Is there a risk of puncturing a silicone breast implant during fat transfer if the implant is under the muscle?

I am seriously considering getting a fat transfer over my breast implants. I have silicone gummy bear implants under the muscle (4yrs old) and want to transfer fat from my thighs and stomach. I believe I have more than enough to transfer as my thighs carry a lot of fat and I weigh 160lbs at 5'6. I am hoping to go up a cup size. I want a thin waist and huge soft boobies. I just want some advice if this is possible.

Doctor Answers 5

Puncture

Yes, there is always a risk to the implants. However, most surgeons use a blunt instrument to place the fat which would be safe to the implants. Plus, the surgeon is feeling the tissue and knows where the fat should go. Transferring fat should be safe to the implants.


San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

Fat transfer over breast implants

Submuscular breast implants usually do not lay totally beneath the pectoral muscle.  Any time that a needle or canulla is inserted under the skin there is always the risk of pocking the implant causing leakage. Usual breast size enlargement with fat transfer is usually less than a bra size.  Attempting greater amounts of enlargement increases the risk of cyst formation and fat degredation.Please ocnsult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Fat Graft and Implant damage

There is always a chance of something like that happening but the risk is extremely low.  It is not something I would worry about if you trust you physician he/she can give you an assessment of how likely or unlikely that would be.

Robert Kearney, MD, FACS
La Jolla Plastic Surgeon
5.0 out of 5 stars 31 reviews

Is there a risk of puncturing a silicone breast implant during fat transfer if the implant is under the muscle?

Autologous fat transfer to the breasts is possible with implants in place. But, there is a risk of puncturing your breast implants, even if they are under the muscle. Thank you for sharing your question and concerns. Best wishes.Dr. Gregory Park

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 158 reviews

Is there a risk of puncturing a silicone breast implant during fat transfer if the implant is under the muscle?

There is a risk of puncture.  But, like everything else in plastic surgery, an expert technician is much less likely to have this occur.
Kenneth Hughes, MDLos Angeles, CA

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.