1 breast looks "pockmarked" w/tissue below after En Bloc capsulectomy & fat transfer. Can a 2nd transfer fix it? (Photo)

Thank you for your query. A second session of fat injections should help. I usually do a radio frequency skin tightening as well, in this situation as well. Please discuss your concerns with your Plastic surgeon who can examine you and help you with all your concerns. All the best!

Dear SIEF37,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

First, I'd like to say that you did not need a total intact capsulectomy, which is what you actually got, not a true en bloc capsulectomy. The reason I say that is because published data show that women with symptoms they attributed to their breast implants had exactly the same outcome with no capsulectomy at all. I'll say it again, removing the implant capsule has no effect on symptom reduction. Having said that, your dents and irregularities are either from the fat grafting or from irregularities in your native breast tissue cause by the capsulectomy. High resolution ultrasound can confirm fat necrosis and the possibility of oil cysts from fat grafting. The difference between your breasts has to do with the breast themselves: the right breast is ptotic and displaces more with arm position. More fat grafting of the right breast without a unilateral breast lift will not improve that issue.