Fat transfer vs. implants? (Photo)

Question

I have lost weight and have been able to maintain the weight I am at for over 6 months without any changes. So now I would like to get my breasts done. I am considering a fat transfer to address the fat in my stomach and increase breast size. I want at least a full cup size if not more. Based on my photos is this a good route? Or should I just get implants? I am currently a 36D

Ali Riza Öreroglu, MD · Answer

Before evaluating patients' cases, I generally prefer to conduct a physical examination. Especially in the context of breast aesthetics, it's crucial to carefully assess the patient's breast tissue, skin structure, and body shape. From your photos, I can say you need a Mastopexy to lift the sagging skin and underlying breast tissues.  Combining mastopexy (breast lift) surgery with the placement of implants in the desired size can achieve the desired size and shape for the patient. I usually prefer to do fat grafting on breast only if patient has a firm breast tissue. However, it's important to have a one-on-one discussion with the patient and conduct a detailed evaluation to determine a precise treatment plan.

Alan Gonzalez, MD, FACS · Answer

Hello @Julidsp12, thank you for your question. Breast implants and fat transfer could potentially help in your situation. However, the best choice depends on your individual goals and circumstances. Breast implants can increase breast volume and fullness. On the other hand, fat transfer can also add volume and avoid potential risks associated with implants.I understand your concern about scarring from a lift. My technique uses the BRALift technique with a minimal L-shaped scar. But, this is a personal decision. I recommend scheduling a consultation with a board-certified plastic surgeon. This will allow you to examine and discuss the best options for your specific case and goals. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Joel Patrick Maier, MD · Answer

Here is my take . . . the first thing to address is ptosis of the breast. I would first start with a proper, full mastopexy (breast lift) to optimize shape and lift. Then come back at least three months later to transfer the fat. This approach will provide for the most predictable, durable and optimal result with least complications. Thank you for sharing.

Chad Douglas Tattini, MD · Answer

I tell patients fat transfer is not an exact substitute for implants. It is very difficult to make a person at least 1-2 cup sizes larger with fat alone. What is becoming more common is the hybrid breast augmentation where both implants and fat are used so you get both benefits.

Daniel Barrett, MD · Answer

Dear Julidsp12,
based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Fat transfer simply doesn’t work as well as you may think. Your photos don’t show  your breasts well. As far as the abdomen is concerned a tummy tuck is a far better option than liposuction

Gary M. Horndeski, MD · Answer

If you are already a 36 D then you do not need implants. You are an excellent candidate for 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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Congratulations on your weight loss!  First, I would suggest doing a lift and bring the girls back up on your chest. After the lift, then you can consider fat or implants. If you want more than a cup size increase, you will need implants.  Do the lift first. You might fine you are happy with your size. Smaller breasts will stay up longer than larger breasts.

Hilton Becker, MD · Answer

Your breasts are sagging so that needs to be addressed .
In terms of volume enhancement fat is a good option if you have sufficient fat elsewhere .
I may however need to be repeated several times to achieve the desired volume .

Darryl J. Blinski, MD · Answer

Based on your nicely posted, two photos, it appears you really need surgical intervention of a full tummy tuck with full breast lift. You request for liposuction of the abdomen, and using the fat retrieved to increase the size of your breast, would only make them more in my opinion. But this should be discussed in an in person or virtual consultation to get a better understanding of exactly what you’re looking for and what can be done to your satisfaction. Again, virtual consultation is required.

Fat transfer vs. implants? (Photo)

Answers (13)

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