Breast implant removal and fat grafting at the same time?

Question

Hi, I had breast implant in 2009 because due to my family's genetic, I have no breast at all, even the smallest bra cup is too big for me. So I went ahead and had sillicone implant. I can wear 32B or C. But since 2015, I have had health issues and still on going. Even I do not know if it's related, I still want to take it out. My concern is that anything can help give me the smallest breast that I can wear a bra? Is fat grafting at the same time possible. I'm very skinny and have very little fat

Roger Tsai, MD · Answer

Yes it is possible to do at the same time.  However what is more important is that your health issues are stable.  This is an elective procedure and the last thing you want happen is some complication from anesthesia just to have implants removed.  Another factor to consider is you need a moderate amount of fat.  Going from no breast to a B/C cup means you have a moderate to larger sized implant in your breast.  This volume needs to be replaced with fat.  If you have very little fat, it may not be possible to get your breasts to the size they are now.  If you decide to proceed, you may need to realize that your breast size may not be as full as you like.  However these are just general thoughts, only with a proper in person physical examination can an appropriate recommendation be given.  This way the surgeon can see how much fatty tissue you have and provide options.Best of luck and hope this information helps!- Dr. Roger Tsai@DrRogerTsai

Camille Cash, MD · Answer

Be sure to educate yourself before considering fat grafting.  When fat is taken from a donor site and transferred not all of the fat will "take".  This can result in asymmetry and the need for multiple procedures.  In addition microcalcifications can form which can interfere with mammography.  If you are very thin you may not have enough fat to donate which is another consideration.

Raffy Karamanoukian, MD, FACS · Answer

Fat grafting is an excellent modality to restore your breast shape after explant surgery. Best, Dr. KaramanoukianLos Angeles

Yuly Gorodisky, DO, FACOS · Answer

In order to answer your question, you have to be seen in person for a consultation and your personal "health issues" have to be reviewed to make sure there are no contraindications.  But in general, if a patient has enough fat to remove from some areas, it is possible to transfer it to the breast after taking the implants out.

Michael Hakimi, MD · Answer

Yes it is a good option. The caveat is building a breast with fat is like making sand castle. You cant really get the projection you can get with silicone implants. This can be done either at the same time or at a later time.

Of course, nothing can replace an examination by your surgeon to see if you have enough fat. If you have a small frame, you may not need much fat to give you a B cup.

Breast implant removal and fat grafting at the same time?

Answers (10)

Answer: Implant removal

Answer: Implant removal

Answer: Simultaneous Implant Exchange with Fat

Answer: Simultaneous Implant Exchange with Fat

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Everything you need to know about Breast Implant Removal

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Breast implant removal and fat grafting at the same time?

Answers (10)

Answer: Implant removal

Answer: Implant removal

Answer: Simultaneous Implant Exchange with Fat

Answer: Simultaneous Implant Exchange with Fat

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.