Will breast lift surgery & fat grafting help improve the appearance of stretch marks? (Photos)

Question

I underwent moderate weight loss and developed these wrinkled skin on the breast(mostly on sides and some on top). I plan to undergo breast lift surgery and also want to restore some upper breast volume. I had read somewhere that putting an implant will reduce the appearance of the wrinkled skin and stretch marks but I DO NOT want to put an implant. I want to proceed with BREAST LIFT + FAT GRAFTING. So my question is will BREAST LIFT + FAT GRAFTING improve the appearance of these stretch marks? Also, will microneedling further help?

Alan Gonzalez, MD, FACS · Answer

Hello @fyfdghxssb, thank you for your question. It is possible to achieve a great result with a breast lift and fat transfer. Furthermore, fat transfer can add volume to the breast's upper pole, generating a great result in terms of both shape and volume. The pexy lifts the breast tissue, and the fat graft seeding makes the shape better. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Gary M. Horndeski, MD · Answer

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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Michele A. Shermak, MD · Answer

Hello!
The short answer is "yes."
The breast lift will help reduce the excess skin, deflation and sagging you are experiencing since weight loss. Adding fat will help improve the appearance of the cleavage as well as the quality of the skin. The skin will not completely convert to no stretch marks, but stem cell effect from fat will help. Fat transfers do not allow for predictable notable increase in breast size. I typically advise my patients that it may bring you up 1/2 to 1 full cup size. The breast lift will reduce your cup size at least by one. Implants provide more predictable volume and long term fullness.
I would recommend you see a board certified plastic surgeon who can best guide you through this process. You can find one at plasticsurgery.org. 
Best of luck to you!

Miguel Mota, MD · Answer

A Breast Lift will tighten your skin and the fat grafting will help to add volume. Implants would fill out your breasts much more, but if you don’t want implants, then fat grafting and or just using your own breast tissue to fill up your breasts is your best option.

In summary, the answer is yes. This procedure will not only lift and fill out your breasts, it will improve your stretch mask as well.

Best of luck,
Dr. Miguel Mota

Ronald J. Edelson, MD · Answer

You won’t get as much volume with fat grafting as you would with an implant. You can try fat grafting but keep your expectations modest

Daniel Barrett, MD · Answer

Dear fyfdghxssb,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 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

Jorge Galaz, MD · Answer

When we perform a breast lift we rearrange the tissue to lift the breast, an important part of this is taking away the extra skin. This means the remaining skin will be tighter. 
You will still have the stretchmarks but since the skin will look tighter the appearance will be better. 
Sincerely, Dr. Galaz

Ercan Demirbag, MD · Answer

Hello, thank you for your question . From your photos a breast lifting will help to tight your skin , but it's not possible to achieve good and permanent results with fat injection . it also causes images that are confused with breast cancer later on . For that , it's more effective and better to put a breast prosthesis instead of Fat .

Connie Hiers, MD, FACS · Answer

Tightening your skin with the lift and adding volume with fat can improve the appearance of stretch marks. However, micro-needling will actually treat the stretch marks and improve their appearance.

Douglas Taranow, DO, FACOS · Answer

Better photos with a full straight on anterior and lateral photos would help in accurately answering your questions.  Based on you photos, a mastopexy alone will change the shape and height of your breasts and address the stretchmarks in the upper and lateral poles.

Will breast lift surgery & fat grafting help improve the appearance of stretch marks? (Photos)

Answers (11)

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