Do breast fat transfers drop and fluff similar to implants?

Question

I had en bloc breast implant removal with donut lift and fat transfer to bilateral breasts four days ago. I am wondering if these swollen flat nippled breasts will ultimately drop and look more natural with nipples that actually point out again? I had 400cc and 500cc fat transfers to my breasts. Any information or photos you could share with me would be greatly appreciated!!

Kenneth Hughes, MD · Answer

Some of the success will depend upon existing tissue available for receiving the fat.  The volume and overall shape depends upon the amount of fat injected and the location of injection.

Peter D. Geldner, MD · Answer

Fat transfer to breasts is quite different from an implant. The tissues of the breast will adjust to the increased volume of the fat but will not drop like an implant. All I can say is that it will take weeks until the breast assumes its' final shape. The specifics of your concentric mastopexy will also have a major influence on the final breast shape. Please be patient and allow a few months to pass before you appreciate the final result.

Miguel Mota, MD · Answer

Hello. Thank you for sharing your experience. Yes they do, but you are very early in you post op process and your breasts are very swollen form the procedure, especially due to the En Block Implant Removal. So please be patient. Swelling will subside and make everything look better. Your breasts will continue too change over the next several months and they will deflate somewhat. This will translate to a much more natural result.Best of luck on you recovery,Dr. Miguel  Mota

Daniel Barrett, MD · Answer

Dear UnhappyCups,I understand your concern and it is quite normal to be concerned about the outcome following fat transfer. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

First, "en bloc" is a term reserved for cancer surgery only and removal of breast tissue outside the capsule. You probably had the capsules removed. Second, no, fat does not fluff and drop, but stays where it is placed. Swelling does subside slowly and some fat fails to live. You can usually expect to keep up to 50-70% of the fat transferred.

Do breast fat transfers drop and fluff similar to implants?

Answers (5)

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