Fat transfer to breast combined with PRP, what's the usual recovery time?

Question

Do you offer fat transfer to breasts with a combination of Prp? What is usually the recovery time?

Daniel Barrett, MD · Answer

Dear Caring875065,
it is hard to tell for sure without an examination. Generally speaking, PRP shouldn't add to recovery time. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

We use fat grafting as a technique to enchance the result of breast surgery (implants, breast lift, breast reconstruction after implant removal) rather then volume enlargement. We do not combine it with PRP since it did not make siginificant difference in our experieence. If fat grafting is the only procedure performed, it will not take longer than 2-3 days for recovery. However, if combined with another procedure (breas lift), recovery will depend of the major procedure. Hope this helps.

Ronald J. Edelson, MD · Answer

This would have a very short recovery time. I guess I would have to ask you why you believe this is a worthwhile procedure and encourage you to look into the procedure  more thoroughly. I know plenty of people doing fat transfer, largely with poor results. Adding prp to the recipe will do nothing to make it more successful.

Hilton Becker, MD · Answer

It has been shown that adding PRP,or PRF to fat grafts improve fat survival.
Recovery is rapid if small volumes are done at a ta  time.

Milan Doshi, MS, MCh · Answer

Thank you Caring875065 for your question. Although we do offer this procedure to our patients / clients we cannot recommend a procedure for you until we are able to consult and examine you in person. Fat transfer can easily be combined with PRP during the operative procedure and does show significantly good results in our patients. The results of fat transfer to breasts will show excellent projection and fullness in the immediate post operative period but with time over the next 3 to 4 months is when the final result is evident as the edema and swelling reduces and a certain amount of the fat does get absorbed into the surrounding tissues. You will be usually discharged from the hospital premises on the same day and will able to do your daily activities within 1 day and can go back to light workouts in 1 week with heavy workouts discouraged for a period of 2 weeks. We advice avoiding aggressive breast manipulation & handling for a period of 1 month and also advice wearing of a supportive bra for the same period of time. Please consult a board-certified plastic surgeon near you and discuss this in detail. Wish you an alluring look.

Connie Hiers, MD, FACS · Answer

PRP can be added to the fat transfer and complete recovery is 3 months until you can do any activity and lay in any position.

Mats Hagstrom, MD (license on probation) · Answer

There is no strong evidence, suggesting that PRP improves fat transfer results. I suggest focusing your efforts exclusively on the two single variables that matter when it comes to getting consistent quality results for this procedure. The first is understanding your own candidacy for the procedure, including what the procedure can accomplish, and what it cannot. The second variable is choosing the best provider.
Choosing the right provider is far more important than adding plasma, which is unproven to have any benefit.
Delivering consistent quality, Liposuction and fat transfer results is more difficult than most people believe it. The number of plastic surgeons with mastered both Liposuction and fat transfer is in a relatively small minority.
The results of this procedure are permanent and irreversible. Ignoring the importance of choosing the right provider by having multiple in person, consultations and properly vetting plastic surgeons puts patients at risk for having permanent deformity.
Because of the complexity of this procedure, and the number of providers lacking talent, I suggest patients start by having a minimum of five in person, consultations before choosing a provider. For some patients, they may need more than five consultations to find a sufficiently talented and experienced provider.
Breast fat transfer is reasonably good at increasing breast size by approximately 1/2 breast cup when done correctly by an experienced surgeon. The procedure does not change breast shape in any significant weight, and patient should have a clear understanding of it, if the desired result is simply increasing the size of the breast, or if need a change in shape. Unlike implant augmentation which drastically changes the shape of the breast fat transfer does not do this. 
To get a clear understanding of what the procedure can, and cannot accomplish it is imperative that patients understand how to view before and after pictures. Early postoperative pictures of fat transfer results can look very impressive but early results do not represent final results. The majority of volume seen early after fat transfer is lost over the first several months. Results do not represent final results until a minimum of 3 to 6 months after surgery. Do not assume providers are showing you long-term follow up results when showing before and after pictures. During each consultation, I suggest you ask providers to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had similar breast and body characteristics to your own. Confirm specifically the timeframe of when after pictures were taken for each case.
Get familiar with what quality results should and should not look like based on knowing when after pictures were taken.
Learn how to judge not only fat transfer results, but liposuction results. The ideal candidate for this procedure should be a good candidate for both Liposuction and fat transfer.
Patients who are looking for dramatic changes, or a change in breast shape like getting upper pole Fullness in the breast should consider implant augmentation, which is a superior operation for the majority of patients seeking breast enhancement.
Patients should understand their own candidacy for both Liposuction and fat transfer since this is a combined procedure, doing two operations at the same time.
Generally speaking the ideal candidate, for the procedure tends to be young women with tight skin, who have slightly excessive amounts of subcutaneous fat, especially in the torso with appropriate breast shape that would be enhanced by the addition of modest volume enhancement.
An experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing the best results of a providers career or being shown examples of early postoperative results is completely insufficient to get a clear understanding of what average results look like in the hands of each provider or what final results may look like. Each patient should Judge there, surgeons, scale, and experience for both Liposuction and fat transfer cents each person is going to have both procedures. 
Patient satisfaction from breast fat. Transfer often comes from patients who did not focus enough effort and properly vetting plastic surgeons in regards to Liposuction skills.
Providers trying to market their practice by marketing gimmicks like using PRP or some brand name Liposuction equipment advantage are generally to be avoided.
Skilled and experienced providers know that results are based purely on patient, candidacy, and the skill of the surgeon.
Trying to convince patients to choose a provider based on having some technical advantage based on equipment and technique is a fallacy I suggest patients avoid.
There’s no correct number of consultations needed to find the best provider. In many ways, some of it is simply due to luck, or being intelligent about the pre-selection process. The more consult patients have a higher chance of finding the right provider.
Considering the number of patients who are dissatisfied with the outcome to the point of being left permanently disfigured, I cannot emphasize enough the importance of patients being more selective than they think necessary when it comes to choosing a provider.
When, in doubt, slow down and schedule more consultations. The majority of patients seeking breast enhancement should not exclude implant augmentation as being one of the best options.
Best,
Mats Hagstrom, MD

Fat transfer to breast combined with PRP, what's the usual recovery time?

Answers (7)

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