Would fat transfer work out for me (deflated, emptied out breasts)?

Question

Lost weight and now i am left with empty, deflated breasts. my nipple position doesn’t bother me too much, it's mainly the loss of volume on the top of my breasts (especially when I slouch, which i added a picture of me slouching). I want fat transfer on the upper part of my breasts and i really dont want a lift. i went to one surgeon and he suggested implants. i am not sure i want that. i am looking for some improvement, not perfection. Would fat transfer work out for me?

John L. Burns Jr., MD · Answer

Fat transfer will give you exactly what you have now but with more volume.  Fat is essentially a thick liquid and the "take" is best in the areas where you have more tissue; lower pole.  An implant is a solid structure and can shape the tissue giving more upper pole fullness and a more consistent and dramatic volume increase.  While I understand you don't want a lift, you have Grade II ptosis and almost by definition need a breast lift.

Alan Gonzalez, MD, FACS · Answer

Hello @Genuine28067 thank you for your question and showing your pictures. I suggest you give the option of a lift some thought because for a fat transfer you need certain amount of fat to be transferred and some of that fat would not be taken by the body, and even if the fat get transfer it would tend to fall in the shape of the breast . So the best option is to have a lift to raise it and rearrange the breast, for the most adequate aesthetic result. Best wishes!

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall for fat transfers. The technique I recommend is a lift using 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

If you get fat transfer make sure you keep your expectations low. There is hardly a day that goes by answering these questions that I don’t hear of someone unhappy  with their fat transfer result.

Daniel Barrett, MD · Answer

Dear Genuine28067,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Douglas Taranow, DO, FACOS · Answer

You are too low to have fat transfers to the upper breast.  In the best circumstances, fat transfer to a breast will increase you 1/2 to 1 size  (usually only 1/2 size larger).
A breast lift (mastopexy) is your best option.
Dr. T

Would fat transfer work out for me (deflated, emptied out breasts)?

Answers (6)

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