Breast fat transfer or implants? (Photo)

Question

Had breast implants previously, saline D cup. One ruptured so I took them both out. I also went through pregnancy and breast fed. Now, my chest is mismatched. I don’t mind my right breast, but really dislike the left one as it’s deflated and my nipple is lower than the right. I’m not sure if I want to deal with implants again. Can I get away with breast fat transfer on just the left breast to obtain symmetry? Not as concerned about size, more interested in balance and proportion.

Daniel Barrett, MD · Answer

Dear KR20166,
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, it can also improve breast asymmetry.You 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @KR20166, 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 contour to the breasts by transferring fat cells from other areas of your body; and avoid potential risks associated with implants. That said, Even if you choose to get implants or fat transfer you will need a lift to rearrange the position of the breast, enhance the shape and projection. By evaluating each case correctly, it is possible to obtain and meet patient expectations. 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).

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).

Hilton Becker, MD · Answer

You appear to be a good candidate for fat grafting.
As you only need a relatively small volume of fat to achieve symmetry ,you should get an excellent result.

Connie Hiers, MD, FACS · Answer

Yes, you can do a fat transfer to the smaller breast. It may take more than one transfer to get a similar size.

Breast fat transfer or implants? (Photo)

Answers (4)

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