Can I get fat transfer to breasts even though I have implants? (Photo)

Thank you for your pictures and questions. To answer your question directly, yes, you can have fat grafting to the breast with an implant in place. Sometimes it is required to remove the implant, place the graft, and then replace the implant, so as to protect the implant during grafting. Usually with placement of soft tissue support mesh, there is much less settling with time and with proper use of the mesh, the position should be relatively stable over time.
Also, not sure of the timeline of the photos you shared, but I would suggest that, depending on your goals, you probably need a more aggressive lift to achieve a more youthful appearance. A "donut lift" cannot remove significant tissue in the horizontal and vertical dimension and is often not adequate to shape the breast. Especially if an implant is used at the same time and the donut lift is over-used, it will lead to stretching of the scar and areola and a poor outcome.
My suggestion is that if you have really had 10 breast operations in 10 years, then I would consider seeing someone with significant experience in revision breast surgery to have a detailed discussion about your goals and how to safely obtain them.
Good luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

The most important question here is what do you want? Ten breast operations with unintended results deserves re-thinking. My opinion is your breasts are too large for your frame, you have asymmetry with some degree of ptosis and stretching of your tissues bilaterally. It may behoove you to remove the implants, let your tissues recover and then carefully consider what you want long term. Thank you for sharing.

If you have donor fat, it can be added for better coverage, even with implants. The purpose of the mesh is to hold the implant in a certain position and avoid more dropping and settling and sagging.