Implant removal with fat transfer 1 year post op. Is fibrous fat common and are there methods around this?

Hello, thank you for your question. Typically fat can be fibrous genetically or from previous scarring. You can still harvest fat to use for a fat transfer to breasts. Fat transfers to breast only give you an small increase approx 1/2 a cup size.

Dear Good426378,
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

You don’t say if the photo is before or after the fat transfer. You don’t have a lot of fat stores available for transfer so it’s going to be hard to find enough fat for a second fat transfer and even more difficult to get it to take.,

Fibrous fat can sometimes develop around implants after a fat transfer procedure. This can be due to the body’s natural response to foreign objects or the healing process. To address this issue, you should consult with a board-certified plastic surgeon who can assess your specific situation.Methods to address fibrous fat may include:1. Massage and manual manipulation: Sometimes, gentle massaging of the affected area can help break down fibrous tissue.2. Liposuction: A surgeon may perform liposuction to remove excess fibrous fat and improve the appearance.3. Revision surgery: In some cases, a revision surgery may be necessary to address the fibrous tissue and reshape the area.It’s crucial to have a thorough consultation with an experienced surgeon who can provide recommendations based on your unique circumstances and goals. Always follow their advice and recommendations for the best possible outcome.

You do not require very much fat to your left breast.
I have developed what is known as a cutting cannula which is very effective in fat harvesting.
I also combine the fat with PRF obtained from the patients own blood which also adds volume