80ccs too little?

Question

I had fat transfer to my breasts, and the surgeon put in far more fat than I wanted him to—800ccs per breast. As an explant patient, I only wanted him to fill out my upper pole, so that I looked normal again, and to keep my B cups. Now I'm a D. He's agreed to lipo out some fat, but he's saying that he'll extract only about 80ccs per breast, which seems like very little. Is it possible to become a B again with this amount taken out? If not, how much should he actually remove?

Afet Oncel Bozkurt, MD, FEBOPRAS · Answer

Hello. Generally, a significant portion of the fat injected is absorbed by the body so generaly we inject more fat than needed. I guess in your case your body did absorb far less than expected.
Actually it is not possible to tell if more fat can be take nfrom your breasts, a physical consultation is a must. But we can suggest you to lose weight. If you lose weight, some of the fat will be burnt from your breasts, too

Daniel Barrett, MD · Answer

Dear Passionate48197,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Ajaya Kashyap, MD · Answer

Thank you for your query. Fat that has been injected can be partially suctioned out, if too much has been put in. However only a portion of fat survives and it is difficult to remove fat from  within breast tissues. Without pictures a more detailed opinion is not possible but 80 cc will not be enough to reduce your breasts by 2 cup sizes. Please discuss your concerns with your Plastic surgeon or another experienced Plastic surgeon who can help you. All the best!

Chet Mays, MD · Answer

Thank you for your inquiry!  Typically, some of the fat goes away after surgery.  We would love to meet with you to discuss options.  Schedule your consultation with a Board Certified Plastic Surgeon to discuss your goals.

Krishna Vyas, MD, PhD, MHS · Answer

The 80ccs of fat removal your surgeon is proposing seems quite minimal, especially considering that 800ccs were initially grafted into each breast. Typically, 100ccs of fat corresponds to about one cup size change for smaller sizes (like 32 or 34), so to reduce from a D cup to a B cup, more fat would likely need to be removed&mdash;around 200ccs per breast if you are in the 32 or 34 band size. However, it's important to consult your surgeon to clarify their approach, as removing too much fat could lead to sagging or other aesthetic issues, and sometimes a breast lift might be recommended.It is important to consult with an experienced plastic surgeon who can customize your surgical plan and determine the best technique for you based on your individual anatomy and goals.
Krishna Vyas, MD, PhD, MHS
Harvard, Hopkins, & Mayo Clinic Trained 
Aesthetic Plastic Surgeon
New York, New York

Gary M. Horndeski, MD · Answer

If you are size 32 or 34, each 100 cc's of fat corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc's of fat corresponds to 1 cup size change. If you are a D and want to be a B then you will need to remove 200 cc's if you are size 32 or 34 or 400 cc's if you are size 36 or 38.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Karl William Schwarz, MD · Answer

IF he placed 800 cc and removes 80 that's a 10% reduction but you can assume that not all of the 800 cc survived so maybe it becomes 80/700 for example but that's still only about a 11% reduction. A typical cup size is considered to be about 250 cc so to go down two sizes you would think that perhaps 500 cc would need to be removed. That seems like a lot of fat to remove from a breast at one time so perhaps a couple of rounds of careful lipo might be better to get you to the desired size. Best of luck.

Connie Hiers, MD, FACS · Answer

Not all 800 cc's of fat lived, so some can be removed. About 150 cc's is a cup size in most women. If he removes around 250-300 cc's, you may be back to a B. However, you will lose upper breast fullness.

Scott C. Lindsay, DO · Answer

Thanks for your question! That does not seem like very much. However, I would suggest you have another conversation with your surgeon rather than reaching out here. Every surgeon is different and each recommendation is different. Good luck!

Camille Cash, MD · Answer

It's difficult to give you a specific answer without an exam or photos.  Removing 80cc does seem minimal if 800cc was grafted.  Keep in mind that removing too much fat may result in sagging breasts and a recommended breast lift.

80ccs too little?

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