Gummy Bears vs Fat Transfer?

Question

I had my surgery for gummy bears scheduled and cancelled because I got scared knowing eventually I would have to get them explanted as they are not forever devices. I want to know the best option to go for that would cause the least amount of external damage in case they need to be taken out. I was exploring gummy bears through areola but not a lot of surgeons do this procedure, I also came across fat transfer. I'm scared of messing my body up for an insecurity... What would you recommend?

Donovan Rosas, MD · Answer

Fat transfer, while an option, is a less reliable means to deliver volume for augmentation. It is much more effective as a compliment rather than a substitute/replacement for an implant.

The unpredictable nature of fat grafting is the limiting factor. The degree of fat graft take and subsequent long term viability has the greatest impact on final result. Graft take can vary greatly from 50-75%.

With regards to your specific question, I would recommend implants over fat grafting for the purpose of delivering volume.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Camille Cash, MD · Answer

You first need to decide if you want to proceed with either surgery as it seems you have reservations.  I prefer to place implants through the inframammary fold.  This allows me to visualize the pocket for inspection and optimal placement.  It also carries a lower risk of capsular contracture.  I would caution you in your consideration of fat transfer as this can lead to microcalcifications that can interfere with future mammography.

Daniel Barrett, MD · Answer

Dear Enthusiastic923585,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jared Blau, MD · Answer

It's great to see a patient who is so well educated. Yes, implants are not "lifelong devices" but they can last many years. They are FDA approved for 10 years. Without a doubt, the best access point is the crease under the breast. It has the lowest complication rate (compared to the areola) and makes access for future removal/exchange very easy. I even do implant exchanges, through the crease, as a 30 minute awake procedure.

Luis A. Mejia, MD · Answer

Dear Enthusiastic923585, thanks for sharing your questions, first will be good to see some good pictures to determine what will be the best approach for your case.Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gummy Bears vs Fat Transfer?

Answers (8)

Answer: Very educated

Answer: Very educated

Answer: My Recomendation

Answer: My Recomendation

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Gummy Bears vs Fat Transfer?

Answers (8)

Answer: Very educated

Answer: Very educated

Answer: My Recomendation

Answer: My Recomendation

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.