I'm 29, 4'10, 100lbs, 34B. My biggest concern is fixing the asymmetry and loss of volume. The first 2 surgeons I consulted with suggested implants & a lift to fix the asymmetry but the third suggested a fat transfer with a lift which I had never heard of before and it seriously interested me. Except he only had one example of that procedure to show me...Would a fat transfer with lift be the best option for me? Should I continue to go to more consultations?
Answer: Asymmetry and Augmentation I think what's settled is the lift part, although we could debate the merits of a unilateral lift versus bilateral (both breasts). The other part is increasing volume, and that comes as either the use of implants or fat grafting, the results of which are different. Although it is hard to tell the difference when a small implant is utilized, typically implants give more projection and upper pole fullness when compared to fat grafting. Further, the amount of volume enhancement is assured with implants, with fat there will some attrition of volume (but what survives stays forever, like fat on the rest of the body). The other big issue that doesn't seem to register with many potential patients is that fat grafting requires liposuction, a common procedure, but nonetheless one that involve other body parts that require care after surgery and the potential for unintended contour defects. So, fat grafting of the breasts requires candidacy for liposuction too, and all that that entails (risks and benefits). Finally, fat grafting a breast simultaneously with a breast lift carries some issues too, and I prefer to stage it into two procedures, typically lift first and fat grafting as a second surgery; this avoids the potential for more graft loss and maximizes circulation to the freshly lifted tissues enabling optimal healing of incisions.
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Answer: Asymmetry and Augmentation I think what's settled is the lift part, although we could debate the merits of a unilateral lift versus bilateral (both breasts). The other part is increasing volume, and that comes as either the use of implants or fat grafting, the results of which are different. Although it is hard to tell the difference when a small implant is utilized, typically implants give more projection and upper pole fullness when compared to fat grafting. Further, the amount of volume enhancement is assured with implants, with fat there will some attrition of volume (but what survives stays forever, like fat on the rest of the body). The other big issue that doesn't seem to register with many potential patients is that fat grafting requires liposuction, a common procedure, but nonetheless one that involve other body parts that require care after surgery and the potential for unintended contour defects. So, fat grafting of the breasts requires candidacy for liposuction too, and all that that entails (risks and benefits). Finally, fat grafting a breast simultaneously with a breast lift carries some issues too, and I prefer to stage it into two procedures, typically lift first and fat grafting as a second surgery; this avoids the potential for more graft loss and maximizes circulation to the freshly lifted tissues enabling optimal healing of incisions.
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Answer: Breasts A lift and fat transfer could be done, but probably in two sessions. With fat, you won't have a lot of upper breast fullness that you can have with implants. With fat, you may only gain one half to one cup with each transfer. If you don't want much more fullness, then fat may be a good option. If you want at least 2 cups increase in size, implants will work better, especially long term.
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Answer: Breasts A lift and fat transfer could be done, but probably in two sessions. With fat, you won't have a lot of upper breast fullness that you can have with implants. With fat, you may only gain one half to one cup with each transfer. If you don't want much more fullness, then fat may be a good option. If you want at least 2 cups increase in size, implants will work better, especially long term.
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March 17, 2022
Answer: Bellesoma Method The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.
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March 17, 2022
Answer: Bellesoma Method The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.
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March 17, 2022
Answer: Breast asymmetry You could have a lift with or without implants. Fat transfer is a total loser. Results are poor and can have problems such as lumpiness or cyst formation.
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March 17, 2022
Answer: Breast asymmetry You could have a lift with or without implants. Fat transfer is a total loser. Results are poor and can have problems such as lumpiness or cyst formation.
Helpful
March 17, 2022
Answer: Fat Transfer for Breast Asymmetry Hi, from your photos you look like you would be a good candidate for fat transfer or implants, and I agree you would benefit from a lift in conjunction with either. The most common harvest sites for fat transfer are abdomen or flanks, but thighs are good option as well. Hope this helps in your decision process.
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March 17, 2022
Answer: Fat Transfer for Breast Asymmetry Hi, from your photos you look like you would be a good candidate for fat transfer or implants, and I agree you would benefit from a lift in conjunction with either. The most common harvest sites for fat transfer are abdomen or flanks, but thighs are good option as well. Hope this helps in your decision process.
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