Lost over 50 lb and went from a 36H to a 34E - Is fat transfer a good option with a breast lift? (Photos)

At size 34 E, you have enough volume but your breasts are flat because of the hanging skin. You need a breast lift and I recommend 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.

Best Wishes,

Gary Horndeski, M.D.

I would start with a breast lift only for now. Excess skin would be removed. You would keep all of your breast tissue but now it would be all in the correct location. Let it heal. As long as you have excess fat to give, consider fat transfer after full healing. We perform both of these procedures in our office under local anesthesia. It’s very safe, has a much better recovery, and the results are fantastic.

The principal of a breast lift is to remove some of the excess skin on the breast, but retain all of the breast tissue volume. When all of this volume is then tucked inside this smaller envelope of skin and sutured closed, it plumps out the remaining skin envelope so that the breast look fuller at the same time the breast is elevated. If your skin quality is poor, due to stretch marks, the option of using a support matrix placed under the skin to help hold the breast in its elevated position could be considered. These matrix incorporate into the tissues relatively rapidly and increase the strength of the skin repair to help maintain the position of the breast. I do not perform fat grafting as I feel that the results are not reliable nor predictable. The possibility of using some RF or microneedling to help tighten the skin envelope is a possibility that you could look into although I am unsure of the longevity of the results from this. Best wishes.