Explant 8 months ago.Will a fat transfer alone help the look of my breasts after my explant? (Photo)

Based off your photo, fat transfer to the breast would be a good start before cutting anything. Those creases on the bottom of the breast likely will resolve post fat transfer once done healing. The volume and fullness as you once had with implants will never be achieved via fat transfer but maybe more than one round of grafting can achieve more projection and help smooth out the lower pole creases. Seek out a few opinions and choose your surgeon based off the consensus of the plan and outcome.

I would certainly start with fat grafting before entertaining any idea of skin removal. But keep this in mind: it may take more than one round to get the final result you like using fat. Fat grafting to the breast is not like using an implant. You can't remove a 400cc implant and then replace it with 400 cc of fat. It doesn't work that way. The amount of fat is usually much less like around 100 cc or so depending on the breast size.

In my opinion though you would be an excellent candidate for fat grafting to the breast to refill your breasts and gain a little more cleavage and shape but the nice thing is you can slowing get to where you want to be and after the first round of fat grafting you can re-assess to see if that's where you want to be in terms of size and if you want to be a little bigger than undergo another round of fat grafting.

Breast fat transfer can give modest increase in breast size.
The procedure is not very good at changing breast shape.
You can expect breast fat transfer to increase your breast size by approximately 1/2 cup.
The outcomes are somewhat unpredictable and provider selection has a lot to do with The type of results you can get.
Even when done correctly, the procedure is going to be modest.
Fat transfer is not good at restoring the volume in the upper half of the breast.
It basically gives you a slightly bigger version of what you have.
Doing several rounds of fat to transfer a can create cumulative effect that’s more impressive than a single session.
I’m not quite sure What procedure you’re thinking of to change the scar.
The best look would be using implants, but I guess that’s not an option.
Best,
Mats Hagstrom MD