5 ft 8 in 140lbs and 34C: Is breast fat grafting a good option for me? (Photos)

Question

I've always been self conscious about my breast shape. They developed with very little volume and after losing 20 pounds they got even worse. I really don't want implants, they seem like too much maintenance and honestly scare me. I have already come to terms with the fact I may have to do multiple grafts to get where I want, but with what I'm starting out with is this a good option? And to clarify I don't want my breast larger just fuller.

Daniel Barrett, MD · Answer

Dear Babboobssince97,Fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. For those women who prefer a "Natural Breast Augmentation" without implants, fat grafting is a safe, natural, and minimally invasive approach that offers low-maintenance, long-term improvement in size and contour. After harvesting the fat from your body, we purify and enrich the fat before injecting it in the desired areas to improve volume and shape.
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

John Paletta, MD · Answer

Congratulations on your weight-loss. I think fat grafting may help you achieve your goals.  May be correct that it would require multiple surgeries. Perhaps you would consider a breast lift in conjunction with fat grafting it maybe possible to achieve the desired result in one surgery.  I have some experience with a combined procedure both I and my patient that have been very happy with the result.  She also was wanting better shape, not necessarily increase in size and was not a fan of having implants. Good luck.

Robert M. Tornambe, MD · Answer

Bab. I appreciate your dilemma.  You do have options, both with pros and cons. Implants have a solid and reliable history with very high patient satisfaction rates but they must be replaced every 12-15 years. Fat grafting has the advantage of using your own body's material to increase breast size, but only small augmentation is possible and it is just gaining popularity and long term results are not yet available. There is always uncertainty about how much fat will "take", increasing the possibility of asymmetry and need for revision. Be sure to consult with a board certified plastic surgeon to help you navigate this decision. Good luck!

Kenneth Hughes, MD · Answer

It is reasonable, but realize that you cannot get more than about a 3/4 cup increase with fat grafting.

Connie Hiers, MD, FACS · Answer

Larger is fuller. If you have donor fat, you can have fat transfers to your breasts. Typically, you will gain one to one cup increase with a transfer.

Luis A. Cenedese, MD, FACS · Answer

Fat transfer to the breasts to increase fullness and improve shape is a very good indication. Unlike implants the fat may be injected to the upper, central and inner aspects of the breasts.  Despite a conservative volume addition of just over 1/2 breast size, this strategic placement of fat greatly improves the shape and fullness of the breast.Please consult in person with a Board Certified Plastic Surgeon experienced in fat grafting prior to making treatment decisions.

Robert L. Kraft, MD, FACS · Answer

There is a limit on how much of an increase you can achieve. Particularly given your recent weight loss, the uestion of how much viable fat can be transferred is a real concern.

Leon Goldstein, MD · Answer

Fat grafting to the breasts can be very rewarding in that you have a natural looking breast that is enlarged without implants and therefore maintenance free. The limitations are as you pointed out the volume that can be attained. Serial fat grafting may be necessary to reach your goals if you are practical. Visit a board certified plastic surgeon (ABPS) for a full consultation.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Breast augmentation with fat grafting is a fantastic option for patients wishing to avoid an implant; After extensive experience with fat grafting to the breasts, I have realized that the breast is limited in its ability to establish vascularity(blood flow) to the fat cells which is critical in re-establishing fat cell viability. As such, breast fat grafting must be limited in fat transfer volume in each session. Grafting more than 200 to 300 cc of fat per breast will actually result in less take of fat and poor outcomes. In summary, breast fat grafting can only allow for modest gains and should be performed over 2 to 3 sessions to achieve desirable results.

5 ft 8 in 140lbs and 34C: Is breast fat grafting a good option for me? (Photos)

Answers (11)

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