Is it possible to go up a size with 19% body fat?

Question

Hi I was a C cup before my breastfeeding journey. Now I measure a small B. The top profile of the breasts look sunken while the bottom looks fine. I am 43kg with 19% body fat. Couple of surgeons deemed that I do not have sufficient fat to refill the sunken part of the breast? They did mention the elasticity of the breast looks good. Is it possible to get back up a size given the 19% body fat ? How is the success rate ?

Randal Haworth, MD, FACS · Answer

Restoring breast volume after breastfeeding can be challenging, especially if there’s limited fat available for procedures like fat grafting.

Factors like skin elasticity and overall health play a role. While maintaining a healthy body weight is important, surgeons consider various aspects during consultations. Success rates vary based on individual cases and the chosen procedure.

It’s crucial to consult with a qualified plastic surgeon who can provide personalized advice based on a thorough examination of your situation.

Best of luck !

Daniel Barrett, MD · Answer

Dear peachesloveberries,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Filling the upper pole with fat will not make an appreciable difference in contour. This is because fat grafts do not have the ability to 'push' tissue forward or up, a force known as elastic modulus in the scientific world. Body fat percentage tells me nothing about how much fat can be harvested, filtered, and delivered. Your safest and most effective alternative are highly cohesive silicone gel implants. Todays implants are very durable and do not cause disease. SSBI, aka BII, is not a thing. Surgeons use high resolution ultrasound to monitor breast implant integrity in the office in five minutes, and implants like Sientra have a 5% rupture rate at 10 years, making them extremely durable. Do yourself a favor and get the implants and lift.

Ronald J. Edelson, MD · Answer

I have seen enough before and after photos on line and answered enough realself questions from dissatisfied women to know that fat transfer is not a worthwhile operation.  Look at before and afters online and see if you find any good results

Connie Hiers, MD, FACS · Answer

If you are too thin for provide donor fat, then a fat transfer is not an option. Implants would work better.

Mats Hagstrom, MD (license on probation) · Answer

Debility to harvest deficient amounts of fat for fat transfer is highly dependent on fat distribution.
Sometimes it’s not a matter of if it’s possible, but is the procedure realistic. We can usually harvest and a fat if the patient is willing to have enough areas treated with Liposuction.
Does it make sense to have your entire torso and all four extremities treated with liposuction to have a half cup increase in breast size?
Without pictures, we can’t begin to make an assessment.
Breast fat. Transfer is good at increasing breast size by about 1/2 cup.
The procedure does not make a major change to breast shape.
Based on what you describe breast shape is the issue not breast size.
The best procedure for restoring the volume in the upper half of the breast is using modest implant augmentation. Fat transfer does not do this very well.
In the end can and should are too very different things.
Delivering consistent quality, liposuction and fat transfers results is far more difficult than most people realize.
The number of plastic surgeons have truly mastered. These procedures are in a small minority.
Being board-certified in plastic surgery with years of experience does not mean somebody is mastered anyone single procedure, especially not liposuction or fat transfer.
 Provider selection is critical in order to maximize patient satisfaction.
Considering how much variation this procedure has, and that the procedure can leave people permanently disfigured I cannot emphasize enough the importance of proper provider selection.
Understanding what the procedure can and cannot accomplish is an integral part of delivering consistent high patient satisfaction.
Best,
Mats Hagstrom, MD

Is it possible to go up a size with 19% body fat?

Answers (6)

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