Explant, breast fat transfer, lipo revision?

Question

I had lipo on thighs and arms and implants two years ago. I want to explant. How many months should I wait until I do fat transfer after the explant? One surgeon suggests 1 month, another says we can do a small amount immediately after the surgery (150 cc) and the rest 3 months and 6 months later using my frozen fat. Also, can I use fat harvested from areas I already did lipo on?

Gary M. Horndeski, MD · Answer

I frequently do explants.  I have done fat transfers simultaneously but usually it is not as effective.  I recommend you waiting approximately 6 months then a large amount of fat can be transferred.  We do not use frozen fat and you can harvest from other previous sites.

Best Wishes,

Gary Horndeski, M.D.

Alan Gonzalez, MD, FACS · Answer

Hello @_Sprinkles_, thank you for your question. Really, the time for recuperation needed for a fat transfer after an explant depends un the surgical technique of the specialist performing surgery. It is always necessary to completely remove the capsule and reconstruct the tissue. As I see it, fat transfer or fat seeding should take place in a later process with a time horizon of 2 to 3 months. This is in order to ensure that the fat is fixed to the tissues and reduce the chances of infection or fat death. The best course of action is to consult one or several board certified plastic surgeons for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS .

Kevin Tehrani, MD, FACS · Answer

Thank you for your question. We have had the best graft survival then breast fat injection is done at the time of the explant.  The capsule of the implant is very vascular which is a good area for injection. It is best of course to have a consultation either in person or virtually to  discuss options.

Ronald J. Edelson, MD · Answer

There are no hard and fast rules when it comes to the timing of fat transfer. Nobody knows the ideal timing or if it makes any difference at all with regard to fat retention and as far as I know it has not been studied. It’s really the hit or miss approach and hope for the best

Daniel Barrett, MD · Answer

Dear _Sprinkles_,
you should fully recover from one surgery before you get another elective procedure. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Explant, breast fat transfer, lipo revision?

Answers (7)

Answer: Fat transfer

Answer: Fat transfer

Answer: Waiting time

Answer: Waiting time

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Everything you need to know about Breast Fat Transfer

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Explant, breast fat transfer, lipo revision?

Answers (7)

Answer: Fat transfer

Answer: Fat transfer

Answer: Waiting time

Answer: Waiting time

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Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.