Can I get fat transfer to make boobs more full after weight loss? (photos)

Question

My boobs are big but they have deflated a bit after I went down 165 to 150lbs. I want them to be full again. A breast lift would be an option, but that surgery gives you totally new shaped breast and sometimes scars are intense; especially when lifting big boobs I've noticed ( I'm currently a 34dd). I don't mind the boobs hanging, I just want them to be full of milk again lol. Fat transfer an option? breast implant to add volume? I have good upper poles but the breast flattened a bit. Boob lift?

Daniel Barrett, MD · Answer

Dear  thesweetestchick,
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

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a ""cookie-cutter"" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. For those women who prefer a ""Natural Breast Augmentation"" without implants, fat grafting is a safe, natural, and minimally invasive approach that offers low-maintenance, long-term improvement in size and contour. After harvesting the fat from your body, we purify and enrich the fat before injecting it in the desired areas to improve volume and shape.
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Rodger Shortt, FRCSC · Answer

When choosing how to add volume to the breast the two main choices are fat injection and implant.  If you are really only looking for a small increase fat can work great.  In people with substantial breasts to start there is a lot of room to place fat.  Essentially a breast can be doubled in size at the time of surgery.  A conservative estimate of the fat that survives is 50%.  That means that in one surgery you could be around 50% larger after all is said and done.  If a more aggressive procedure is done, and more fat is added, it doesn't really survive and that is when cysts start to occur.

Kenneth Hughes, MD · Answer

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.  Multiple transfers would be required for additional cc's.  In general, the abdomen and thighs are preferred donor sites bur fat from other areas can be used.
Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival.  Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. I typically transfer from 250 cc to 400 cc or so per breast as about 50% will survive.
Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations.

Shahriar Mabourakh, MD, FACS · Answer

Breast augmentation can be performed with fat transfer to avoid use of silicone or saline implants. The procedure works well but is limited by available amount of that can be transferred. The procedure starts with body contouring with liposuction. The fat is harvested and preserved in sterile container and transferred to the breasts. You can expect some loss of volume at first but what remains will be permanent.

Trevor M. Born, MD · Answer

Dear thesweetestchickThank you for your questions and photos!  Fat transfer to enhance breast size is a good option !  With Warm RegardsTrevor M Born MD

Connie Hiers, MD, FACS · Answer

You would do best with a breast lift to help restore a better shape. Adding more volume with fat or implants may just give you larger sagging breasts. I would suggest meeting with a board certified plastic surgeon and discussing your options.

Charles Nduka, MD · Answer

Fat transfer can indeed increase fullness of a breast. However, fat transfer can produce limited results, as there is only a limit as to how much fat can be safely transferred without causing complications like fat necrosis. A breast lift may be a better option if you want to achieve fullness and tightness without increasing the breast size. This should be determined in an in person examination. Schedule an appointment with a board certified plastic surgeon for an assessment and a detailed discussion of your surgical options.

Julie Khanna, MD, FRCSC · Answer

Thank you for your questions and congratulations on your weight loss!  Our breasts always seem to take the hit when we lose weight and this can be seen as volume loss or droopiness.  If you are looking to achieve fullness closer to the top and middle of your breasts, fat transfer can help this, however it might be better achieved with a breast lift as well to get that fullness you are looking for.  A more subtle approach along with the fat transfer to get a little bit of lifting might be Radio Frequency Tissue Tightening such as Renuvion or BodyTite.  This would be a modest lift in comparison to a surgical mastopexy, but would not have the scarring associated with it.  As always, consult with a Board Certified Plastic Surgeon and best of luck!Dr. K.

Can I get fat transfer to make boobs more full after weight loss? (photos)

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