Thanks for the question and photos.Yes a fat transfer can be done.But I think the more important question is what are you expecting from the procedure?Your excellent photos show that you are missing fullness in the upper pole of your breast. However, they also show drooping (ptosis), lower pole looseness, asymmetry and low position of the areola. While fat grafting may add volume to the upper pole, it won’t address those other issues and may give you an unbalanced look.Here are a few thoughts:1) Get several opinions from experienced Board Certified Plastic Surgeons so that you can review your options and see which, if any, meet your expectations.2) Consider a breast lift to raise the areola, tighten the lower pole of the breast, add upper pole volume and fix the asymmetry.3) If your surgeon has computerized 3D simulation, he/she might be able to give you an idea what different procedures might look like on your body. This might help you make a more informed decision.Good Luck!