Why would a breast transfer continue to shrink?

Question

I had my ft with reputable PS in 2022 after weight loss and menopause atrophy. Went from 34aa to 34 b/c (350ccs pure fat per side - 5'7, 130 lbs). Since then my ft has been gradually disappearing, I'm now done to 5-10% without sternous exercising or weight loss. How likely is such a drastic loss of retention Are there any alternatives apart from implants? I have multiple autoimmune issues and am scared.

Daniel Barrett, MD · Answer

Dear Eclectic776862,
fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

This is unfortunate but not surprising. What I would not recommend is another round of fat transfer. The same thing will happen

Connie Hiers, MD, FACS · Answer

Fat transfers to breasts are not considered to be permanent in most women. The retention of fat in the breasts is based on age and hormones and lifestyle.  As we age, especially after menopause, less fat will usually live. You can have fat again transferred if you have donor fat.

Why would a breast transfer continue to shrink?

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Why would a breast transfer continue to shrink?

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