I want a more proportionate figure. Which procedure would you recommend? (Photo)

Question

I'm 5'7 and 115lb. I carry most of my weight in my lower body. My inner/outer thighs are my main concern. When I work out/lose weight I become frail on top but hold my weight in my lower body. So I'm thinking to get breast fat transfer to even out my proportions, not necessarily a bigger bust but a fuller one then skinny legs. The other photos I attached are the type of figure I want. Would breast fat transfer achieve this on me? If not, which procedure would I benefit from?

Rodger Shortt, FRCSC · Answer

Breast fat transfer is a great procedure for the right person.  The ideal patient is someone that matches many of the following (not everyone will match every item):
1.  Have some fat that can be liposuctioned.
2.  Have some place to put the fat.  Keep in mind that not all the fat that is transferred will survive.  You can essentially double the size of the breast at the time of surgery.  However, a portion will not become healthy viable fat.  So the results at a week are not indicative of the final result.  Around 3 months is a pretty good facsimile. If excess fat is injected, it increases the chances of fat necrosis.
3.  Having a nice shape to the breast, and using fat to fill that out, works best.
4.  Having realistic expectations about the outcome.  For someone wanting a really large change, an implant is a better option.
5.  Having an area of fat you do not like and would prefer to see made smaller (ie lateral thighs, medial thighs, love handles, belly are most common). This can help with overall proportions.
6.  An aversion to implants.
7.  A desire for a really natural looking result.

Choose a surgeon that does this regularly as there are techniques that will increase fat graft survival.

Dr. Rodger Shortt, Oakville Plastic Surgeon, Ontario.

Joel Patrick Maier, MD · Answer

Indeed, liposuction of the inner and outer thighs will help you meet your expectations. The fat can be transferred to the breast to help with volume and shape. I think this is an excellent way to proceed. Thank you.

Alan Gonzalez, MD, FACS · Answer

Hello @bambi100, thank you for your question. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations. However, If you’re looking to achieve a more proportionate figure, liposculture with fat transfer is on solution that may help. This procedure involves using your own fat cells taken from fat pockets in the body, and transferred to the breasts for fuller and firmer volume. 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

Based on these photos. there are few areas where fat transfer would help, but you have limited amount of that. In case like yours, breast should be treated with small implant augmentation while buttocks, hips would benefit of fat transfer. In person consultation with a board certified plastic surgeon with expertise in fat grafting and body contouring, is recommended. Good luck.

Daniel Barrett, MD · Answer

Dear bambi100,
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

Connie Hiers, MD, FACS · Answer

I would recommend liposuction to your outer thighs and breast augmentation with implants. You may not have enough fat to transfer to obtain the size breasts you want.

Darryl J. Blinski, MD · Answer

Nice posted photos. You have limited fat available for transfer to breasts. But it could be done. Expect fees $6,000. Best to virtual consult with...

Hilton Becker, MD · Answer

You do have excess fat on your thighs that could be transferred to your breasts.
You will need pre operative external expansion and may need more than one operation

In the mean time try to gain some weight.

Mats Hagstrom, MD (license on probation) · Answer

Lower extremity liposuction is technically difficult, and often does not deliver as much of an improvement as patience at home before. If done by providers, lacking expertise in the procedure, patients can be left with disfiguring contour irregularities.
Breast fat transfer is a subtle procedure that will give most patients 1/2 cup breast volume increase. It does not change the shape of the breast in any significant way, simply adds a very subtle amount of volume.
I cannot emphasize enough the importance of provider selection when it comes to this procedure both liposuction and fat transfer. The number of plastic surgeons will have the skills to deliver, consistent quality outcomes, including the ability to make an accurate assessment and deliver predictable outcomes is a relatively small. Being board-certified and plastic surgery with an overall good reputation and years of experience does not mean that somebody has mastered Liposuction, or is even competent at Liposuction. The same is true for fat transfer. Doing these procedures, well, on a consistent basis with the ability to accurately predict outcomes, is much more difficult than most people believe. 
Most plastic surgeons think they’re better at Liposuction then they actually are and the number of providers who are excellent is really a select few.
Because the implications of having poorly done liposuction is devastating any reversible patients need to think long and hard if this is something that’s justified. If you decide that you want to go through with the procedure, then you must carefully select to find the best provider and get a clear understanding of your own candidacy for the procedure. To do this I recommend patients have multiple in person consultations. Bring pictures of your own body, including of your breast to the consultation in printed format to use for reference. 
During each consultation, ask each provider to open up their portfolio and show you their entire collection a before and after pictures of the areas you’re interested in treating. It’s much more common to do Liposuction of the Torso or abdomen for breast fat transfer, but fat can be harvested from any part of your body.
Ask providers to show you as many pictures as possible of previous patient who has very similar body characteristics to your own. This is especially true for Liposuction. For reference and experience plastic surgeon should have no difficulty showing you at least 50 sets of before, and after pictures of commonly performed procedures, like liposuction and breast fat transfer. When reviewing before, and after pictures, make sure patients have very similar body characteristics to your own. Have pictures of your own body available to use as a reference. Preferably imprinted format. I look very carefully at all areas treated with Liposuction. Make absolutely sure there are no contour irregularities in any area treated with Liposuction. Asked providers to point out exactly what areas were treated with Liposuction and what areas were not treated than look very carefully at transition zones between treated and untreated areas. For fat transfer results do you need to make absolutely sure you know what the timeframe is of when the after pictures were taken in relationship to the time of surgery. Early fat transfer results can look extremely impressive, but do not in anyway represent final results which take at least 3 to 6 months and are generally far smaller and less impressive than early results. 
There’s no correct number of consultations to have to find the best provider. The more consultations you have the higher the chance of finding the best provider. Considering how few plastic surgeons are truly exceptional at both Liposuction and fat transfer this is going to take some serious effort if you want to minimize the chance of having a poor outcome, including becoming disfigured. 
Honestly, I think your body looks great and you should stay far away from plastic surgery offices.
Best,
Mats Hagstrom, MD

I want a more proportionate figure. Which procedure would you recommend? (Photo)

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