Age 24, don't want huge scars - would fat transfer work on me? (Photo)

Question

I'm a 24 year old , never had kids but have struggled with immunity problems . I have done my research and I really don't think breast implants are the best choice for me . I just personally hate the way my breast sit and because I have such fair skin it's hard to see my Areolas . I do know I want a lift but I also don't want to be completely flat chested and left with huge scars .

Alan Gonzalez, MD, FACS · Answer

Hello @Sdgirl4434, thank you for your question. Fat transfer can be a great option if you don’t want huge scars and are looking to add some upper volume. It's a procedure with minimal scarring that involves transferring fat from the body to the breasts, which can provide natural fullness and some shape. However, bear in mind that fat transfer does not provide a different shape or lift so if you are hoping for more dramatic results in terms of lifting or reshaping then this may not be suitable for you. Make sure to consult with a board certified plastic surgeon before making any decisions! Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Daniel Barrett, MD · Answer

Dear Sdgirl4434,
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

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Although your breasts sag and your nipple areolar complex are in a dependent position, your skin is robust and tightly elastic, making fat grafts ineffective at producing projection and upper pole fullness. 'Immunity problems' are not a contraindication to safely get silicone gel breast implants, so your 'research' is off, which is ok because lay persons don't really do research, they internet surf finding erroneous information. Go to a great surgeon and get the implants and the lift.

Ronald J. Edelson, MD · Answer

Fat transfer is an option but despite what you may have read on line the results aren’t great. Take a look at some before and after photos and bear in mind that surgeons are showing their best work. Implants work far better and if you don’t lie the idea of silicone, saline works well too

Connie Hiers, MD, FACS · Answer

Fat will not lift your breasts. You could consider minimally invasive radiofrequency skin tightening like Renuvion or ThermiTight to help tighten and lift with very small scars. it, however, is not a full lift.

Douglas Taranow, DO, FACOS · Answer

Your breast size and your serials are fine.  Your nipple/areola location is far too low.  You would be best served with either a periareolar (around the nipple scar) or possibly a lollipop mastopexy (lift).

Kenneth R. Francis, MD, FACS · Answer

Dear eileen,
You look to be a good candidate for a breast lift with fat transfer.  Seek consultation with an American Board of Plastic Surgery certified plastic surgeon for a more in depth history about the "immunity problems," examination and discussion of your options and expectations.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Fat transfer can increase your breast size by 1/2 to maximum 1 cup. The procedure is reasonably good for increasing breast size, but it does not change breast shape. Most people do not seem to comprehend the concept of breast shape and volume as being two very different Outcomes. In your case I think it is the shape of your breast that is of primary concern and fat transfer is not a good option to restore volume in the upper half of your breast. It will not give you a lift or change your volume distribution. Fat transfer will give you the same breast, but a larger version.
Nobody wants scars on their breast, but a breast lift is what’s required if you want to lift your nipple, areola complex up onto your chest wall in a more attractive position. Likewise, an implant is a far better procedure if you want to restore volume in the upper half of your breast.
Nobody has to have cosmetic surgery, so you should not have any procedure unless you feel comfortable with the consequences. Do not, however expect procedures to accomplish something they cannot. Wishing fat transfer could give you great looking breast is not a good way to go.
Procedures should be based on having a clear understanding of what the underlying problem is.
Breast ptosis is breast, ptosis, and lack of upper pole volume is lack of upper pole volume.
The best treatment for your condition is augmentation using implants with a mastopexy.
In the end decisions to have cosmetic surgery it’s a balance between what you’re trying to achieve and what you’re willing to go through. My point is simply to have a clear understanding of what the underlying problem is as well, as having clear understanding of what procedures can, and cannot accomplish.
Best,
Mats Hagstrom, MD

Age 24, don't want huge scars - would fat transfer work on me? (Photo)

Answers (9)

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