Would a fat transfer help with the asymmetry- size and shape of removing one breast implant? (I only have one breast implant).

Unfortunately, you have not provided photographs or told us your current bra size.  However, over the years you may have gained weight, which results in more fat in the breast.  It may be possible to remove the implant and add fat to match the larger breast or reduce the larger breast to match the smaller one to achieve the symmetry you desire.  Best Wishes,Gary Horndeski, M.D.

Fat grafting can be successful after breast implant removal.  Some of the success will depend upon existing tissue available for receiving the fat.  The fat grafting will likely take several sessions to produce a similar result unless the breast implants were extremely small.  Find a board certified plastic surgeon who performs hundreds of breast augmentations, revisions, and reconstructions each year to discuss your options.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Dear SassyIvey,
gat transfer is a great option if you want to resolve small breast asymmetry or if you want to get a small increase in size (up to one bra cup). But based on your information, it sounds like you have a significant difference in size so fat transfer probably won't be a good option for you. 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

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Fat grafting can increase the volume and fullness of breasts. Usually patients must undergo multiple rounds of fat grafting to achieve their desired volume and fullness. This is because the tissue into which the fat is being transferred can only nourish a limited amount of (transferred) fat at a given time. Transferring too much fat in one session could result in the transferred fat not surviving---thereby risking developing oil/fat cysts (etc). If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Fat transfer will not produce the same look as an implant.  Your surgeon will need to determine if you are a good candidate for fat transfer and if it will be enough to help you achieve the goals you have from surgery.

Hello and thank you for your excellent question. Your story is not uncommon. Breast asymmetry, to some degree, is completely normal. In your case, it is just more extreme than "the normal". In your case, you have many options. If you have decided to remove the implant, then it is probably best to have some combination of breast lift and fat transfer procedure to improve your symmetry, but also your overall breast appearance. You should be evaluated for a No-Vertical-Scar breast lift with auto-augmentation. There are a number of no-vertical scar breast lift techniques, but my preferred technique is the Bellesoma Breast Lift technique. In my professional opinion, this technique represents a “quantum leap” in breast lift techniques. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique and breast augmentation, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, the constriction of breast width can result in an increase in cup size, and it can be combined with fat grafting to increase breast size. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate you. Preoperative visualization with Crisalix can simulate what your body will look like after surgery and can help you make your decision. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. Good luck!

No, you cannot make up a 2 cup deficit with fat transfer, but you could reduce the larger breast. Without an exam and not even any photos to go by we can't tell you much about what would be best.