Will fat grafting on top of my implants post breast reconstruction be able to add a cup size or cleavage? (Photo)

Hello! Fat grafting is a wonderful operation but at your weight, you may not have a sufficient amount of fat to use.  Thus, without the benefit of an in person exam, I would be inclined to have you consider larger implants, rounder implants and placement of the implant closer to the midline.  I would also encourage you to have the nipples reconstructed to finish things off.
*Opinions stated here are only opinions. They are not based on a clinical examination which is recommended. They are not based on a clinical exam which is recommended.* 

Fat grafting is a good option to add natural volume over an implant. Generally an increase in a full cup size cannot be achieved with a single session. Best options would be to consider planning for more than one session of fat grafting or combine fat grafting with an increase in implants size if you want to change cup size.

Thank you for your question and photos. It is probably best for you to circle back with your plastic surgeon to discuss all of your options. Both fat grafting and an appropriately sized implant exchange, and perhaps a combination of both can play a role. An experienced board certified plastic surgeon can best advise you on all of your options.Best of luck to you,

Hello and thanks for posting your question!Fat grafting us used widely by surgeons to augment breast reconstruction. Fat grafting is borrowing fatty tissue from one area and transferring it to another area, where 60-70% of that fat is expected to survive and thicken the tissues to where it's been transferred, thus improving the overall contour of the area. The expectation of need for multiple rounds of fat grafting must be set if large volume increases are desired.  With multiple rounds of fat grafting and tissues that will accomodate additional volume, significant improvements in the shape and volume of breast reconstructions can be achieved. Sometimes use of tissue expanders is necessary to increased available space. Each surgeon may approach this slightly differently. It would be worth discussing your concerns with your plastic surgeon and options for achieving a more acceptable result.Best wishes in achieving your goals.

You have several options.  Fat grafting will certainly help the upper pole fullness but only to a certain degree.  The anatomical implants are textured so they move less.  Wearing a bra with padding on the outside won't be able to push them together and create cleavage.  Smooth round implants are often the best choice for a breast that "moves" like a natural breast.  Discuss it with your PS  and see what they think.