Areolar reduction with fat graft augmentation? (Photo)

Question

I am currently deflated B cup. I am happy with the created cleavage wearing a bra, but I hate my aereola! When my nipples erect they shrink to pencil erasers, and my breast gets firm and perky - I love the look and feel when they do this! I've been quoted for peri-aereolar "lift", and per-aereolar "reduction" on multiple consultations. Almost no doctor will do the aereola reduction COMBINED fat grafting? This answer will aid as my final factor in deciding the winning surgeon! What do you think?

Matthew Schulman, MD · Answer

To start off, I do 6-8 fat grafting procedures per week so I am extremely experienced and know what type of results you can expect. Fat graft for the breasts can be a great procedure.....BUT NOT FOR YOU. I am 100% confident that you will be disappointed with the results, even if you find a gat graft expert.  You would do better with implants. I recommend using Natrelle style anatomic implants. These will give you the most natural results and give an appearance that you probably thing fat grafting will give you. Not every board certified plastic surgeon is credentialed to use these implants, so make sure you find one who is. I think that this will give you the best results.

Kenneth Hughes, MD · Answer

Areolar reduction and fat grafting can be performed at the same time.Kenneth Hughes, MDLos Angeles, CA

Martin Jugenburg, MD · Answer

Nobody is talking about fat grafting not because it doesn't go with areola reduction, but because the results are not that great.  Fat grafting will give you minimal increase in cup size.  Implants are much simple, easier, more reliable way of adding volume to your breasts.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. I am not a fan of fat grafting for breasts.  Especially, when there is ptosis. Grafted in these situations does not give you stable reproducible volumes over time. You are best serves with by a breast augmentation and periareolar lift to improve your size and shape.

Darryl J. Blinski, MD · Answer

IT IS NOT A CONTEST! I do areolar reduction with lipo + fat grafting to breasts. Your only limitation is the amount of transferrable fat you have..

William B. Rosenblatt, MD · Answer

Bad idea. Go for implants and if needed your areolas can be corrected. Fat grafting will not give you an improved result. Everyone wants to get on the bandwagon for fat grafting of the breasts. From my point of view, I have yet to see good LONG LASTING results -- 6 month post op photos are only for beginners. I want to see the results at 5 years out. All of the patients I have seen a year or more out have only minor results. Now, if you use fat grafting to assist with breast reconstruction after a mastectomy, then it is ok. But it does not replace a well done implant surgery.

Steven Wallach, MD · Answer

I think that an implant will give a more reliable result and an areola reduction can be performed at the same time. Best of luck.

Robert L. Kraft, MD, FACS · Answer

These procedures can be combined but it is probably better to have the grafting first, reach your satisfaction level and then lift whatever remains.  With an implant, you know exactly what you are getting. With fat grafting, we can only evaluate the "take" post-procedure.  Currently, for fat graft patients, I recommend pre-expansion with the Brava system as this has been shown to increase the "take".

David L. Cangello, MD, FACS · Answer

Hello and thank you for your question. You would really be best served by having a breast implant placed to fill out your breasts (make them perkier) along with th areole reduction. Fat grafting is not suitable for all breast types, particularly breasts like yours that have a looser skin envelope. Hope this helps.

Jourdan Gottlieb, MD · Answer

I am not sure why a surgeon who does those procedures (some don't do fat grafting at all) wouldn't do both procedures at the same setting.That particular lift involves only the skin around the areola and does not interfere with any grafting done in the breast tissue itself. Were you to call some other surgeons in your area I am quite certain you will find some who have no problem with that combination procedure.All the best.

Areolar reduction with fat graft augmentation? (Photo)

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