Is 5’3" and 110 lbs too skinny for fat graft? (Photo)

Question

I’m 5’3 and 110 lbs but my body measurements show I have 26% body fat totaling 30 lbs. I don’t want a huge volume increase, just looking to move my A cup to a B so probably around 80-100cc. I’ve gotten a consultation with AirSculpt and they said I’m still a good candidate but just worried I’m getting suckered into a procedure that costs a lot but won’t provide results.

Gary M. Horndeski, MD · Answer

At 5’3 and 110 lbs, your BMI is less than 20, which is quite thin.  I am not sure you will have much body fat to harvest and you may also have a contour deformity at the harvest site.  Fat grafting is usually good for 1 cup size change.  At size 32, 1 cup corresponds to 100 cc, but you will need 150 cc to retain 100 cc.  This may be possible but in your case the results will be minimal.Best Wishes,Gary Horndeski, M.D.

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. For those women who prefer a "Natural Breast Augmentation" without implants, fat grafting is a safe, natural, and minimally invasive approach that offers low-maintenance, long-term improvement in size and contour. After harvesting the fat from your body, we purify and enrich the fat before injecting it in the desired areas to improve volume and shape.
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Kenneth Hughes, MD · Answer

Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume.  In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons.  It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer.  Multiple transfers would be required for additional cc's.  In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used.
Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival.  Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. I typically transfer from 250 cc to 400 cc or so per breast.  Thinner patients are outstanding candidates in my opinion, because the fat transferred is extremely resistant.  
Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations. You would need a consultation with a board certified PS to determine your available fat stores.

Ronald J. Edelson, MD · Answer

I recommend you look at cases the surgeon you consulted has performed. I have seen virtually no results that I thought were worthwhile. Go on the internet and decide for yourself.  when you see how minimal most results are you will be better able to decide. And remember the results you will see online are ones surgeons post as their best cases.

Daniel Barrett, MD · Answer

Dear Sincere572,
it is hard to tell for sure without an examination, but based on your photos, it looks like you have enough fat to consider fat transfer. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Connie Hiers, MD, FACS · Answer

You would do much better with implants, especially over the long term. You don/t have as much fat as you think. What you are pinching is mainly skin. I would suggest meeting with your plastic surgeon and discussing implants. You can at least try on sizes to see what 80 cc's will give you.

David A. Dreyfuss, MD · Answer

I feel you would ultimately be very disappointed with fat grafting to the breast.  To achieve any significant size increase, you need to overfill the breast as 30-40% disappears over time.  With your low body fat amount, not enough fat would be available to get a good long term result.  Even using a Revolve system, to get the most pure fat, you would be very limited.  You may want to consider seeing a Board Certified Plastic Surgeon to discuss an implant augmentation, instead of going to a liposuction center.

Leon Goldstein, MD · Answer

An in person exam is needed to truly evaluate your donor areas. But in general you are not too thin based on your photos. The reality is only a small augmentation can be achieved with fat grafting and there is a 30-40% volume loss over the first 6 months. An over correction graft may help since you are not looking for a large size change. The cost of fat grafting is substantially higher than implant augmentation. Only you can weigh the benefits of augmentation with your own tissue vs the personal and financial price. Both types of augmentation have their good and bad points. Discuss them with a board certified plastic surgeon (ABPS).

Arian Mowlavi, MD, FACS (license on probation) · Answer

Based on your photos, you are an excellent candidate for high-definition VASER liposuction with fat grafting to the breast for a natural augmentation.The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

based on your statistics and photographs I believe you have enough fat and are a good candidate for this procedure. My practice has been devoted exclusively to liposuction and fat transfer procedures for the last decade. For breast fat transfer a significantly higher amount of fat needs to be grafted. My average fat transfer patient gets 450 mL of fat transferd Per side.Grafting less than 300 mL is probably not a worthwhile endeavor.my average results lead to a long-term 100% breast volume increase. good outcomes can give it 150% breast volume increase.You can see some of my results posted on real self. All postop pictures were taken six months after the procedure and represent final permanent results.I work part time for elite body sculpture in Roseville.it’s a good organization with surgeons who have a good experience.I can’t speak on behalf of the Beverly Hills office currently but overall it’s a good company to go to.Best, Mats Hagstrom MD

Is 5’3" and 110 lbs too skinny for fat graft? (Photo)

Answers (11)

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