Would fat transfer help fill out the tissue so I do not need to have another lift to remove the skin? (Photos)

Question

Hi. I had a breast lift surgery without augmentation in 2020 to remove extra skin left after weight loss. I am happy with the shape and position of my breasts, however, there is still loose skin 'wrinkles' on the upper half of each breast, as well as no upper fullness. Would fat transfer help fill out the tissue so I do not need to have another lift to remove the skin? I do not want breast implants. Or, is it a safer bet to go with lift again - would a donut lift suffice? Thank you.

Gary M. Horndeski, MD · Answer

Your breasts have not been significantly lifted. 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 if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

If you are against implants you could try fat transfer. However you would get a far better result with implants compared to fat transfer

Daniel Barrett, MD · Answer

Dear Gimyekis,
fat transfer can fill the dents but it will not lift breasts. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

First, you do not appear to have much if any fat that can be donated. Second, fat goes inside breast tissue itself and you may not have much in that area to accept fat. I would suggest the lift. You could try minimally invasive radiofrequency first to see if you skin will tighten enough that you are satisfied.

Kenneth R. Francis, MD, FACS · Answer

Dear Gimyekis,
Autologous fat transfer breast augmentation would certainly be an option for your breast concerns.  However, it does not appear that you have fat anywhere to harvest for transfer.  A breast lift revision would not likely restore upper pole volume loss.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

For issues related to skin laxity skin excision procedures tend to be best.
A donut master pixie removes very little skin so that procedure isn’t going to do much for you.
Your nipple position is already on the high side.
If you want a breast lift to have an impact on treating the skin laxity, then it should be a version that removes as much skin as possible.
Fat transfer can increase breast size by approximately 1/2 cup or about 50% of breast volume.
That said the procedure does not do very much to change the shape of the breast.
In other words, it will not give you volume in the upper half of the breast.
 The best procedure to restore volume in the upper half of the breast is implant augmentation.
If implant augmentation is out of the question, then fat transfer with a separate breast lift would be the next best alternative.
Nothing is going to give you breast projection and upper pole, volume like an implant will.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize.
The number of plastic surgeon who mastered this procedure are in a small minority.
Finding someone who is sufficient skill and experience for both Liposuction and fat transfer, may not be easy or straightforward.
Results very quite drastically depending on who does the procedure.
It’s really important to recognize the inherited limitations of fat transfer.
If you’re looking for shape changes, then fat transfer isn’t going to do much.
It primarily makes the same breast only slightly larger.
Breast fat transfer is even at its best still quite subtle.
 Best,
Mats Hagstrom, MD

Would fat transfer help fill out the tissue so I do not need to have another lift to remove the skin? (Photos)

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