Fat transfer after explant - would it look good and feel soft?

Question

I got my BA 4 years ago, i had 375cc and developed capsular contracture on the left one which I never had it treated. Even though it’s mild, I’m very aware of it, specially lying down which makes my implants feel harder. They look pretty good, just the one that has the capsular contracture is sitting a little higher than the other one, but i really don’t like how they feel. I barely let my boyfriend touch them. If i get an explant and fat transfer, will it look reasonably good, and feel soft?

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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 if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear ecamachor03,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

You should know that fat transfer to the breasts doesn't work nearly as well as you may believe. There's nothing wrong with removing implants or a revision if you have a problem but don't look to fat transfer as a good solution.

Connie Hiers, MD, FACS · Answer

Fat is soft, so the transfer should feel soft if no fat necrosis occurs. If you have little breast tissue, a fat transfer may not work since implants have now stretched and thinned your own tissue. Fat is placed in actual breast tissue and not the space of the implant.  Your surgeon can examined you and tell you what realistically you may expect. You only gain up to one cup in size with fat per transfer. Small breasts gain less.

Fat transfer after explant - would it look good and feel soft?

Answers (4)

Answer: Fat

Answer: Fat

Recommended reading

Everything you need to know about Breast Fat Transfer

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

Fat transfer after explant - would it look good and feel soft?

Answers (4)

Answer: Fat

Answer: Fat

Browse related questions

Recommended reading

Everything you need to know about Breast Fat Transfer

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