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!

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

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).

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.

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

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

Answers (6)

Answer: Breast lift with fat transfer

Answer: Breast lift with fat transfer

Answer: Fat

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Everything you need to know about Breast Fat Transfer

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