Breast fat transfer after explant: will I be able to achieve a 330cc silicone implant affect with 600cc in total of fat?

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. 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. The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast. About 50% of the fat obtains permanence
Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival. Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. Thinner patients are outstanding candidates in my opinion, because the fat transferred is extremely resistant. Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and the patient's expectations.

Fat transfers is dependent on how much remaining breast tissue is present. The fact that you had 330 cc implants does not mean you will be able to put in 330 cc of fat. However, fat transfers can be done repeatedly. As a general rule of thumb, fat transfers are usually good for 1 cup size change.

Best Wishes,

Gary Horndeski, M.D.

I doubt you will be able to retain much fat at all. Maybe 25 percent if you're lucky. After the first round of fat transfer you'll be able to tell if it's even worth going through a second round. Especially if you have to pay for it