Early 40's, loss of upper pole fullness - are Vaser liposuction and breast fat transfer the correct path? (Photos)

Question

I want to address the upper pole fullness that i have lost from breastfeeding. I am not keen on an implant and have been back and forth on whether breast fat transfer is the right decision. The last consult i saw recommended a peri areolar lift and to take fat from my abdomen and flanks. My skin quality is good however I m very worried about lipo indents in the stomach area or creation of loose skin there as a byproduct of the fat harvesting. I’m also concerned about the potential downsides of a donut lift distorting my nipple shape or impacting the blood flow around the breast for the new fat. I was also told that during surgerI could have part of my c section scar that is pulling down released which would help with the lopsidedness. Does this seem like the correct approach given my pictures?

Frank Agullo, MD · Answer

The reason for your anxiety is justifiable and your question concerns the correct course of action. For improving upper breast volume, fat grafting works well. The surgical pocket for the fat also needs to be spacious, if it is too small, it can compress all the fat cells in one spot near the upper pole. Based on the pictures you provided, there is plenty of volume available around the abdomen and waist. Divots result from shallow liposuction passes than from fat harvesting. My approach for avoiding them is carefully performed SAFE lipo or VASER that preserves uniform depth, with a bit of J-Plasma added for any laxity of skin.

A donut lift is appropriate when the nipple sits level or just above the breast fold and when a moderate upswing is required along with some tightening around the areola. A well-performed lift will not detrimentally affect the nipple's blood supply nor will it cause any distortion of shape because the deep dermal layer remains healthy enough to provide circulation. Releasing your old C-section scar on the abdomen is reasonable if it is creating asymmetry by tethering one side down.

#StayBeautiful,

@RealDrWorldWide

Laura Roider, MD · Answer

Thank you for including photos, this allows me to provide customized recommendations. I understand your concern is lack of upper pole fullness in the breast and you would like to avoid a breast implant. 
Based on your photos, I would recommend a breast list to address the mild ptosis and fat grafting. It is important to understand that fat grafting often takes a few rounds to achieve significant results/upper pole fullness. Additionally, it will never have the same appearance as an implant. 
Most surgeons should be able to perform liposuction without creating significant contour irregularities but it is a possible complication of surgery.

Early 40's, loss of upper pole fullness - are Vaser liposuction and breast fat transfer the correct path? (Photos)

Answers (2)

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