Will lipo and fat grafting help even out asymmetric breasts and torso /hips from scoliosis? (photos)

Recommend that you schedule an in-office consultation with a board certified plastic surgeon who performs hundreds of breast and liposuction procedures annually.  This is the only way you will be able to obtain an objective opinion regarding the best plan for you to achieve your ultimate goals.
In general, 200 cc per breast 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 to live during one transfer.  The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast.  
Fat transfer to the breast could improve the fullness of the breast, particularly at the top of the breast.   Multiple treatments may be required to reach the size you desire.   About 50% of the fat obtains permanence.  Sometimes, individuals will have problem areas that are relatively exercise resistant. These are the focus areas for your plastic surgeon to lipo.  The waist can be made smaller with liposuction, and the hips can be fat grafted to give a rather significant change in waist to hip ratio.  Liposuction of the abdomen, back and flanks results in a waist as small as possible. 
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

From the photographs provided it's not possible to comment on your specific situation. Nevertheless, because the asymmetries appear to be modest fat grafting would definitely be a therapeutic option.

Liposuction will reduce fat in the desired areas but it does not correct asymmetry associated with scoliosis. Asymmetries related to spinal curvature will still be present. Fat grafting to the breast is a great procedure for women wanting to augment the breasts without using an implant. Fat can be taken from your torso and add more volume to the breast. It would be best to show more of the areas of concern for a better evaluation of the breasts without the bra in place. 

Dear Sug86,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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You did not show your breasts, so I cannot be specific. However, for small aysmmetries, fat transfers can help even out breasts sizes. You would do well with liposuction to the flanks and abdomen, but this will not correct the scoliosis.

Hi there,

I think fat grafting is a great idea for your purposes.  Yes, you may be able to contour hips and waist to look more symmetrical, and it is a great way to make your breasts more symmetrical. 

Fat will last a lifetime, and will behave like the area from where it has been harvested.  About 60-70% will survive the transfer and your final result will be visible at 3 months.  Better yet, it is repeatable if your result is not exactly what you hoped and revision surgery is not much more complicated than your initial operation.

I hope this helps.  Last piece of advice, find a reputable plastic surgeon who performs a lot of fat grafting to avoid complications.
Good luck!

Dear Sug86,Perhaps it is not translating well on the photos, but there is not a readily appreciable asymmetry in your abdomen, hips, torso, nor a severe scoliosis.  I tell all of my liposuction patients that pre-existing asymmetries, although attempts are made at correcting them, may persist after surgery.  So, although it is possibly correctable, it may persist to some degree.  On the other issue, breast asymmetry, fat transfer may provide the best option for correction.  The photos are not revealing enough to comment any more accurately on that subject.  Fat transfer breast augmentation or asymmetry correction has a number of risks, indications, known effects and nuances that are best discussed with an American Board of Plastic Surgery board certified plastic surgeon during an in person consultation.  Good luck!

Dear Sug86,Hello and thank you for your excellent question. Based on your photos, you are an excellent candidate for liposuction and fat transfer to the breasts. You may want to look into a fat transfer procedure that combines both liposuction with laser, radiofrequency (RF), or acoustic therapy to produce the best balance of fat reduction, skin tightening and smoothing at the liposuction site, and maximizes your fat graft success at the transfer site (i.e., breast, buttock, hand, face, or elsewhere). In addition, and most significantly, we have started to ENRICH our fat transfer for stem cells through a proprietary, FDA-approved process. This gives you the best quality fat for transfer, and the highest percentage of successful engraftment. Our fat transfer process builds on work for over the last 12 years. First off, all devices and instruments used are FDA-approved, unlike some of the liposuction and fat transfer devices being used today. We only use techniques that have been proven to minimize the risk of complications of fat transfer, like fat embolism, but following all recognized guidelines. We typically use Smart / Laser Liposuction or VASER (ultrasound) to reduce dense, fibrous fat, stimulate collagen formation, and obtain the best fat graft possible; Radiofrequency-based skin tightening (like InMode Body Fx) to maximize skin contraction; and Ultrasound, RF, or subcision (Z Wave, Venus, Cellfina) to treat cellulite, increase blood supply to the fat graft site, and get rid of any lumpiness that can occur after fat grafting. With regards to our fat transfer, we have a unique and safe way to increase the percentage of stem cells and growth factors in the transferred fat by nearly 200% (and oftentimes higher). Patients go home the same day as surgery, do not need any narcotics postop for pain control, and can return to light exercise and work two days after their procedure. In my practice, we select the appropriate treatment for each patient based on their skin quality, amount of fat and surgical goals. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

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