Could I get this type of result with one procedure? (Photos)

Question

I’m 5’3”, 132 lbs, no kids. I’m attaching 3 photos: my breasts at 120 lbs, my breasts at 132 lbs, and my breasts at 150 lbs, in that order. I’m currently 132 lbs and not interested in losing more than another 5 or so lbs of fat. I miss my larger size at 150 lbs, though. I have considered implants but don’t like having something foreign in me and I don’t think the results ever look as natural as I would like. However, breast fat transfer is so much more expensive. I’m wondering if it’s feasible to get the size I had when I was 150 lbs- or ideally, a bit larger- with just one procedure. I believe I have enough pinchable fat on my body for the lipo, as I have fat in my arms, flanks, abdomen etc. I know fat necrosis is a risk and that the reabsoprtion thing is a limiting factor.

Daniel Barrett, MD · Answer

Dear Easygoing709317,

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 implants
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Fat transfers can be done and costs slightly less than implants. The charge is usually $6,000-$7,000 and implants are usually $7,000-$8,000. Fat transfers are usually good for about 1 cup size change. Unfortunately, you have not told us your bra size. If you are size 32 or 34, each 100 cc corresponds to 1 cup size change. If are you are size 36 or 38, each 200 cc corresponds to 1 cup size change.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Harry T. Haramis, MD, FACS · Answer

Fat transfer to the breasts is a nice option we frequently perform.  Most patients get desired results in one operation with good retention, in my experience.

Upper fullness and volume restoration without implants,  Fat transfer allows better distribution bs implants.

Fat can be obtained from stubborn areas such as abdomen, waist, arms, thighs. We include repeat if extra fat is available.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Tyler Frew, MD · Answer

Hi there,
Consider looking into low profile or low plus implants. These are very flat style implants and replace volume without adding alot of projection. They tend to look very natural and could be a good fit for you.
Fat is possible however you have to have enough to harvest and some will be reabsorbed by your body during healing.
All the best

Sean Fisher, MD · Answer

Breast fat grafting can be a great option for patients who are interested in a modest increase in size and are hesitant about the idea of implants. I counsel patients that it is not a 1:1 equivalent to breast implants, in that it will not provide the structure of a breast implant- this can be a pro or a con for patients, depending on what their goals are. Fat grafting is a viable option for patients that are interested in size increases no more than 1 cup size and have an adequate amount of fat to harvest. Most surgeons will quote ~50% retention from what is injected at the time of surgery. This varies patient to patient, and it is difficult to say pre-operatively who will have slightly more or less retention. This may mean that a second round is necessary, however once you are at a volume that you are happy with- this is more or less a permanent change, and does not require the upkeep that comes with implants in the long-term. 
Sean Fisher, MD Aesthetic Plastic Surgeon Seattle, WA

Could I get this type of result with one procedure? (Photos)

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