History of papillary lesions. Am I a candidate for breast fat transfer?

Dear morrison.a,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello @morrison.a, thank you for your question. A benign history of papillary lesions doesn't automatically disqualify you from a procedure like breast fat transfer. However, it does require careful evaluation and discussion about the risks, benefits, and alternatives with both your plastic surgeon and your breast specialist. 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).

There will always be plastic surgeons who will do fat transfer in your case. I would be concerned about the fat getting lumpy making it harder to diagnose lumps in the future

Papillary lesions in the breast refer to abnormal growths in the milk ducts. They can be benign (non-cancerous) or malignant (cancerous). The history of papillary lesions is important to determine your candidacy for breast fat transfer, but it’s crucial to consult with a healthcare professional for an assessment.
Having a history of papillary lesions doesn’t necessarily disqualify you from breast fat transfer, but your eligibility depends on various factors, including your overall health, breast tissue, and the specific characteristics of the lesions. Your surgeon will assess these factors to determine the best course of action for your particular situation.

You did not specify where these lesions were, but probably are of no concern for a fat transfer, especially if they are elsewhere off the breasts.

Each plastic surgeon will have their own threshold in regards to what is appropriate when it comes to having breast fat transfer. Some plastic surgeons don’t think the procedure is a good place in the first place.
Patients with a strong history or risk factors for breast cancers, are often discouraged to have the procedure.
I suggest having a few in person consultations at which time you can ask each provider what their person regarding the appropriateness of the procedure for you. It’s also important to get confirmation of your candidacy for the procedure in the first place. Patients who are not good candidates should probably lower their threshold for having the procedure in case there are any potential oncologic concerns.
Best,
Mats Hagstrom, MD