Side breast fold fat removal, very large rib cage - what procedures you recommend for more fullness? (photos)

You are an excellent candidate for a 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.

Thank you for your question. Fat on side of breast and armpits side may be easily removed via accessory breast liposuction. The result will be very natural. If you want to make your breasts look prettier, then mastopexy (breast lift) would be necessary. Moreover, it is good to perform it together with implant or fat graft breast augmentation to improve the sunken upper pole.

A common area of excess fat is the side of the breast along the chest wall. "Armpit fat" is often axillary accessory ectopic breast tissue which occurs in many women. Liposuction removes the extra fatty tissue. Long lasting results are best achieved with exercise and healthy weight.

Hello @Plucky855653 thank you for your question and showing your pictures. It is important to define with a personalized plan what your expectations are regarding the results. You can decide to do a localized process to improve only the area, but it is worth taking into account the overall harmony and plan a more complete surgical process. I suggest you consult. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Dear Plucky855653,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. 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 would do well with an augmentation and lift to your breasts and liposuction to the lateral chest fat.

From your photos and description of your goals you appear to be a good candidate for an augmentation and breast lift. The implants would give you more fullness, especially in the upper portion of your breasts. The lift will address asymmetry and improve the appearance of the areola. See a board certified plastic surgeon near you to learn more.