What is likely to sag faster, implants behind the muscle or fat transfer/natural breasts?

Question

What is likely to sag faster, implants behind the muscle or fat transfer/natural breasts? I’m trying to figure out the best longterm option in order to not need a lift in the future. Thank you!

Ronald J. Edelson, MD · Answer

The main difference you should consider is that fat transfer s no provide nearly as much size increase as implants will. In fact many times the fat goes away completely

Bora Ok, MD · Answer

Hi from Istanbul! If you have enough volume, fat injections can offer some improvement. However, I generally advise against injecting fat directly into the breast parenchyma, as it can lead to fat cysts and offers limited benefits. Small implants can provide more lasting results, and fat injections can be used to subtly enhance the breast contour. Hope this helps.

Leila Kasrai, MD, FRCSC · Answer

Fat and implants may both weigh the breasts down, accelerating the rate of sagging. Sagging may also be caused by other factors.

Daniel Barrett, MD · Answer

Dear tastykakequeen,
it is not that simple as there is a number of factors that can affect your breasts. Generally speaking, larger implants will drop faster and they have an increased risk of sagging. 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

Robert M. Tornambe, MD · Answer

I appreciate your concerns however, the rate of sagging of a woman’s breast depends on factors like significant weight gain or loss, pregnancy, breast-feeding, and the aging process as well. Fat transfer to the breasts is usually only an option if one wishes to go up one bra cup size. Also asymmetry can be a problem as the transferred fat does not always take evenly on both sides. Breast Augmentation with round smooth silicone implants is a proven option with a long history of high satisfaction among patients. Come see me or another board-certified plastic surgeon in our area to explore the best options for you.

Connie Hiers, MD, FACS · Answer

Implants placed behind the muscle have some extra support from the muscle. However, the breast is not supported by the muscle. Adding more volume like fat makes the breast heavier and higher risk of sagging.  With implants, there is always a potential second surgery. Breast may sag with age, especially after menopause.

Camille Cash, MD · Answer

Breasts sag for numerous reasons.  Some include genetics, skin elasticity, weight of the breasts, weight gain or loss, and hormonal changes.  This can happen with fat transfer or implants. I prefer implants over fat transfer to the breasts as fat transfer can result in calcifications that can interfere with breast imaging.

What is likely to sag faster, implants behind the muscle or fat transfer/natural breasts?

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