Am I too old to get a fat transfer to breast at 65?

Unfortunately, you have not provided photographs or told us your bra size.  However, if you are having problems with capsular contracture, you may benefit from explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided and nipple sensation (in 95%) is maintained, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.  I have operated on women in their 70’s with fat transfer after a breast lift.Best Wishes,Gary Horndeski, M.D.

If you are in good health, age is not likely to adversely impact the lipo and breast fat transfer.  Breast fat grafting has the decided advantage of utilizing your own
tissue and avoiding all of the implant related complications including
rupture and capsular contracture.  In addition, fat grafting by its very
nature requires fat to transfer and thus liposuction is performed to
harvest the fat.  Thus, the patient can get improvement in the breasts
but in those areas of the body that are liposuctioned as well.   It is
critical that the surgeon a patient selects is an expert in liposuction
as well as breast augmentation.Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume.  In general, 200 cc perbreast is typically the upper limit of fat injection recommended by most plastic surgeons.  It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected tolive during one transfer.  Multiple transfers would be required for additional cc's.  In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used.

Thank you for sharing. Breast implant capsular contracture is well handled by pocket revision, capsule removal and frequently an acelluar dermal matrix like Strattice. Future surgery is possible.Fat grafting is a separate topic, and provided that a patient is healthy and has enough donor site availability, she is most likely an appropriate  candidate. Hope this helps. See a board certified plastic surgeon in your area. Best wishes!