Third Fat Transfer Fail... now what? Would implants be better for someone like me?

Yes, implants would be recommended. They are much more predictable as you can control size, shape, and profile. The next step would be to visit with a board certified plastic surgeon near you for a consultation to discuss your surgical goals and learn more. I've included a video that I hope you find helpful.

I would recommend implants, Galaflex (internal bra), and a lift. This will help restore volume, remove the scarred/tethered areas with direct visualization, and also provide the best long term result.

Dear easycoast,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery