Can my breasts be increased 2 cup sizes bigger by fa at transfer?

Question

5'7 and 157. I wondering if it's possible to increase two cup size breast by fat transfer?

Michael Baumholtz, MD, FACS · Answer

Great question. 
Let's start with the following statements
1. There is NO industry standard for bra cup sizing. Go to 5 stores and buy the same letter and number bra and you might end up with 5 different bras and none fit. 
2. Fat - in and of itself - is not a great structural material in terms of giving a breast shape, roundness, etc
3. Only about 60% (give or take) of transferred fat actually lives in its new grafted position. Some surgeons will claim higher numbers but this is a safe reasonable number. What this means is that your desired goal may take more than one operation

Here's a scenario: 
A woman sees me and after using the VECTRA, we decide together that she likes the look a 450cc moderate profile implant gives her. In terms of fat transfer - that means we would need to harvest almost 1000cc of usable fat for transfer and of that 1000cc only 600cc survives. Let's also assume that for this scenario that fat graft losses are perfectly symmetric (which it rarely is). To achieve the original goal of 450 / side - we need another trip to the OR. Compare that to a relatively straight forward procedure that takes about an hour and can offer a variety of sizes and projections.

Dont get me wrong - I LOVE fat grafting and routinely use it for a variety of situations - just maybe not for this one.

seek out a board certified member of ASPS / ASAPS and GOOD LUCK!!

Randal Haworth, MD, FACS · Answer

A fat transfer to your breasts is an alternative to undergoing a traditional breast augmentation with implants. Generally, the procedure can increase your cup size some if you have enough donor fat to harvest from other areas of your body such as waist, back, flanks and thighs. I have had excellent results with  purified fat transfer to the breast but managing expectations with the patient is key. I recommend an in person consult with a board certified plastic surgeon to address your concerns, discuss risks and form a cosmetic treatment plan that best suits your needs.

Frank Agullo, MD · Answer

I can commonly increase breast size by one or two cups with fat grafting. To increase the breast by two cup sizes we would need to inject between 500-600 cc of fat. Photos would help to determine if that much fat would actually fit into your breasts in one session.

Daniel Barrett, MD · Answer

Dear samanthajohnson5510,fat transfer to breasts is a great option for woman which want to avoid implants and which want just a slight increase in size. Fat transfer can provide only one bra cup larger breasts. Breast implants are a great option for those woman which are looking for a bigger increase in size. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Andrew Jimerson, MD · Answer

Typically the best candidates for a fat transfer breast augmentation are those  looking for a relatively small increase in breast size (typically 1 cup size). You risk compromising the blood supply to the breast when attempting to do a larger volume than 1 cup size.

Daniel Brown, MD, FACS · Answer

Hello and thanks for your questions.  Short answer is, no.  You cannot go up 2 cup sizes utilizing fat transfer for breast augmentation.  The usual increase gained would be 1 cup size.  There are multiple reasons why this is the case, and I would encourage you to schedule a consultation and discuss your breast augmentation fat transfer treatment options with a Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), who is a member of the American Society of Plastic Surgery (ASPS), and also a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS) demonstrating their commitment to cosmetic surgery and excellence in surgery.  Assure that they have multiple before and after photos of results that you like so that you can have an informed discussion about your breast enhancement and possible results.
Best wishes!
Daniel Brown, MD, FACS     Diplomate, American Board of Plastic Surgeons    
Member American Society of Aesthetic Plastic Surgeons    
Member American Society of Plastic Surgeons     
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Robert Whitfield, MD · Answer

I would say that a cup size is realistic based on your physical exam and breast size. It is best to have a consult. I have done over a thousand fat transfer cases to the breast/chest and each one is different.

Karthik Ram, MRCS, DNB · Answer

Hello, Thanks for sharing your query. Breast fat fill is a very good option for people not willing for implant.  Fat fill can give you upper pole fullness but not so much of projection. Usually you can expect one cup size increase by fat fill. Additional augmentation may require another sitting of fat fill. Consult a board certified plastic surgeon.

Can my breasts be increased 2 cup sizes bigger by fa at transfer?

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