My right breast is dented and hard after explant. Will fat transfer help with this? (Photo)

Question

I had breast explant 6 weeks ago and my right breast is dented and hard. The surgeon who performed the explant said I need a new implant but I'm adamantly about not getting any more implants. Will getting fat transfer help fill it out instead?

Alan Gonzalez, MD, FACS · Answer

Hello @thediva76, thank you for your question. Healing is an important process and it's recommended that you take the necessary time to let the tissue heal before considering any other options. A breast fat transfer can help however I believe there are other options you can consider. You could benefit from aesthetic reconstruction with BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) and breast lift. It is possible to create good breast shape and upper pole fullness with your own tissue 11 months from now. For breast fat transfer the waiting period is shorter, but the results are sutil. Best wishes. Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding a postop concern and for including photos. They are extremely helpful!

Since your surgery was only six weeks ago, you are still pretty fresh post operative. In my practice, I encourage my patients to continue to give this time to heal.

I would recommend that you talk with your surgeon about healing expectations and timeline. If you feel like your concerns are not being heard, it is well within your rights to seek a second opinion.

Zoran Potparic, MD · Answer

It appears that best way to correct current deformity would be breast lift. When that is done and shape correction is achieved, addition of fat grafts can be considered to further refine result and increase volume, if needed. In person consultation with a board certified plastic surgeon, familiar with these techniques, is recommended. Good luck.

Gary M. Horndeski, MD · Answer

Fat transfer will not help with this situation. You will need a breast lift and I recommend 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

It would be possible to improve the dents on your breast with fat transfer but it will require multiple treatments. I suggest that you consider a breast lift as well or instead of the fat transfer

Daniel Barrett, MD · Answer

Dear thediva76,it is hard to tell for sure without an examination. 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

Randal Haworth, MD, FACS · Answer

Hello !

It looks like you still have scar tissue. The best would be to ask your surgeon if they performed a whole capsulectomy or not.

If they didn’t,  you will need a capsulectomy and perhaps a graft underneath that areola scar to prevent it from sucking down again.

I hope this helps. Good luck !

Connie Hiers, MD, FACS · Answer

Yes, once the swelling has subsided and the tissues have settled, you can have fat added to give more volume and help pull out the skin. You may need more than one grafting session.

Leland Webb, MD · Answer

Fat grafting to the breast is an option for you to help improve the aesthetics of that breast. Often it is very difficult to be able to predict how the a breast will heal after an implant is removed. At six weeks you are still a little bit early in the healing phase, however, around three months, you may want to consider discussing with your plastic surgeon Fat grafting to this area, in an effort to improve some of the symmetry and aesthetics.Fat grafting would be a great option for you.

Douglas Taranow, DO, FACOS · Answer

Dear 'Diva',
I feel you would be better off with a breast lift.  This may be performed with an around the nipple (periareolar) scar.  During this procedure, much of the lower breast scar tissue may be released.
I would not perform this procedure for at least 3 more months.
Best wishes,
Dr. Taranow

My right breast is dented and hard after explant. Will fat transfer help with this? (Photo)

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