advisable at the time of your augmentation surgery. It really would depend on your anatomy. The real question is why can't your implants be placed submuscular. The only patients in whom this is not possible are patients who lack the pectoralis major muscle.
Fat grafting is a valuable tool in breast surgery. This technique has gained more popularity over the past 7 years. There are many techniques used to harvest the fat, process the fat and then re-inject the fat. Conventional suction lipectomy is performed with a small diameter cannula, processed by separating the liquid and fibrous tissue from the fat, and then placed into syringes for re-injection or through a closed system.
Breast Enlargement with Fat Transfer AND implants
In general, placing the implants under the muscle decreases visible rippling, as does the use of silicone gel rather than saline. I'm not sure why you can only have them placed above the muscle...but, if accurate, you can also have fat grafting, which should help. Doing it at the original time is also possible, though you may need additional procedures at some point to fully correct the contour and to adapt to whatever changed occur to your implants over time.
I hope that this helps and good luck,
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