Would 250ccs of fat enough to increase an empty 36B breasts size by 1 cup size? If not, how much at least would I need? (Photo)

Question

Considering a fat transfer to breast surgery. I consulted with four doctors in Germany where I live. They told me that they could only be able to put in 250cc of fat in each breast (One doctor didn't even examine me before telling me that. I am not convinced that 250 cc is enough to make any difference to my breasts. I have breast tissue/surface since I breastfed two children. I have plenty of extra fat. I understand that my breast is dropped but I don't mind it as long as there is volume.

Ronald J. Edelson, MD · Answer

That is about the max that could be added per breast. Unfortunately I’ve not been impressed with fat transfer to the breast. Too unpredictable.

Daniel Barrett, MD · Answer

Dear Alaadoug,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. 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

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Based on your photos you would benefit from a breast lift. A breast lift would reshape the tissue with skin tightening. Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume. I recommend that you schedule an email or Skype consultation with a board certified plastic surgeon to discuss the best treatment plan for you to reach your goals.

Gary M. Horndeski, MD · Answer

At size 36 B, each 200 cc of fat corresponds to 1 cup size change. Unfortunately, not all the fat transferred survives. If you want to achieve 200 cc volume of fat, you would need to transfer approximately 300 cc of fat, which would corresponds to 1 cup size change. However, from your photograph, your breasts are low on the chest wall and widely separated. More important than fat transfer would be a breast lift. The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however you do have options, both with pros and cons.
 Implants have a solid and reliable history with very high patient satisfaction rates but they must be replaced every 12-15 years. Fat grafting has the advantage of using your own body's material to increase breast size, but only small augmentation is possible. The 250 mL recommendation revolves around research which demonstrates that fat transfer to the breast in greater amounts usually does not take or takes sporadically. There is always uncertainty about how much fat will "take", increasing the possibility of asymmetry and need for revision. Be sure to consult with a board certified plastic surgeon to help you navigate this decision. Good luck!

Connie Hiers, MD, FACS · Answer

You would get better volume with implants and implants are much more consistent. The volume of fat transferred is limited by the amount of actual breast tissue present, not the amount of skin. Just based on your photos, I agree with your other physicians.  Not all the fat transferred survives. typically, you gain up to one cup in size.

Would 250ccs of fat enough to increase an empty 36B breasts size by 1 cup size? If not, how much at least would I need? (Photo)

Answers (6)

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