What is the minimum BMI for a breast fat transfer? Or is it judged on a case by case basis? (photos)

I hate to tell you but the surgeons you saw were right. It is not that you do not have any fat to transfer, but a matter of how fat transfer works. Lets just say that you are a B cup and want to restore fullness up to a C cup, for example. One cup size of volume is about 150-200 cc, for both breasts, you are going to need to retain a total of 300-400 cc of volume. Take into account that breast fat transfer long term maybe retains 50% of the volume injected, so now you are needing 600-800 cc of fat. Now take into account that if the fat is cleaned and processed prior to injection for maximum purity and retention, about 30% of the fat removed will not be suitable for injection, now you are going to need about 800-1000 cc of fat for a reasonable transfer. So now maybe you have a better understanding of why they felt you were not a good candidate. You have two options, if you really want the result no matter what, then consider an implant. If you are 100% against implants, then you can proceed with fat transfer but understand that the chance of a contour deformity in the donor sites is significant and also you have to be accepting of the possibility that at 3-6 months from surgery, you notice no difference in the overall volume of the breasts (not likely, but possible given the unpredictability of fat).
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

You would be excellent candidate for augmentation with small implants. Although augmentation of the breasts can be achieved with fat grafting, in your case 2-3 stages may be needed, about 6 months appart. Combination of small implant and fat grafts can be a good solution for you as well. Hope this helps.

Based on your photos, I agree with your consultants. Even if you target your back, flanks, lateral thighs, and anterior thighs for fat harvesting, the volume probably won't be enough to significantly change your breast volume.

Plastic surgeons can expertly assess how much fat can be removed, filtered/re-processed, and delivered back into the recipient site. It has nothing to do with your height and weight (BMI). This determination is done by skin pinch. You would see a minimal result given your lean body habitus. Get implants from and expert and you will happy for decades. If your fear is breast implant illness, then good news. It's likely a psychosomatic process or other something else. What it isn't is silicone, heavy metals, or unusual bacteria.

It would be tough to get enough fat for transfer and doing so may cause dents where the fat is harvested from. I can understand not wanting silicone implants. Consider saline implants . They work great and are very trouble free compared to silicone. Results from fat transfer are often mediocre at best and don’t gain weight to get more fat. I know many surgeons advise that. Stay thin

Dear Calm119766,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

BMI is not the determining factor for breast fat grafting.
In your case you have sufficient extra fat in your abdomen and waist
I also add PRF which is extracted from your blood ,to the fat graft

Unless you have some usable fat in your abdomen, you do not have enough fat for your breasts. You need implants for your best look.

You are not a candidate for fat transfer to breasts. first because the amount of fat you have is not enough and second because you will not get good results, remembering that 30% of fat is reabsorbed. I recommend that you opt for silicone implants.

The BMI is not the deciding factor in determining if a patient is a candidate for the BBL procedure. Fat stores in isolated areas or adequate fat in multiple areas is required. You do not appear to have enough fat to do a proper BBL procedure. The lower abdomen may require an abdominoplasty to flatten it.