30 with size 32dd breast - will breast fat transfer increase fullness without a lot of scarring? (Photos)

Question

I’m 30 with 32dd Brest and want to make them full again I have a lot of skin but want to keep a natural look don’t really want a lot of scarring

Daniel Barrett, MD · Answer

Dear bonzac,

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

Peter D. Geldner, MD · Answer

Thank you for you question and photos. Though I could recommend a mastopexy (breast lift), you are asking if fat transfer can increase breast fullness, it can.  I am assuming you want more fullness at the top of your breasts. Fat transfer can be placed where you want fullness. It won't change the shape of your breasts, but it is an option.

Gary M. Horndeski, MD · Answer

If you are already a size 32 DD then your problem is not volume but breast position. Your breasts are too low on the chest wall and they are bottoming out. I recommend 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.

Karl William Schwarz, MD · Answer

Your best option for a full breast with the nipple and areola in the correct positions is for a breast lift. If you like the look of your breasts now, and do not want a lift, and you want your breasts to be larger (fuller) than fat grafting would achieve that but you have to keep in mind your breasts will look exactly like they do now but just be fuller.

Darryl J. Blinski, MD · Answer

Based on your photos, you were a candidate for liposuction 360 and fat grafting to the breast under ultrasound. Fee $8000-$12,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Breast fat transfer does not change the shape of your breast. The procedure can give a subtle increase in size of what you already have. 
The procedure does not give projection nor does it create much fullness where you don’t already have tissue. 
Mats Hagstrom MD

30 with size 32dd breast - will breast fat transfer increase fullness without a lot of scarring? (Photos)

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