Brest lift with implants or fat transfer? (Photo)

Question

I've always had breasts that sag, they used to be a full 36B/small C but after breastfeeding two kids they have really deflated. I'm looking to get a lift but am not sure about a) what size I might expect from a lift alone, and b) whether implants or a breast fat transfer is a better option for augmentation. I'm nervous about the potential risks with implants but worry BFT might be a lot of additional surgery without the results I'd be looking for. I'd love to be a C cup again, nothing too huge

Carlos Mata, MD, MBA, FACS · Answer

"Thank you for detailing your concerns. Based on your description, a breast lift (mastopexy) will address the sagging and position of your breasts. If you're aiming for a specific size, combining the lift with implants may offer more predictable volume enhancement. While breast fat transfer (BFT) is a natural option, its results can be less predictable in terms of retained volume. Considering your goals, a breast lift combined with implants would likely achieve the desired C cup result. However, it's essential to consult with a board-certified plastic surgeon to discuss your concerns, risks, and benefits of each option.

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Leila Kasrai, MD, FRCSC · Answer

Only a small amount of tissue is removed during a breast lift, therefore you will be about the same size as you are now. However, your breasts will be perkier, therefore they may fit into your bra differently.

Wayne I. Yamahata, MD · Answer

A breast lift alone will improve the sagging, but you won't have adequate volume to achieve the desired aesthetic contours. I would favor an implant for the volume, as I doubt you would achieve enough increase with fat transfers.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

If you get a lift you will also need to increase volume. I don’t think transfer will retain enough fat to be worthwhile so I recommend an implant

Connie Hiers, MD, FACS · Answer

With just a lift, excess skin is removed and you will be actually smaller. Implants will give a more consistent size and can be placed behind the muscle for better upper breast fullness and better coverage of the implant and more support for the implants with less long term sagging.

Brest lift with implants or fat transfer? (Photo)

Answers (6)

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