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

Question

It has been recommended I get strattice to treat cc but my concern is that it does not guarantee that I will not require surgery in the future. Am I too old for FT to the breast? I exercise and am in good health but there must be a point in time that lipo doesn't make sense due to skin elasticity.

Gary M. Horndeski, MD · Answer

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.

Kenneth Hughes, MD · Answer

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.

David C. Yao, MD, FACS · Answer

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!

Ronald J. Edelson, MD · Answer

I am assuming that you mean if the strattice doesn’t work and you need to get the implants removed. You certainly can get fat transfer to the breast at any age. You just need to keep your expectations very modest at best. In most cases little or nine of the fat survive and we don’t know if it’s age dependent.

Daniel Barrett, MD · Answer

Dear orbis,
as long as you are healthy, you are not too old for fat transfer. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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

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

Answers (8)

Answer: Fat transfer to breast

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Everything you need to know about Breast Fat Transfer

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