Breast fat transfer with or without breast lift? (Photo)

Deciding whether to undergo a breast lift along with a fat transfer is a personal choice that depends on your individual goals, anatomy, and preferences. Here are some factors to consider:
1. Breast volume and shape: Fat transfer can restore lost volume and improve breast shape by adding natural-looking fullness. However, if your breasts have significant sagging or ptosis due to breastfeeding, a breast lift may be necessary to reposition the breasts higher on the chest and create a more youthful contour.
2. Skin elasticity: A breast lift is often recommended when there is excess skin or sagging tissue that cannot be addressed solely with fat transfer. If your skin has lost elasticity and you have noticeable drooping, a breast lift can help tighten and firm the breasts for a more lifted appearance.
3. Scarring concerns: Breast lift surgery typically involves incisions around the areola, vertically down to the breast crease, and sometimes horizontally along the crease. While scarring is inevitable with breast lift surgery, most patients find that the benefits of improved breast shape and contour outweigh the presence of scars. However, if you have concerns about scarring, discuss your preferences and expectations with your surgeon to explore options for minimizing scarring and achieving the best possible outcome.
4. Consultation with a plastic surgeon: Schedule a consultation with a plastic surgeon who specializes in breast surgery to discuss your goals and concerns. During the consultation, your surgeon can evaluate your breast anatomy, skin quality, and degree of sagging to recommend the most appropriate treatment plan for achieving your desired results. They can also provide personalized advice on whether a combination of fat transfer and breast lift or fat transfer alone would be most beneficial for you.
Ultimately, the decision to undergo a breast lift along with a fat transfer depends on your individual circumstances and aesthetic goals. By consulting with a qualified plastic surgeon and discussing your options in detail, you can make an informed decision that aligns with your preferences and helps you achieve the look you desire.

Your breasts are too low on the chest wall. You will need a breast lift using 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.

Best Wishes,

Gary Horndeski, M.D.