Am I a good candidate for a breast fat transfer and can I achieve a 1/2 cup to 1 cup increase? (photos)

Question

I'm lanky except around my stomach after having kids. My waist at widest part right under my belly button is 35in. I don't necessarily care how narrow my waist is but I do want a flat nonprotruding belly when I wear tight clothes. Can I ask how many inches can I expect to take off & with what procedure? Can Emsculpt or Coolsculpt flatten my stomach? Or I need lipo? If lipo, should I definitely do laser lipo? And is there enough fat to transfer to my breast to gain 1/2-1 cup size?

Zoran Potparic, MD · Answer

In order to treat your abdomen, flanks and lower back, liposuction is the procedure of choice. Considering breast augmentation, implants would be my first option. If augmentation is done with fat grafts only, you will need at least 2 stages to achieve 1 cup size enlargement. In person consultation or virtual consult with a board certified plastic surgeon, with expertise in these procedures, is recommended. Good luck.

Jeffrey Lisiecki, MD · Answer

To begin, you do look like a good candidate for breast fat transfer based on your photographs, and could expect to gain 1/2-1 cup size. Regarding your abdomen, better photographs or examination would be helpful--if you have laxity in the muscles of your stomach, then the only thing that will really flatten you is an abdominoplasty. If you don't, then liposuction or liposuction plus skin tightening like BodyTite can be very helpful. Laser liposuction does not add much benefit, maybe a little less bruising compared to regular liposuction but also some added risk--it is not a "definitely do." How many inches to expect to lose also depends on your examination!

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. In your case, if you're done having children, I suggest considering a Tummy Tuck combined with liposuction and BBL. That will help you achieve a flatter abdomen and smaller waist. You have a healthy weight, I'm confident you'll have great results.

If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Daniel Barrett, MD · Answer

Dear Glorious7297,
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

Ronald J. Edelson, MD · Answer

What you want is certainly possible. However it’s not a great operation. Most of the fat will not survive and your tummy could end up with ripples and dents from the liposuction. Not a good plan in my opinion because I’ve seen too many poor results

Michele A. Shermak, MD · Answer

Hello! I have patients who desire augmentation without the use of implants. Liposuction of the abdominal area and back area are the best donor sites for fat to the breast. This needs to be a gently liposuction that protects the fat cells to ensure the best outcome. The best outcome in a single stage is 1/2 to a full cup size. You can save a donor area and do 2 stages which will increase cup size outcome. This is a great procedure and you seem to be an optimal candidate. I would recommend you meet with a board certified plastic surgeon as a next step! You can find one at plasticsurgery.org.
Best of luck to you!

Robert M. Tornambe, MD · Answer

I appreciate your concerns and skillfully executed traditional liposuction utilizing smaller cannulas to allow appropriate contouring of your abdominal and flank regions should provide the results you desire. Do not be fooled by slick advertising campaigns touting sexy liposuction machines claiming unrealistic or unattainable results. 
Photos indicate that you are a good candidate and fat may be transferred to your breast attaining an increase of 1 cup size. The most important aspect of your search is finding a board-certified plastic surgeon in our area with lots of experience with liposuction. Good luck.

Irena Karanetz, MD · Answer

Hello,
Thank you for the question.
Based on your photos, you appear to have adequate donor fat in your abdomen to perform fat transfer to the breasts in order to increase breast volume.
Breast lipofilling may require a few sessions (surgeries) to achieve a fuller cleavage, which is an important consideration for many patients. This is done usually through tiny incisions which heal with minimal scarring.
Compression garment using a surgical bra will help minimize swelling after surgery and is typically recommended to wear for 4-6 weeks after the procedure.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Surgeries in order to discuss your goals and concerns for the best cosmetic results. I hope this helps.
Best regards, 
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Leland Webb, MD · Answer

You certainly are a candidate for liposuction of the abdomen, and in doing so you can transfer some of this fat to your breasts. Often 1/2 cup to maybe one cup is a realistic cup size increase that you can anticipate. It is always difficult to anticipate how many inches may be lost with Liposuction, however, I understand that it is a wonderful tool for body contouring. I doubt that you would get the full results that it sounds like you were looking for using something like cool sculpting. You otherwise have a great opportunity to improve some of the volume of your breasts and achieve the more contoured waist line that you desire through Liposuction and Fat grafting . Have a goal directed conversation with your board-certified plastic surgeon. We are happy to help in any way we can.

Libby Copeland-Halperin, MD · Answer

Thank you for sharing your photos and for your question! Regarding your question about fat transfer to the breast, I think you would likely have enough fat to achieve a ½-1 cup size change, but I would need to examine you in-person. Fat grafting to the breast can provide a natural increase in breast fullness/breast size without the use of artificial implants, particularly for patients who want a modest increase in their breast size. 
Regarding your stomach, I would also need to examine you to better address your questions. In general, Coolsculpt and Emsculpt can help reduce fat and tone the stomach/abdominal area. However, this would require several treatment sessions. Liposuction would offer the most definitive approach and would help you achieve the flattest results. I perform liposuction using a combination of techniques, including SmartLipo, ultrasonic liposuction, and power-assisted liposuction, using fine cannulas inserted through small incisions. I recommend you meet with a fully-trained plastic surgeon so he/she can examine you and guide you toward the best approach to address your goals.

Am I a good candidate for a breast fat transfer and can I achieve a 1/2 cup to 1 cup increase? (photos)

Answers (17)

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