Do I qualify for Fat Transfer to the Breasts? (Photo)

Question

I lost around 100 pounds by diet and exercise. I have maintained my weight for nearly 3 years, but since the weight loss I dislike my breasts. They are not the same size, and have significantly lost their volume. I do have some looser skin on my breasts, but I’m wondering if a fat transfer would fix this. I really hate the idea of implants and would love to go a more natural route.

Joel Patrick Maier, MD · Answer

Yes, you would benefit from fat transfer to help with volume and shape. You may opt for a left side, unilateral lift to help with symmetry . . . optional or delayed. You look think so and in-persona exam would help fat donor site selection. Thank you.

Gary M. Horndeski, MD · Answer

Your breasts are low on the chest wall, asymmetrical in volume, shape and position. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Cheerful596433,
it is hard to tell for sure without an examination. Based on your photos, it looks like only fat transfer would not fix the issues. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Hilton Becker, MD · Answer

Fat grafting is certainly an option for you provider that you sufficient donor sites for fat harvesting,
Remember fat grafting usually takes several sessions.

Connie Hiers, MD, FACS · Answer

If you have some donor fat, you may add fat to your breasts. However, fat alone will not lift your breasts and make them even. Congratulations on your weight loss!

Mats Hagstrom, MD (license on probation) · Answer

Fat transfer can increase breast volume by about one half cup size. 
The procedure is not helpful for women who want to change the shape of their breast. What you describe is more of a shape issue rather than lack of size. Implants would give a far better aesthetic outcome because implants unlike fat transfer change breast shape especially creating volume in the upper half of the breast.
I suggest having multiple in person consultations with local board certified plastic surgeons who have a proven track record with fat transfer and implant augmentation.
Best,
Mats Hagstrom, MD

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