Is Breast Fat Transfer Suitable For Asymmetry?

Question

I have always had slightly asymmetrical breasts but since breastfeeding it has become much more pronounced as one of my children would only nurse on one side. I do not want implants and wonder if fat transfer could make the right breast larger so that the cleavage line is the same as the left breast. Can you increase the "breast pocket" size with BFT? Also, the left breast has a dent in it that I wonder if fat can correct as well. Ultimately I want my breasts to look the same...

Alan Gonzalez, MD, FACS · Answer

Thank you for your question, @CAY787. Breast fat transfer or autologous fat injection is a natural volume technique that can be used for aesthetic or restorative purposes. Since each technique has its own indications and requirements, lipotransfer cannot replace augmentation mammoplasty with prostheses. As this technique provides symmetry and improves the body contour, it does not increase more than one size. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Jonathan Heistein, MD · Answer

Hi.  I think fat grafting would help your breast symmetry by getting closer to an equal volume. But it will not be able to create symmetry of the differences in the dimensions of both breasts. There are other more invasive options, but you may decide that it isn’t worth it for all of that. Meet with a board-certified plastic surgeon who specializes in this type of breast surgery, so he/she can talk to you in person about the options and expectations. Best of luck!

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position. You would benefit from a breast lift. 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. At the same time, fat transfers can be performed on the smaller breast to match the larger one.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You can try but it’s very hard to predict or control how much fat is retained . The other option is to reduce the other breast with liposuction.

Daniel Barrett, MD · Answer

Dear CAY787,
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

Connie Hiers, MD, FACS · Answer

You can achieve a more similar look and the dent may be able to be filled with fat. I would suggest meeting with a board certified plastic surgeon and discussing your options.

Sanjib Tripathee, MD · Answer

If you are looking for alternative to breast implant. Fat transfer is the best option for you. Fat can be transferred to smaller breast to match other breast. The only this is that, fat are unpredictable. The absorption of fat varies from patient to patient and also among 2 sides of the breast. So, your problem can be corrected but in some cases you might need next session of fat transfer.

Douglas Taranow, DO, FACOS · Answer

Your breast anatomy is quite different.  The medial cleavage will not be symmetrical with fat transfer.  The size difference may be reduced, but not symmetrical.  You might consider a lift with a small reduction on the right, or fat transfer to the left.
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Breast fat transfer is good for increasing the breast size by one half to one cup. It does however not change the shape of the breast significantly. Both breasts have fairly similar shapes and collecting for asymmetry with fat transfer it’s probably your best option.

Fat transfer primarily adds volume so adding volume to your left breast to try to correct the indentation or deformity would worsen the asymmetry to some degree.

Overall fat transfer to your right breast and correcting the defect with a moderate amount of fat seems like your best option.

Using traditional techniques would require different size implants and a lift on both breast.  That option would give aesthetically better looking breast. If you want to maintain your current look with a more natural approach than fat transfer is the way to go.

Grafting fat may increase the diameter but probably not enough to give full symmetry.  occasionally getting ideal results requires more than one session a fat transfer.

Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe. Look for the most experienced and talented local board-certified plastic surgeon for this procedure.

Best,

Mats Hagstrom MD

Arian Mowlavi, MD, FACS (license on probation) · Answer

Breast fat grafting provides the perfect opportunity to correct contour irregularity and size mismatch for your breasts. Another advantage is that you get to take advantage of getting 360 body lipo which will improve your over all contour. VASER liposuction is the best technique for providing optimal liposuction and fat graft viability. The only disadvantage is that it will not correct the sagging of your breasts and is limited to a total of 150 to 250cc of fat transfer to each breast.
The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Is Breast Fat Transfer Suitable For Asymmetry?

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