Breasts are different sizes after implants? Can fat grafting fix it?

Question

Had 4 surgery on breast.One is initial and 3 due capcone on left breast only, .My last surgery was capsulotomy with Alloderm graffting on one of my breast. I always had same size implants(but this time my surgeon decided went down to 200cc on breast he operated(other 255cc).he used sizers to make this decision and after a months i can see that my operated breast visibly 20 %smaller. Everything else is great but can fat grafting fix it ?Can i get capcon because of fat graft?

Alan Gonzalez, MD, FACS · Answer

Hello @AliceIW, thank you for your question. Yes, you can have lipoinjections to the breast if you have implants. Depending on where the implants are placed, fat seeding can be accomplished. The surgical plan would depend on what you want to improve. It would also depend on whether this procedure or another will help you achieve greater harmony. The most appropriate course of action is to consult one or several board certified plastic surgeons. This will allow you to get more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Zoran Potparic, MD · Answer

It would be easy to replace implant with a larger one; if you do not want that, augmentation with fat grafts is an option to achieve more symmetry. In person consultation with a board certified plastic surgeon with experience in breast fat grafting is recommended. Good luck.

Daniel Barrett, MD · Answer

Dear AliceIW,
it is hard to tell for sure without an examination. Generally speaking, it is possible to imrove asymmetry with fat transfer. 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

Connie Hiers, MD, FACS · Answer

You did not post photos, but fat can be used to help augment breasts. Fat does not increase the risk of capsule formation unless an infection occurs. Please discuss this with your surgeon.

Mats Hagstrom, MD (license on probation) · Answer

I think you meant to say capsule?
If that’s the case then recurrent breast implant capsular station as an issue that can lead to implant failure.
Recurrent capsular contractions can be caused due to contamination with a very slow growing bacteria called staph epidermidis. The bacteria cannot be diagnosed or detected using cultures.
It cannot be eliminated while there is a foreign body in place.
If you have already have implants and have a symmetry then the best option is to adjust the implant size.
If you’ve had multiple capsular contractions than you are at risk for developing another capsular contraction and may eventually fail breast augmentation with implants.
Fat grafting is unlikely to increase the chance of developing capsular contraction.
I don’t see a good indication for doing fat grafting based on what you described. adjust the implant size on the nonproblematic breast to get symmetry match if needed.
Fat transfer with breast implants generally requires first removing the implants then grafting the breast followed by reinserting the same or new implants.
Grafting without first removing the implants puts patients at risk for implant damage with the fat grafting cannula.
I suggest you continue working with your current plastic surgeon or seek second opinion in person consultations with other local board-certified plastic surgeons in your community.
Best,
Mats Hagstrom MD

Breasts are different sizes after implants? Can fat grafting fix it?

Answers (5)

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