Can fat transfer be safely done on my breast implants? (Photo)

Question

Will I be able to achieve more volume without complications adding fat around my 7 year old implants? And will it leave scar? Am I a good candidate for fat transfer around my implants? Is this procedure safe? Any recommendations on who can do fat transfer to my implants? I want more volume slightly bigger on the sides. And the top.

Harry T. Haramis, MD, FACS · Answer

Larger implants would give increase volume more predictability. Also consider anchoring the fold to raise the implants.

In my experience, fat transfer to breasts can add to areas over implants nicely, provided you have adequate fat to harvest via liposuction. Most of the fat stays, have to be cautious not to damage the implants.

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.

Daniel Barrett, MD · Answer

Dear evangeline jamie,
based on your photos, it looks like fat transfer would be an option to add volume at the top of breasts. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

In your case, your implants are bottoming out and the implants are wider than your chest wall. They will continue to descend and fat transfer will not be able to compensate for the abnormalities you are developing. I recommend capsule plication. At that time, the implants are removed, the capsules are reinforced inferiorly and laterally and dissected more centrally to reposition the implants. At the same time, fat transfers can be done.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Although your photos are 'great', they tell us nothing about tissue thickness, one of many important factors to consider. Fat grafting data has shown safety since the early 2000's. Donor sites are important. I feel that scouring all four extremities and the torso to get enough fat is a bad idea. Instead a good candidate for fat grafting is the same person who is a good candidate for liposuction: a definitive area(s) to be treated to affect a positive change to the contour in that area(s). Unlike fat grafting the buttocks, where it is imperative to avoid placing grafts into the gluteus muscle, the use of high resolution ultrasound is unnecessary; avoiding placing fat into the implant pocket (or penetrating the implant) only requires tactile feedback. It is likely that your upper pole will have sufficient tissue to harbor fat grafts, but your lateral breast may be deficient and require multiple small fat grafting procedures to develop enough tissue thickness for your satisfaction. Bottom line is that you need to be examined first.

John L. Burns Jr., MD · Answer

Yes, fat is an excellent addition to an implant based augmentation.  This can add more volume and shape as well as camouflage your implants.

Ronald J. Edelson, MD · Answer

Fat transfer to the breasts has not been nearly as successful as you may have been led to believe. Even if it dies work well I don’t see the purpose of it in your particular situation

Connie Hiers, MD, FACS · Answer

First, your implants are bottoming out and this needs to be corrected. Once raised, you may find you have plenty of upper fullness, or fat could be added.

Hilton Becker, MD · Answer

Fat grafting can be done over a breast implant .
Care must be taken to avoid puncturing the implant.
However in your case you implants are sitting low  bottoming out '
This need to be corrected surgically

Kenneth R. Francis, MD, FACS · Answer

Dear Evangeline,
I'm not sure what the third photo is, but I guess you are comfortable with the bottoming out of your breast implants.  It looks more like you need the implants moved higher and the fold recreated rather than fat grafting.  Fat grafting will carry risks of complications, as all procedures do.  Good luck!

Darryl J. Blinski, MD · Answer

Great posted photos! The answer is yes, but. The operation needs a true expert in fat grafting with ultrasound guided injections... The operation would be liposuction with micro fat grafting under uktrasound guided fat injections to areas of breasts. This is done ONLY under neath the skin not deep into tissue for risk of implant rupture. Fee from $8,000. Best to virtual consult with....

Can fat transfer be safely done on my breast implants? (Photo)

Answers (11)

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