Soooo I really don’t want breast implants, ( I’m just too concerned about breast implant illness)but I was wondering would it be safe to inject like 1000cc-1200cc into each breast, since 30-40% of that fat won’t survive? (I’m thinking I’ll be left with 600ish cc in each breast) I haven’t heard about doctors injecting that much and I would really like to go up to a full DD from a B cup and I don’t want to get it done and be left with a smaller cup size than I would like.
Answer: The truth about fat injection into the breasts- the problems and the limitations People, including doctors, think that "40% - 60% of my fat lives" when fat injection is done in large volumes to the breasts. I believe that this does not, and cannot happen. First, most of the cells in my research using the trypan blue exclusion method are dead after harvesting of fat with the Coleman method and apparatus. Maybe 25% survive. There are better studies done with radioisotope uptake which shows even lower survival rates. The body incorporates grafts by producing vascular ingrowth (blood vessels) into the grafted area. Only living cells can continue to live. Dead cells cannot live because, well, they are dead. I(t is likely that some cells might survive as living cells, and some as nonliving pools of fat or fatty cysts which are not alive. The body is only capable of revascularizing something the size of 1/3 (1 cm) of an inch before the inner cells die of cellular starvation. The most common complaints of patients having breast augmentation with large amounts of fat is that the fat didn't last, and now they need additional procedures; and that now there are lumps in the breasts and they have to get MRI's, mammograms, ultrasounds, etc. on a frequent basis to make sure the lumps are not cancerous. To be sure, many patients are happy with fat injection to their breasts, but many are not for the reasons above. For these reasons, I prefer autologous fat fascial grafts for breast augmentation in patients who don't want or can't have a breast implant. Otherwise, implants may be a better choice. So just go into the procedure with your eyes open!
Helpful 3 people found this helpful
Answer: The truth about fat injection into the breasts- the problems and the limitations People, including doctors, think that "40% - 60% of my fat lives" when fat injection is done in large volumes to the breasts. I believe that this does not, and cannot happen. First, most of the cells in my research using the trypan blue exclusion method are dead after harvesting of fat with the Coleman method and apparatus. Maybe 25% survive. There are better studies done with radioisotope uptake which shows even lower survival rates. The body incorporates grafts by producing vascular ingrowth (blood vessels) into the grafted area. Only living cells can continue to live. Dead cells cannot live because, well, they are dead. I(t is likely that some cells might survive as living cells, and some as nonliving pools of fat or fatty cysts which are not alive. The body is only capable of revascularizing something the size of 1/3 (1 cm) of an inch before the inner cells die of cellular starvation. The most common complaints of patients having breast augmentation with large amounts of fat is that the fat didn't last, and now they need additional procedures; and that now there are lumps in the breasts and they have to get MRI's, mammograms, ultrasounds, etc. on a frequent basis to make sure the lumps are not cancerous. To be sure, many patients are happy with fat injection to their breasts, but many are not for the reasons above. For these reasons, I prefer autologous fat fascial grafts for breast augmentation in patients who don't want or can't have a breast implant. Otherwise, implants may be a better choice. So just go into the procedure with your eyes open!
Helpful 3 people found this helpful
Answer: Is it possible or safe to inject 1000-1200cc into each breast for a fat transfer to the breast? No. Unfortunately that is not how breast fat grafting works. All the fat must be surrounded by living tissue to get blood flow and ultimately survive. Breast fat grafting is generally 100-300 cc per breast. Now, that being said, the procedure can be repeating but it is VERY unlikely you would ever get to the point you have suggested. Additionally, the fat does not give the same appearance as an implant so you likely wouldn't be happy in the long run if it were possible. Best of luck.
Helpful
Answer: Is it possible or safe to inject 1000-1200cc into each breast for a fat transfer to the breast? No. Unfortunately that is not how breast fat grafting works. All the fat must be surrounded by living tissue to get blood flow and ultimately survive. Breast fat grafting is generally 100-300 cc per breast. Now, that being said, the procedure can be repeating but it is VERY unlikely you would ever get to the point you have suggested. Additionally, the fat does not give the same appearance as an implant so you likely wouldn't be happy in the long run if it were possible. Best of luck.
Helpful
November 4, 2020
Answer: Breasts No, it is not safe to inject that much fat in one breast in one session, nor is it realistic. For most women, that size is much too large for their frame and tissue and does not look good over time. You need to be more realistic about what size you want.
Helpful
November 4, 2020
Answer: Breasts No, it is not safe to inject that much fat in one breast in one session, nor is it realistic. For most women, that size is much too large for their frame and tissue and does not look good over time. You need to be more realistic about what size you want.
Helpful
October 19, 2020
Answer: Fat transfers If you are a size B, it would be impossible to inject 1000-1200 cc of fat into each breast. Unfortunately, you have not told us your bra size. If you are size 32 or 34, each 100 cc of fat corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of fat corresponds to 1 cup size change. You are correct in how much fat survives. If you want 100 cc of fat increase then you would need 150 cc of fat injected. Attempts to inject large amounts of fat can result in an inadequate bed for the graft to take and the fat will undergo absorption or may calcify and leave hard nodules. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
October 19, 2020
Answer: Fat transfers If you are a size B, it would be impossible to inject 1000-1200 cc of fat into each breast. Unfortunately, you have not told us your bra size. If you are size 32 or 34, each 100 cc of fat corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of fat corresponds to 1 cup size change. You are correct in how much fat survives. If you want 100 cc of fat increase then you would need 150 cc of fat injected. Attempts to inject large amounts of fat can result in an inadequate bed for the graft to take and the fat will undergo absorption or may calcify and leave hard nodules. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
October 19, 2020
Answer: Is it possible or safe to inject 1000-1200cc into each breast for a fat transfer to the breast? 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. The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast. About 50% of the fat obtains permanence 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. 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.
Helpful 1 person found this helpful
October 19, 2020
Answer: Is it possible or safe to inject 1000-1200cc into each breast for a fat transfer to the breast? 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. The fat must be injected through multiple planes in small amounts to the tissue through one tiny incision under each breast. About 50% of the fat obtains permanence 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. 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.
Helpful 1 person found this helpful