Can I get these results with a fat transfer and lift? (Photo)

Question

4"11 130lb mother of 2. I have Rhuematoid Arthritis and I am concerned about getting implants. I had a fat transfer 2 years ago, but would like to go bigger. I would like some insight if I could get a similar result using fat and lift if needed. Thank you!

Gerald Minniti, MD, FACS · Answer

You will never get a look like those in the posted pics because fat has no structural support (like an implant). The data is overwhelming and decisive: silicone gel breast implants do not cause auto-immune or connective tissue disorder diseases. Period. Silicone products have been used extensively in military, medical, food, and industrial use since the 1930's. Large and statistically significant studies from around the world have shown silicone is safe. There are millions of people with various types of implants other than breast implants made out of the exact same material, yet have no problem with their health. These devices include cosmetic testicular implants (the very first cosmetic implant made of silicone - 1940's), cosmetic facial implants, neurosurgical implants like the ventriculo-peritoneal shunt, finger and wrist joint implants, urinary shunts and chronic indwelling urinary catheters, and portions of cardiovascular and orthopedic implants. Do not fear and get your implants!

Alan Gonzalez, MD, FACS · Answer

Hello @smlucchi, Thank you for your question. It is possible to achieve perkier, fuller, yet natural-looking breasts through fat transfer and breast lift. If you look at the breast and the nipples are below the inframamary fold, the upper pole area has lost volume. If we only add volume with fat transfer, gravity will have its effects, and the breast will still be looking down. With a breast lift, we can reacommodate the mammary tissue, elevate the nipple, and later have a breast fat transfer procedure if you would like more volume. I linked to a video on the BRALift technique to shed more light. I recommend scheduling a consultation with a board-certified plastic surgeon. This will allow you to examine and discuss the best options for your specific case and goals.

Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Daniel Barrett, MD · Answer

Dear smlucchi,
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

Harry T. Haramis, MD, FACS · Answer

A lift can make breasts appear higher and slightly rounder, similar to last photo but not exactly as everyone’s anatomy is different.

There are always right to left differences before and after any procedures.

Lift with further fat transfer for more upper fullness can improve results and should be discussed further with your plastic surgeon.

Connie Hiers, MD, FACS · Answer

On average, you can gain about one cup increase in size with fat.  You will not achieve the look of the last photo without implants.

Mats Hagstrom, MD (license on probation) · Answer

If you have previously had breast fat transfer, then you should be fairly familiar with the process.
The procedure can generally add 1/2 to maximum one cup of volume to someone’s breast. Equality outcome at about 50% total breast volume.
The procedure can increase breast size by modest amount, but does not do very much for changing breast shape.
 I personally do not perform fat transfer in conjunction with mastopexy surgery.
Generally speaking second round of fat transfer, are at least as good, if not better than the first round of fat transfer. Women with larger breast have more host tissue to support larger volumes of grafted fat, and can successfully accept significant amounts of fat grafting.
I personally tried to double the size of the breast during a fat grafting procedure sometimes grafting even 300 percent to compensate for fat loss overtime.
Delivering consistent quality, liposuction and fat transfer results is not as easy as most people realize.
The number of providers who truly mastered this procedure are in a small minority.
The most important variable is provider selection at the patient candidacy.
 if you’re happy with the outcome of your previous procedure, then follow up with that provider and get an assessment for a second fat transfer procedure.
If you choosing a new provider, I suggest patient start the process by having multiple in person consultation with plastic surgeons in their community we seem to have a lot of experience doing both Liposuction and fat transfer.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own.
An experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
 being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what results look like in the hands of each provider or how many of these procedures they’ve actually done.
Being board-certified in plastic surgery does not mean somebody is mastered anyone single procedure especially not liposuction and fat transfer.
Recognized that transfer always includes both Liposuction and fat transfer.
Verifying that your surgeon has appropriate section skills since when things go wrong with this procedure it is often related to poorly down Liposuction. Poorly done Liposuction can be very difficult to correct, and can leave people permanently disfigured.
Considering how much variation there is in Liposuction and fat transfer skills among plastic surgeons, I recommend patients have multiple consultations before selecting a provider.
There’s no correct number of consultations needed to find the best provider.
The more consultations you have the more likely are to find the better provider.
 The biggest mistake patient’s bank is having only one consultation and then scheduling surgery.
Without having multiple consultations, you eliminate the ability to select the better provider.
You seem like a very good candidate for having another round of fat transfer. By far the biggest variable is going to be provider selection.
One more thing to be aware of.
 Early results from fat transfer can look very impressive.
Early results, however, do not represent long-term results.
When reviewing before, and after pictures, always confirm the timeframe of when after pictures were taken in relationship to the date of surgery.
In order for after pictures to be representative, they should be taken a minimum of three months from the date of the procedure.
 Taking pictures a few weeks after the operation creates the illusion that fat transfer can create results, consistent with results that breast implants. In reality, the final, long-term results were far more subtle and patient should recognize the limitations of the procedure.
Best,
Mats Hagstrom, MD.

Can I get these results with a fat transfer and lift? (Photo)

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