From what you described it sounds like the only indication for doing Liposuction fat to use for breast fat, transfer to create average for your implants. Patients should recognize that fat transfer procedures are in fact to operations done and simultaneously. Getting quality outcomes requires someone has mastered, fat transfer and Liposuction. In order for fat transfer to be successful there generally needs to be some layer of host tissue to support the grafted fat. An individual will have very little tissue between the skin and implant may have limited success of fat transfer. This also limits how much fat should be grafted. Successful fat grafting is a complex procedure that requires extensive experience in order to get predictable outcomes. The same is true for Liposuction. Delivering consistent quality liposuction results is far more difficult than most people realize. From what you describe large amounts of fat should not be needed because the amount of the host tissue available is probably not that great.  The number of plastic surgeons who have truly mastered liposuction and fat Transfer are in a small minority. The skill involved with doing these procedures well is often overlooked by consumers. An experienced plastic surgeon that should have no difficulty showing you the before and after pictures of at least 50 previous patients. You need to assess the experience for both fat transfer and Liposuction, since you will be having both procedures. Grafting fat to breasts with implants is also not always a straightforward and easy. It’s important that fat is not placed inside the implant pocket. My preferred method is to temporary remove the implant and place temporary sizers in the pocket while doing the grafting. The pocket can then be washed out to make sure no loose fat is left behind and confirmation that the implant has not been damaged. After the grafting is finished, the original implant or new implants are placed back in the pocket and the skin incision is closed. Unfortunately, I have seeing TOO MANY patients be left disfigured from poorly done Liposuction, in the hands of inexperienced providers, attempting breast fat transfer. The following are some general guidelines to help find the best provider. To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures.  Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider. There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs.  Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures.  The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery. Best, Mats Hagstrom, MD