Is it possible to do awake fat graft for 100cc only of fat? Above breast implant?

Dear munirah97x,
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

Hi munirah97x,
It is certainly possible to perform breast fat grafting while awake using only local anesthesia and oral medication. 100-150cc is a conservative amount of fat to be grafted, and should be able to be safely done superficially to your breast implant if performed by a qualified plastic surgeon. Hope this helps!

We perform this procedure all the time. The procedure is performed with the patient relaxed with oral medication. Fat is gently sculpted from the body. The breasts are numbed with local anesthesia and filled with fat only in the superficial plane. This plane is underneath the skin but superficial to the breast tissue and even more superficial to the implant, especially if the implant is underneath the muscle. In other words, the implants are not touched at all during the the numbing and the fat transfer.

Small volume fat is commonly done awake
In order to inject fat above an implant great care must be taken to avoid rupturing the implant

Yes, fat can be safely transferred as an awake procedure in the office. However, local anesthesia will need to be injected. Your surgeon should be able to do this carefully and not injure the implant. You would not do well with no anesthesia.

I do all my breast fat transfer with patients awake, but I personally would not do breast fat transfer over an implant. In my opinion, the best way to do fat transfer is the temporary remove the implant and put in a temporary Sizer while doing the fat transfer. After fat transfer is completed, the old implant can be reinserted and the pocket is closed. 100 cc, is an extremely conservative amount of fat to be grafted, and I question if grafting that little fat justifies having surgery in the first place.
I generally never graft less than 300 cc per side.
There are different ways of calculating grafted, volume depending how the fat is processed. If the fat is centrifuged than the amount of actual fat, grafted per milliliter can be substantially more.
I suggest reviewing as many long-term before, and after pictures with your provider as possible to have a clear understanding of what this procedure can, or cannot accomplish. An experienced provider should be able to show you the before, and after pictures of at least 50 previous patients of commonly performed procedures.
Most women seeking breast fat transfer, do not have implants so I would say what you’re seeking is not common.
Different plastic surgeons will have different ways of approaching each situation.
In order to graft fat comfortably while awake, your breast tissue needs to be anesthetized. Both grafting, fat and numbing the breast tissue can most likely be done without rupture in your implant, but the risk is never zero.
I personally do not graft fat over implants.
To me, it’s better to temporary remove the implant while doing the fat grafting for a number of reasons.
Accidentally filling the implant capsule full of devascularized fat is a set up for complications.
Make sure your provider has done this procedure. Lots of times before and has a proven track record and can show you lots of before and after pictures.
Fat transfer results can look very impressive early after the procedure. It takes a minimum of 3 to 6 months for fat transfer results to be final. Always confirm when after pictures were taken in relationship to the date of the procedure.
Best,
Mats Hagstrom MD