Would it be smart to remove my breast implants and just do fat graft to my breast instead?

Thank you for your question.  It is difficult to determine if you are a good candidate for this procedure without an in person evaluation.  This procedure is ideal for women who have excess fat on their body and want to increase breast fullness using natural tissue.  With this procedure you will gain about 1 cup size.  Make sure you are working with a board certified plastic surgeon with expertise in this area.

hello disney123  NATURAL Breast Augmentation can be performed with fat grafting. This requires liposuction to obtain the fat, and then the fat is transferred into the breast tissue. It is usually possible to achieve at least one half cup size increase. Additional fat transfer procedures to increase your volume can be done subsequently. #safety #price

Thank you for sharing your question. I suppose the best information would be to have a sit down conversation with your breast and plastic surgeon to determine the best course of action. Having implants will not cause the benign cysts to turn cancerous while the decision to have fat grafting should be tempered based on any risks factors for breast cancer development.  Hope this helps.

If you have benign cysts the presence of implants would not cause the cyst to become malignant. The choice is yours to remove the implants at any time. However it is important to be aware of the pros and cons of fat transfer so that you can make an informed decision. I prefer to not transfer fat to the breasts as the grafted fat can form calcifications that can interfere with future imaging studies such as mammography.

Cystic breasts are common.  Implants do not cause breast cancer.  There are some studies which indicate implants may impair mammograms ability to image the breast, particularly if the implant is placed in front of the muscle. I would not recommend removal of the implant and fat grafting.  Fat transfer to the breast is tricky, and if the fat does not implant and get a new blood supply, it can form cysts, fat necrosis (little hard balls of fat), or microcalcifications (which is what mammograms look at to detect cancer).

You should review this with your breast surgeon and plastic surgeon to coordinate the care.  It might not be the best idea to fat graft to the breast if you are prone to cysts or have a high risk of developing breast cancer.

I would not recommend fat transfer to breast.  Radiologist as a general rule, do not like fat transfers as it can appear like cancer on mammograms.  The implants and cyst can be removed at the same setting.

Thank you for your question. It's important to understand that any surgical procedure can alter the appearance of mammograms but radiologists are quite adept at recognizing these changes.
The presence of implants has no effect on the development of breast cancer but can interfere with mammograms and surveillance. On the other hand, they do enhance sensitivity to performing self examinations.
Fat transfer, being a surgical procedure, can also affect mammograms which include calcifications, scar or mass effects but these are usually different than the markers that are seen with breast cancer. And because fat is transparent when compared to breast tissue, it usually doesn't negatively interfere with these studies.
Implant removal with simultaneous fat transfer can be performed but you will not likely achieve the same cup size that you presently have and may need additional procedures to further increase volume. However, once the fat integrates, like planting seeds in a garden, it is yours for life and completely natural.
In any case, I would recommend a consultation with a board certified plastic surgeon who is experienced with these techniques. I hope this helps and have a wonderful day! Dr Kayser - Detroit