Pec repair plus fat or pec repair + new implants - what should I do? (photos)

Good morning,
Fat grafting is a waste of time and money- unpredictable and very little actually survives- beware of any surgeon heavily promoting this technique. Pec repair by itself is also doomed to failure, because it can't really be repaired, only camouflaged- again beware any surgeon who tells you differently. What you really need is a new set of implants and a piece of Strattice mesh on each side- this will result in the best shape, youthful fullness, and will camouflage the residual defects remaining from your previous endeavors.

Fat may be helpful, but is limited in the volume you can achieve unless you have a fair amount of donor fat below your waist. Implants may give the better volume. The flexing muscle may always be present.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.