How accurate is cc estimation during fat transfer to breast consultation? (Photos)

Fat transfer is a great option to enhance and shape your breast. I would bet that treatment of your abdomen, hips and waist /- your inner thighs would yield at least 300 ml pure fat in each breast. That would be a good amount of volume for your anatomy and with good injection technique, you can expect near 90% fat take. Thank you for sharing.

This is a good question. The amount of fat transferred is only half the battle since only about 50-60% of the fat transferred will survive. For example, even if 100cc was injected into each breast, about 50-60cc of fat at best will survive on the long run. The amount of fat that does survive, however, will be long lasting and permanent (as long as your weight stay stable - it will shrink if you lose weight and can grow if you gain weight). Approximating 75-100cc per breast seems reasonable given your body figure, however it is important to know that you may need multiple fat transfer surgeries to get up to a full cup size bigger in the breast. Your body figure is slender and you may not have enough fat to get to the ultimate size you desire, so it is important to know you will not be significantly bigger immediately - it is a journey that may require multiple procedures and patience. Hope this helps!

I would like to address your questions and perhaps suggest that both surgeons could be correct. First, not all the far which we transfer will survive and retain volume. So we rely on our literature and experience. Fat harvest sites are chosen based on where you have excess volume and could benefit form the liposuction. I suggest that anywhere between 50% and 70% of the transferred volume will persist. Some of my colleagues are more optimistic and some occasionally get better survival. Second, fat cell volume is quite effected by one's weight. So if you gain weight, your fat cells get bigger. If you loose weight, they will shrink. Each surgeon will estimate the potential fat harvest volume and translate that to cup size. Based on the literature, each cup size volume will be between 125 to 150 cc for an average patient. Any reasonable surgeon is happy to perform a fat transfer for a patient who has a reasonable expectation and is a good physical candidate (health and anatomy). Silicone or saline implants remain stable over time; fat changes. So if your desire is to undergo breast enhancement but want to avoid implants, fat transfer is the best option available. My only caution is to make sure you are consulting with a board certified plastic surgeon who is being cautious and honest.