Explant w/breast fat transfer-pectoralis muscle as recipient site for athlete? (Photos)

Question

Hi there, I am planning to do an Explant with fat transfer soon. My pre-implant size was A with litte upper pole. I have had 300cc for 3 yrs. I have persistent pain on right side that imaging hasn’t helped explain. I wish to remove my implants but maintain better fullness than pre implants. I consulted with a highly regarded surgeon who routinely injects fat into the pec muscle as well as the breast to create a foundational breast mound. I had not heard of this but have since seen that it’s not unheard of for women and more often done for men. Seems the muscle has good blood flow and fat survives well there. I’m most concerned about if this could have a negative impact on muscle function. I am a swimmer and also love CrossFit workouts. I should mention my implants are under the muscle so surgeon will have direct access to muscle with Explant. Any tips or thoughts welcome. The proposed amount to transfer is 300cc per breast.

Harry T. Haramis, MD, FACS · Answer

In my experience, fat transfer is a nice option after implants.

Yes you are correct, fat is placed on pectoral is muscle and within breast.

This allows advantages for fat transfer over implants- breast shape and volume can be adjusted for better symmetry.

Estimated 300cc is good for fat transfer.

We commonly will save for related injections if necessary and have a very high fat take retention in our patients.

Bear in mind, not all plastic surgeons routinely perform fat transfer to the breasts.

With fat transfer or implants, neither affects recreational swimming, exercise, etc.

(I do have many professional level body builders that require breast implants above the muscle as a special population).

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.

Darryl J. Blinski, MD · Answer

Based on posted photos best yo do more virtual or in person consults. I recommend expand with breast lift and fat grafting. I do not recommend fat grafting into pectoral muscle which could have a higher complication % and cause functional issues . Expect fees from$10,000-$16,000 ranges. Again best to obtain more opinions

Explant w/breast fat transfer-pectoralis muscle as recipient site for athlete? (Photos)

Answers (2)

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