Is fat transplantation or surgery the long-term and sure solution? (Photo)

Dear Exciting579167,
fat transfer is a permanent surgery. Once you are fully healed, transferred fat will act the same as any other fat in your body. 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

In your photographs, your implants appear in front of the muscle and the indent that you see is your original inframammary fold. This can be released internally or you can inject fat to try and conceal it. I would consider doing the fat injections first as it is less invasive. However, you have to be careful as to not inject fat into the implant and damage it.

Best Wishes,

Gary Horndeski, M.D.

I would wait at least a year, but would not bother with another fat transfer. You’ve already experienced how portly it works

Fat can be helpful to add tissue to areas that are thin. However, not all fat added survives, so it may not be guaranteed or a "long-term and sure solution." You may have to go down in size or even use mesh for better support.