Is fat transfer a realistic option for my asymmetry? (Photos)

Hello @PennyLane27, thank you for your question. In this case, surgery is the best option. The surgical plan would involve tissue reconstruction and a breast lift where the incision can be made in the shape of an inverted J in order to improve the asymmetry and level out the volume between both breasts, as well as a fat graft to increase the volume in the upper portion of the breast. Best wishes! Alan Gonzalez MD, FACS.

The technique I recommend is a lift using 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

You'll need to first address your breast sagging first, which will require a breast lift. Although some surgeons perform a lift and fat transfer simultaneously, you would benefit from a staged procedure to lift your breasts first and then have liposuction and fat grafting three months later.

I don’t think fat transfer will give you the symmetry you desire. I think that a breast lift would be able to give you better symmetry and “normalcy.” Talk to your surgeon about the options but you certainly do not need to use implants. Best of luck!

Dear PennyLane27,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. 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

More than anything you need to have a breast lift. That will address the asymmetry the best. You could add volume in the form of fat transfer or an implant if you like. But first thing to do is get a breast lift.

You need a breast lift. which will require a vertical incision
Fat grating is definitely not for you
See attached video

Thank you for sharing your photos! If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants or a fat transfer. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. It is possible to enlarge your breasts without resorting to implants using a technique called autologous fat transfer, and autologous simply means “your own”. Specially prepared fat taken from another part of the body, such as the stomach or hips, is placed under the breast tissue to provide increased breast size without the need for artificial implants. And who doesn't have a little fat to spare? The great thing about these techniques is that they can now be done with minimal scarring and performed as an outpatient procedure without the need for general anesthesia. I suggest making an appointment with a board certified plastic surgeon to discuss your options in more detail.

Great questions! I would recommend a breast lift with a staged fat transfer 6-9 months later. Small volume fat transfer can be performed at the time of the lift if desired. The lift will improve shape, symmetry, and nipple position. The fat transfer will add volume and additional upper breast fullness. Some patients elect to only have a lift depending on final breast size preferences. The recovery from each operation is fairly quick with mild pain. I find this is a great option for patients that want to avoid breast implants. An additional benefit of fat transfer is body contouring with liposuction. Great question!

I would suggest doing the lift, and possibly removing some excess breast tissue on the larger breast. Then, once healed, consider implants to help expand your bases. If you just lift, then fat on the smaller breast could be added later. Fat alone will not correct your sagging.