Multiple fat transfers to breast and lift - lift or fat transfers first?

Question

I'm 30 years old with deflated, sagging breasts after breastfeeding 2 children and losing 40lbs. I'd like to increase my breast volume a couple cup sizes (B to D) and reduce the sagginess. I want to avoid the risk of BII and other problems with implants, so I'm considering fat grafting. I understand that to gain the volume I want, I'll need multiple graftings. My question is related to the lift. Should I get a lift with the first fat transfer, with the last, or separate from a grafting procedure?

Daniel Barrett, MD · Answer

Dear REVOL5318008,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs. However, if you have sagging breasts then the technique I recommend is a breast 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.

Best Wishes,

Gary Horndeski, M.D.

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. If a lift is indicated, then you should start the process and perform fat transfer at the same time. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Multiple fat transfers to breast and lift - lift or fat transfers first?

Answers (3)

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