Inner thigh and low abdomen lipo. How much fat is needed to graft to breasts? (photos)

Question

I am going to undergo liposuction of my inner thighs and possibly lower abdomen. Is it possible to have the fat grafted to my breasts, and how much would be needed? Also, will the lipo of lower abdomen just result in saggy skin? Thanks!

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size.  If you are 32 or 34, each 100 cc of fat corresponds to 1 cup size change.  If you are 36 or 38, each 200 cc of fat corresponds to 1 cup size change.  However, not all fat transferred survives.  Approximately 60% does survive so you will need to compensate by over grafting to correct the amount lost. Best Wishes,Gary Horndeski, M.D.

Kenneth Hughes, MD · Answer

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.

Daniel Barrett, MD · Answer

Dear 
it is possible to do fat transfer to breasts. The amount of needed fat will depend on the size of your breasts and desired size. 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

Robert M. Tornambe, MD · Answer

It appears from your photos that you are a good candidate for liposuction of your thighs And abdomen. Physical examination would be needed to determine the level of redundant skin after liposuction. Mini tummy tuck may be an option  to address this. Usually it is possible to gain one brassiere cup size with the Fat transfer, and that also depends on the amount of harvested fat available. In your case, there does not appear to be a lot. Consult with a board-certified plastic surgeon in your area to go to the increase chances for the best and safest possible result. Good luck.

Connie Hiers, MD, FACS · Answer

Your question is best answered by your surgeon. However, you can have the fat removed placed into your breasts.

Mats Hagstrom, MD (license on probation) · Answer

Personally I do not spot treat the torso such as lower abdomen only.
It leads to an unnatural fat distribution in the transition from your lower abdomen to your upper abdomen, waist and hips will not look normal.
Personally when I treated abdomen I treat the entire torso as a single anatomic unit leaving people with a natural even thin fat distribution on the entire torso.
I recognize that the lower abdomen may be your problem area or the area that bothers you the most but your fat distribution is normal and having liposuction of only that part will make it abnormal in comparison to the surrounding areas.
Inner thigh Liposuction is technically challenging and often leads to results that are substantially less than what people had anticipated.
It’s fine to do inner thigh liposuction but the contour especially in the upper inner thigh often doesn’t correct itself with the removal of fat because of skin laxity and gravity.
It’s also prone to getting contour irregularities especially a thin spot or Divet in the central inner thigh.
Obviously a competent provider will not leave you disfigured but even the best providers don’t get homeruns on inner thighs often.  Young women with tight skin always do better.
The amount of fat needed for a fat transfer depends on the size breast someone has to start with. A typical B cup breast in my practice is typically grafted with 550 mL of fat. It can range from 400 to 800 mL..  generally grafting less than 300 mL leads to very small or subtle results. I have grafted up to 1.5 L per breast but that was for someone with large breasts to start with. I don’t think I’ve grafted less than 300 mL per breast in the last 10 years.
It should not be challenging to get sufficient amounts of fat from your Liposuction to do breast fat transfer.
Simply from your post alone I would recommend having several in person consultations with board-certified plastic surgeons in your area.
Best, 
Mats Hagstrom MD

Inner thigh and low abdomen lipo. How much fat is needed to graft to breasts? (photos)

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