Implants or Fat Transfer, which is the safer option for me? Chronic UTI/ dry eyes, IBS and endometriosis.

Hello @AR1808 thank you for your question. For more volume nothing beats a breast augmentation with prostheses. It should be noted that lipotransfer does not replace augmentation mammoplasty with prostheses, since each technique has its own indication and requirements. Breast fat transfer or autologous fat lipoinjection is a natural volume technique that can be applied for aesthetic or restorative purposes and breast augmentation . The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Hello thank you for your question. First I would consider how much bigger you would like to go. Fat transfer to the breasts will only give you approx a half a cup size increase. The pros about using your own fat is that it is your own and not a foreign body. If you plan on using an implant you can go much bigger but the cons is that it is a foreign implant, however even with your history it still perfectly safe to have breast augmentation. We are not able to predict who will have a greater capsular contracture or issues with their implants based on their medical history. I would speak to your plastic surgeon before making any definite decisions and let them know your thoughts and concerns.

You are more likely to get BII if you are older, smoke, have tattoos, have a history of anxiety disorder, have a history of health anxiety disorder, get most of your medical information from social media, or use social media extensively. BII is not an established entity by the medical community; it is the fabrication by people who are certain that their implants are causing symptoms that everyone experiences. A current ongoing prospective and partially blinded trial indicates that toxins and heavy metals are not a cause of BII, and that those getting explanted do equally well regardless of scar capsule removed.

Hello,
Thank you for the question and photos.
Breast augmentation using breast implants or fat transfer are both good options, but it's difficult to tell without seeing your photos.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.
Breast lipofilling using fat grafting may require a few sessions (surgeries) to achieve a fuller cleavage, which is an important consideration for many patients.
Having condition like UTI or IBS does not directly correlate to BII.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
Best wishes and good luck.
Best regards,
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Dear AR1808,
There have been numerous studies on the safety and efficacy of silicone breast implants. The FDA has approved them to be safe and breast augmentation is the most common cosmetic surgical procedure performed in the United States every year. Implants are much different than they used to be with rigorous testing and cohesive gel. I can't tell you how happy my breast augmentation patients have been with their implants.
I would recommend a consult with a plastic surgeon to go over all of your concerns. Saline implants are also a perfectly good option if you are still concerned and are less expensive.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Implants are more reliable than fat. For your issues, please be checked for food allergies. Recent studies show that implants removed in women with BII have more heavy medal toxins in their tissues which is often related to hair dyes and tattoos and other sources of heavy medals.

The diseases that you have are autoimmune diseases. That means your immune system attacks its own tissues causing problems. Here, any surgery you have may have a higher risk because of these conditions. But fat transfer does not make the breast too large ( it melts with time) and it interferes with the mammography results, that might be more of importance for your condition. So breast implants are a better opetion because they are made of inert materials that do not interact with your body, seperated by a capsule and readily identified with imaging.

Breast implants are a great option for those wishing to increase breast volume. You can select the volume and style that fits your goals and get a reliable result. If you change your mind in the future they can be removed. They are considered safe and millions of women around the world have enjoyed their results without issue. See a board certified plastic surgeon near you to learn more.

Breast implants are the most reliable and safest way to get good results in terms of augmenting the breast and there is really no comparison to fat grafting. BII is very rare and still being studied. Maybe we will have some more info on BII in the years to come and you will feel more comfortable with implants.