Breast enhancement options for a skinny girl who doesn't want implants?
Doctor Answers 5
Fat / "Stem Cell" Breast Augmentation
- Breast implants (the most commonly done operation in the US)
- YOUR Fat
- OTHERS (see below).
Breast Implants are safe and straight forward to use PLUS they provide a predictable result which can be seen BEFORE surgery with 3D imaging with surgeons who offer this technology (look up the VECTRA by Canfield). But, implant eventually leak and need to be replaced and may be associated with infection, scarring and faster sagging.
Fat grafting to the breast is rapidly gaining acceptance among American Plastic surgeons. Our fat contains a large number of pluripotential or Stem cells BUT it is grossly unethical to call the grafting of fat anything using the term "stem" - because it is not. The stem cells which accompany the fat are THOUGHT to be beneficial to the skin BUT there is NO scientific evidence which supports this term and the FDA will look for and punish doctors who lure people into their offices using such terms. Moreover, The American Society of Plastic Surgeon will discipline any of its members who engage in such marketing. (The lesson? If your doctor advertises ANY "stem" therapy he probably is not a Plastic surgeon). With fat grafting we remove fat from areas of excess, as many areas as we need to go to, and transfer the fat where we need to. BUT, the operation may need to be repeated since the volume transferred is greater than the amount of fat which survives.Than means several operations. BUT, once they are done you need not worry about leaking implants.
OTHER - There is NO FDA approved filler for large areas we can use legally in the US. IF someone offers to fill your butt or breasts in the US run as fast as your legs can carry you since you are about to be seriously hurt. Such "fillers" are a mish mash of caulking and other compounds purchased at Home Depot/Lowes and injected into uneducated people causing serious, lifelong damages. In Europe and especially Sweden they DO have fillers for breasts and buttocks produced by QMed but those have NOT been approved by our FDA and their use in the US is punishable by both jail and fines.
Dr. Peter A. Aldea
Fat Transfer to Breasts in Thin Patients
If you are against implants, fat transfer may still be an option even if you are thin. Most thin patients have still have some pockets of excess fat that may be suitable as fat donor sites. You may need to have a little fat removed from more sites because you are thin.
I would recommend meeting with a plastic surgeon to discuss your options and goals.
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Fat grafting to the breasts
Best wishes,Dr Ravi Somayazula