Is it safe to get breast fat transfer if mammogram showed dense tissue?

Question

My breasts are small and have very little fat. Is that why mammogram showed dense tissue?

Kenneth Hughes, MD · Answer

The density of the breast tissue will have some effect on the results of fat transfer.  Remember though that the muscle, the subcutaneous tissue, and intervening stromal tissue can all be injected.

Ronald J. Edelson, MD · Answer

It is unknown whether density of breast tissue will affect success of fat transfer.   theoretically denser tissue has better blood supply which may improve the take of the fat but this would be hard to prove one way or another. If you are looking into this procedure make sure you see long term results from the surgeon you consult with. Sad to say, but fat injection to the breasts is still very much a hit or miss procedure which will be obvious when you look at before and after photos.

Daniel Barrett, MD · Answer

Dear Practical934,
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

Connie Hiers, MD, FACS · Answer

Yes, with little fat, your breasts will appear dense. You still can be a candidate for fat transfer if you have donor fat available.

Is it safe to get breast fat transfer if mammogram showed dense tissue?

Answers (4)

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