Injecting fat under the muscle for fat transfer to breasts procedure?

Question

I'm interested in getting this procedure and my plastic surgeon has said he will inject the majority of fat under the muscle in the breast and a little on top of my breast tissue. I'm concerned about calcifications etc. and was wondering if it'd be okay to only get fat injected under the muscle. Is there any risk of doing it under the muscle only? I'm only after a minor breast size increase.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.Fat grafting is safe procedure. As a chief of plastic surgery for a hospital and a director of a breast center, we followed hundreds of my own patients that underwent fat grafting. We found that it is easy to differentiate between fat, calcifications and even scarring.The injections take place in the breast tissue and in the muscle.Under the muscle is a little worrisome due to possible complications The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz

Gerald Minniti, MD, FACS · Answer

Hello,Unless you misunderstood your surgeon, you should perhaps consult with others.  Fat transfer to the breast is performed by both subcutaneous and subglandular placement of multiple thin ribbons of fat. There is no intra- or sub-muscular fat placement that would be effective, and worse, it could possibly increase your risks of fat embolism as we have seen in the buttocks.As for calcifications, There has been significant data to support that fat grafting does not impair the performance of reading of mammograms.Best of luck!

Justin Yovino, MD, FACS · Answer

Fat transfer to the breasts is one of my favorite procedures to perform. It's very safe and natural. There's also the added benefit of body sculpting since the fat is removed from problem areas. I stay away from the muscle since it's dangerous for many reasons. I place the fat just superficial to the muscle and around the breast tissue.

Farbod Esmailian, MD · Answer

My advice for this procedure is to make certain the plastic surgeon you are seeking has vast experience with fat grafting to the breast for augmentation procedures.  Most plastic surgeons who perform breast reconstruction after cancer surgery do perform breast fat grafting, but not many perform fat grafting for augmentation purposes because the results that are achievable are varied and usually very subtle.Good luck.

Michael M. Omidi, MD, FACS · Answer

The fat can be placed under the muscle and above.  In breast reconstruction patients it preferable to place it under, intra (inside) and above the muscle since there is no breast tissue available.  Generally for augmentation, it is not necessary to go underneath the muscle.

Connie Hiers, MD, FACS · Answer

Fat is transfer into the breast tissue itself, and not into or under the muscle. The movement of the muscle would probably decrease the survival of the fat. Perhaps your doctor discussed placing an implant behind the muscle as an alternative.

Joel Aronowitz, MD · Answer

Fat injection of the breast has proven to be ineffective and low complication method of breast enhancement over the past several years. The lack of predictability is the  problem and small calcifications and oil cysts occur in around 5% of cases. These are easily differentiated from breast cancer with imaging and easily treated.Adipose stem cell  enhancement of fat grafts is one method under investigation to improve fat graft permanent volume.  Injection into the pectoralis muscle in general is successful  because of the excellent blood supply of muscle, but does very little to enhance the volume of the breasts. Good luck to you.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and fat injections into the breast are safe procedure for breast enhancement whether into the muscle or directly into the breasts Dr Corbin

Injecting fat under the muscle for fat transfer to breasts procedure?

Answers (8)

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