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Fat transfer after lumpectomy - will they graft to both breasts to create symmetry?

Hpy17Jun 13, 2025
I am going to be having a lumpectomy soon for what is thought to be a phyllodes tumor in the upper outer quadrant posterior region of the right breast. It is small at 9mm, but requires wide exciscion due to reccurance rate. I am 5'3" 112 pounds. I am smaller breasted but this one is slightly larger. I have not met with the breast surgeon yet, but it is already noted in my referral that I woukd like fat grafting at time of lumpectomy to correct deformity that my primary care doctor has already warned me of. My question is, will they graft to both breasts to create symmetry? This will be an insurance claim as reconstruction, so I'm not sure how to go about asking. I don't know what commonn practice is for this and how much fat would be needed to make the surgery site look good and how that could make it differ even more than rhe already smaller breast.

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Dr. Daniel Barrett, MD
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Answered on Nov 18, 2025
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Karl William Schwarz, MD

Yes you can. Fat will help a lot actually, but keep this in mind: you are very lean and there is not a lot of fat in the areas you highlight so it would likely take two or three rounds of fat grafting to be able to get enough fat to take to fully correct the chest asymmetry. It's because you...

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Ajaya Kashyap, MD

Thank you for your query. The amount of fat that can be inserted depends on the condition and thickness of subcutaneous tissue. However, to camouflage the contour deficits and some increase in size, a couple of hundred cc of at on each side can be inserted carefully in your breasts. When done...

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Daniel Barrett, MD

Dear Bright386291, 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...

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