Thigh lipo to breast transfer - could I only get 100CC from inner thigh and saddle bag? (Photo)

Question

Hi, I had a consult to discuss fat transfer to breasts, but I’m 5’6 and 116 pounds so he thinks conservatively would only get 100cc from inner thigh and saddle bags. Does that sound right as this seems too invasive for so little and ideally want at least 200-300 total for breasts to see a difference once swelling goes down and reabsorption? Since it’s minimal lipo I was told 2-4 weeks in a garment. Would you wait for after summer or mid-May doable?

Gerald Minniti, MD, FACS · Answer

Autologous breast augmentation with fat grafts does not produce a result similar to implant based augmentation in terms of both shape or size. The amount of fat that can be transferred is dependent on the amount of adipose tissue already in the breast at the time of fat transfer (seed and soil analogy). Although you don't show a photo of your breasts, it can be assumed your breasts are not large, and therefore cannot accept a lot of fat grafts without leading to substantial graft loss. Looking at the photo you show, it is hard to say how much fat can be harvested without creating significant donor site defects. Without a doubt, the safety, predictability and potential for a natural result with a modern breast implant makes fat grafting a less ideal option.

Daniel Barrett, MD · Answer

Dear Sociable239986,

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

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question.

It's difficult to tell based on photos alone, but given your height and weight, 100 cc of usable fat seems like a reasonable estimation. You also have to account for fat  reabsorption, which results in further volume reduction . If your goal is to have your size increased by 200 to 300 cc, you would likely be better off with either a standard breast augmentation or combination of breast augmentation and fat grafting.

Importantly, you should choose a  surgeon who is certified by the American Board of Plastic Surgery with experience in breast augmentation and liposuction.

I hope this helps. Good luck.

George Marosan, MD · Answer

Thank you for your question and photo. Based on this photo and your weight/height, your BMI is 18. Fat transfer to the breasts has less survivability, about 50%, then in any other area. If your surgeon can only get 100cc from the outer/inner thighs, that means 50cc/breast with survival of 25cc fat. That is less than 1 ounce! You do have shapely thighs and one has to be careful not to create manly hips and grooving in the inner thighs where the fat tends to be soft and higher risk for complication. Another concern is that, since fat survival is low, you would need more than one fat transfer to your breasts to see improvement. Your BMI is 18 and you do not have other significant donor sites. I would strongly reconsider this approach to breast enhancement. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Harry T. Haramis, MD, FACS · Answer

In my experience, fat transfer to the breasts works well with good retention. You appear to be a good candidate.

Based on your photo, I would estimate over 200cc per side for a modest increase in size, usually more upper fullness and shaping. This will also sculpt your inner and outer thigh donor sites.

This would be confirmed by consultation as well as further discussion of procedure and goals.

Mehmet Ozdemir, MD · Answer

Based on your body type, your surgeon’s estimate sounds realistic&mdash;at 5’6” and 116 lbs, available donor fat is limited, so achieving 200–300 cc may not be feasible in a single session. Harvesting around 100 cc from areas like the inner thighs and saddle bags is considered conservative and safe, especially to maintain smooth contours without over-aggressive liposuction. Keep in mind that not all transferred fat survives (typically 60–70%), so final volume will be less than what is injected. If you’re aiming for a more noticeable increase, you may need either staged fat transfer sessions or to consider implants as an alternative. As for timing, mid-May is generally fine, but recovery (including wearing a compression garment for a few weeks) should be planned around your lifestyle and comfort.

Darryl J. Blinski, MD · Answer

Based on only one post a photo appears you are slender and need more than the thighs for donor site for fat. Best of virtual concert with to see if you’re fat in any other locations to get to approximately 500 and 600 cc of usable transferable fat. Again, best of virtual concept with expect fees to arrange from $6000-$10,000.

Thigh lipo to breast transfer - could I only get 100CC from inner thigh and saddle bag? (Photo)

Answers (7)

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