I Have Loose Skin on my Breasts. Would a Fat Transfer Make More Sense then Removing the Skin Itself?

From your description sounds like you mike benefit from both procedures done at the same time. Advantages of using your own body fatFat cells are natural and native to your own body; no foreign or The California Breast Lift is a procedure which transfers unwanted fat from the abdomen or thighs to the breasts. Uses your own natural fat cells. are necessaryHarvesting of fat by liposuction has the added benefit to enhance your shape by removing unwanted fat zonesThe breast can be shaped or sculpted in more detail than is possible with implants aloneMinimal incisions reduce the possibility and degree of scarringNo implant is used, therefore there is never a need for replacement, and there is no risk of rupture, hardening, or ripplingRecovery time is faster: about 1 week and usually less discomfort than with implants

Current issues with fat transfer to the breast include:


high revision rates because of the variability of fat survival;

potential interference with mammography, ultrasound, and MRI for breast cancer screening;

theoretical possibility that injected fat could increase cancer rates (this is not likely but possible);

lower volume increase than typically possible with implants;

generally less upper breast fullness than implants can provide.


Fat transfer to the face, buttock, or breast has a role in properly selected patients, but if you have a significant amount of loose skin, it will not likely suffice. Given these issues, and the well proven nature of a breast lift when performed by a qualified, experienced surgeon, a breast lift may be a better option for you. Breast implants must also be considered if the breasts have lost volume but are not truly droopy (this is called pseudoptosis). These issues could be clarified based on your goals and physical exam.

Hope this helps.

Although fat injections (transfer) has been employed for years, we really don't know the fate of the injected fat.  It is being studied now at various research facilities.  Although apparently safe, the results are unpredictable.  Treatment for your breasts, in my opinion, should be by more conventional methods (mastopexy).

 

Without "before" pictures or seeing you in person, it is impossible to answer your question.  However, if you have loose skin and stretch marks on your breasts, I doubt that fat transfer will be very useful.  You likely need a mastopexy and possibly an augmentation as well if you need to replace volume.

 

Good Luck.

Without a photo or preferrably a physical examination it is impossible to know what would be best in your situation. Given your description of sagging breasts with stretch marks it is highly unlikely that fat transfer/grafting alone will correct the issue. Thinned stretched out skin with stretchmarks just does not have the elasticity to give you the result you want. If you just put an implant or fat into the breat it just may end up sagging more.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.