Breast implant revision with fat graft?

Fat grafting is usually best to do by itself, especially if lifting is needed. The survival of fat is the same for local and general anesthesia, and your surgeon will use local anesthesia with both. The best donor site is the one that has enough fat. Abdomen is a nice donor site since you do not need to be turned to remove the fat and insert the fat.

I wish we had the answer to your questions but we really don’t. Fat transfer is still pretty much a hit or miss procedure with results that are difficult to control and predict. It’s really trial and error at this point. I don’t like preforming hit or miss procedures so I don’t do fat transfer. Too many poor results

Dear munirah97x,
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