Breast fat transfer 3 months after reduction?

Question

Hi, I had a breast reduction done recently, but the surgeon took out too much. Can I have a fat transfer to breast 3 months after breast reduction? I was told to hold off from any procedures to breasts for 6 months to 1 year, but a surgeon told me that fat transfer is fine to do. I'm confused, please advise.

Daniel Barrett, MD · Answer

Dear SnowLeopard2468,
most surgeons would recommend you to wait until you are fully healed. Every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Elizabeth Kiwanuka, MD, PhD · Answer

It's crucial to heed the advice given to you regarding post-operative care and timing for additional procedures after breast reduction surgery. While one surgeon may suggest that a fat transfer to the breasts is safe after three months, it's important to consider the potential risks and benefits. Here are some points to keep in mind:
Healing Time: The tissues in your breasts need time to recover and settle into their new shape after breast reduction surgery. Waiting longer allows for better healing and reduces the risk of complications from additional procedures.
Optimal Results: Allowing sufficient time between surgeries gives your body the opportunity to fully recover and for any residual swelling to resolve. This can lead to better outcomes and a more satisfactory aesthetic result.
Consult Multiple Experts: If you're unsure about the recommended timeline for additional procedures, consider seeking opinions from multiple qualified surgeons. They can evaluate your specific situation and provide personalized recommendations based on their expertise and experience.
In summary, while it may be tempting to proceed with a fat transfer to the breasts sooner rather than later, it's essential to prioritize your long-term health and well-being. Waiting for the recommended duration ensures the best chance of achieving optimal results and minimizing the risk of complications.

Ajaya Kashyap, MD · Answer

Thank you for your query. I would advise waiting for six months at least after your breast reduction to get fat transfer, although one year would be  better. The breast tissues are still settling down and the exact placement of the autologous fat can be best determined once the tissues have settled. All the best!

Ryan Endress, MD · Answer

Great question! I think 3 months is fine for a fat transfer in your situation if you clearly have a deficiency you are trying to correct, as opposed to a small asymmetry. For the latter, I would wait 6 months to do. Thanks!

Jeffrey Lisiecki, MD · Answer

Yes, it is possible to do the fat transfer at 3 months, but a llittle longer is usually better to allow your breasts more time to settle, heal more fully, and soften prior to revision.  Without seeing you and your pictures, I would typically recommend waiting until you're 6 months out.

Ronald J. Edelson, MD · Answer

Fat transfer is anything but an exact science. Nobody knows how long is the optimal waiting time. I would tend more toward the six month

Connie Hiers, MD, FACS · Answer

I would wait a minimum of 6 months to let all the swelling subside from your reduction surgery. also, you might find you like the new size.  Fat transferred after 6 months will also have a better chance of surviving.

Darryl J. Blinski, MD · Answer

Without posted, photos is difficult to give an accurate answer. But usually the concept is to wait at least six months post breast reduction for full healing to occur and softening of the tissues. Three months sounds a bit early, but without a in person examination or even a virtual consultation very difficult to agree with doing that rafting to the breast at three months. By the way, the fact crafting should be done under ultrasound guided fat injections. Expect fees to range from $5000-$10,000. Again, virtual consult is accept

Mats Hagstrom, MD (license on probation) · Answer

In order to be a good candidate for fat transfer, you want to let the scar tissue heal up and become mature before considering the second procedure.
Most plastic surgeons will probably say that’s about six months.
Each plastic surgeon will have their own recommendations.
Delivering Consistent quality, liposuction, and fat transfer (both procedures are always done together) Is more difficult than most people realize.
The number of plastic surgeons who mastered this procedure is relatively small.
The fact that providers offer the procedure and have board certification does not mean they’re good at it.
Fat transfer can consistently increase breast size by 1/2 cup or about 50% increase in breast size one done by sufficiently skilled and experienced provider. Occasionally results will be slightly more impressive, but that’s the best patience should expect from one round of fat transfer.
Early transfer results can look very impressive but do not in anyway represent long-term final results.
Whenever reviewing before, and after pictures always confirm the timeframe of when after pictures were taken.
After pictures are not representative until at least 3 to 6 months from the date of surgery. 
If results look too good to be true on before and after pictures, then they probably are.Finding the right provider for this kind of work is more difficult than most people realize.
Generally, speaking implant augmentation is more successful, consistent, and can potentially give better aesthetic outcomes.
For those who are opposed to implant augmentation fat transfer may be a reasonable alternative, especially if you’re looking for a subtle increase in breast size without a significant change in breast shape.
To find the right provider, I suggest patient’s schedule multiple in person consultations with local plastic surgeons who seem to have extensive experience with this procedure.
Recognize that in the hands of a provider who does not have sufficient skill with either liposuction or fat transfer results can be potentially disfiguring and disappointing.
Provider selection is by far the most important variable.When in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom MD

Breast fat transfer 3 months after reduction?

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