Is it safe to perform autologous fat grafting over breast implants? (Photos)

Question

I could not go large with my implants because I didn't have a lot of breast tissue and I have a small ribcage. But I was thinking that grafting fat to the breast tissue would be a great way to give me one more cup size and also add to a more natural appearance. Implants are 225cc moderate profile.

Jed H. Horowitz, MD, FACS · Answer

hello Charlettap  Hybrid breast procedures These are breast procedures that use both breast implants and fat 
grafting to obtain the best results.  The fat is placed in areas to fill
 and help reshape the chest or breast that is cannot  be treated by an 
implant, or the patient prefers correction with fat. These may include:
Chest contour problems such as pectus excavatum  (sunken chest) or pectus carinatum (pigeon chest). Problems of implants including: rippling, visible edges, asymmetriesBreast lift or reduction that need more upper chest fullness.Breast lift that needs more volume

Kenneth Hughes, MD · Answer

Fat transfer on top of implants is reasonable.  I try to avoid performing the surgery more than once, and the average patient achieves about 3/4 cup increase in size.  If a second procedure is indicated, you can usually tell by 6 weeks.  Depending upon healing characteristics, it may be reasonable to perform the second surgery at 3 months.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Michelle Zweifler, MD · Answer

Data from our plastic surgery society, supports the use of fat grafting to the breast. Fat grafting to the breast helps add volume and smooth the overall breast contour by adding volume where deficient.  Fat grafting, like all procedures, has some risks like resorption, lumpiness, asymmetry, etc. and this discussed in greater detail at consultation.

Harry T. Haramis, MD, FACS · Answer

Fat grafting can be performed after implants for finishing touches. Personally, I use Vaser ultrasound liposuction for this.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Robert M. Tornambe, MD · Answer

Charlettap. It is safe to have fat transferred to your breasts after breast augmentation, especially if you wish to only increase one breast size.  The only issue is asymmetrical fat take, more fat taking on one side than the other, resulting in asymmetrical breast size. Another option is exchanging your implants to a larger size.  Be sure to consult with a board certified plastic surgeon. Good luck!

Urmen Desai, MD, MPH, FACS · Answer

Yes, it is very safe to undergo fat grafting over implants.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Nathan Eberle, MD, DDS, FACS · Answer

clearly you could undergo fat transfer, but IF you truly have a MOD profile implants that is 225cc, you could clearly change the profile to a MP or HP and increase the volume. lots of options, you just have to decide what is the best option for you

Kamran Khoobehi, MD · Answer

i offer this for patients with small breast or patients that desire more cleavage. They feel and look more natural. Please see the link.

Aaron Stone, MD · Answer

The enemy of good is better so you should consider leaving well enough alone. You should have fully discussed implant size with your surgeon before surgery and mutually agreed on the correct size implant. The implant size should be chosen based on breast base width diameter and the ability of the skin envelope to hold the implant. If you weren't able to contain a larger implant because of rib cage or skin issues why would you be able to make up the difference with fat grafting?

Daniel Del Vecchio, MD · Answer

yes fat over breast implants is safe. I first developed this procedure andfirst published on this topic several years ago. I have attached a link. Fat can be placed over implants and makes the breast look more natural and makes the cleavage Gap look more natural. It helps with many other problems too. Please see the attached paper. Best regards, Dr.Delvecchio

Is it safe to perform autologous fat grafting over breast implants? (Photos)

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