What is a good breast implant alternative for patients with autoimmune skin condition pemphigus vulgaris?

Question

Age 42 female , had 2 children birthed naturally diagnosed with auto immune skin condition pemohigus vulgaris

Ryan Rebowe, MD · Answer

Fat grafting can be utilized to enhance the size of the breasts. In this procedure, fat is removed from other areas of the body with liposuction and then re-injected into the breasts. While this procedure can be very effective, it unfortunately depends on the amount of fat that you will have to graft. In other words, if you are a relatively skinny person this may not provide you with enough tissue to effectively increase the size of the breasts.

Irena Karanetz, MD · Answer

Hello,
 
Thank you for the question.
 
Fat transfer to the breasts procedure also known as breast lipofilling can help increase breast volume and projection without placing breast implants.  This is usually done through tiny incisions with minimal scarring.  It also allows improvement of contour in the areas where the liposuction is performed in order to harvest the fat for transfer.
 
It is a relatively safe procedure with low risk of complications. 
 
Fat transfer to the breasts also known as breast lipofilling can help increase breast volume and projection, and can be performed together with other breast procedures.  It should not affect your breast feeding potential. 
 
In general, about 50-70% of transferred fat will survive after the surgery and the fat that does survive will act like normal fat.  Often, more than one fat transfer session is required to achieve desired results.
 
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
 
I hope this helps.
 
Best, Dr. Karanetz
 
Dr. Irena Karanetz
Breast Fellowship Trained
Board Certified Plastic Surgeon

Camille Cash, MD · Answer

If you are not interested in breast implants the other option is fat transfer.  However it is important to note that grafted fat may form microcalcifications that could interfere with future mammography.  I encourage you to meet with a board certified plastic surgeon near you to discuss your desired look and to learn more about options.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size.  Certainly, fat transfer is an alternative for you.  Also, repositioning the breasts with a breast lift will reshape the breast and create projection.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Lnish,
if you don't want breast implants, then fat transfer might be an option for you. Fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

What is a good breast implant alternative for patients with autoimmune skin condition pemphigus vulgaris?

Answers (7)

Answer: Fat transfers and possible breast lift

Answer: Fat transfers and possible breast lift

Answer: Fat transfer

Answer: Fat transfer

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Everything you need to know about Breast Implants

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What is a good breast implant alternative for patients with autoimmune skin condition pemphigus vulgaris?

Answers (7)

Answer: Fat transfers and possible breast lift

Answer: Fat transfers and possible breast lift

Answer: Fat transfer

Answer: Fat transfer

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.