Can I have fat transfer after having implants removed and being completely flat with adhesions after explant? (photo)

In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. In general, 50% of the fat transferred survives.  Multiple transfers would be required for additional cc's. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. I use one small incision under each breast to make the scar as minimal as possible and then inject the fat wherever it is needed. Consult via email or Skype with a board certified PS to provide more information regarding the results you are seeking

Fat transfer can definitely provide improvement, but it will take multiple transfers for optimal results. Based on your photo I am more concerned with finding enough fat for multiple transfers than I am about the adhesions themselves. The link below will give you an example of what other patients have achieved. 

Dear loveowls,
based on your photo and description, it looks like you might be a good candidate for fat transfer. Transferred fat should fill your breasts and give them more fullness. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Women are dissatisfied with explant alone.  After your 330 cc implants were removed the skin did not contract.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.  If you undergo fat transfers without a lift, your breasts will look like pancakes and will not have projection.  Best Wishes,Gary Horndeski, M.D.

You'll really need an in-person exam. I think you need a good bit of volume, plus the scar tissue may make it harder to get a good result from fat grafting alone. An implant (even though you may be at risk of contracture again) possibly with ADM to cover it may be a better option.

The fat transferred goes into the breast tissue, not just behind loose skin. If you have a lot of scar tissue, it may be harder to place the fat and less may survive. You would need an examination to determine if you are a candidate for fat.

From the photo it looks like you have normal amount of loose skin without adhesions and this is what can happen after implant removal. This can be corrected either with fat grafting, or placement of another implant, or a skin tightening procedure depending on your preference. I wish you the best.

You would need sufficient fat to fill the defect. Additionally, the adhesions could affect the cosmetic result.  See a board certified plastic surgeon who can evaluate you in person.

Fat grafting may be an option for you if you have enough donor fat to transfer.  About 200 cc per side would give you some volume and projection.  Make sure you find a experienced board certified plastic surgeon with a lot of experience in fat grafting to explain to you the risks and benefits of the procedure. Good luck

Hello and thank you for your excellent question. Based on your photos, I think that you will at least need some extensive soft tissue scar release in conjunction with your breast fat transfer. I do agree with some comments on this thread that you may also require a lift to optimize your breast shape. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. Good luck!