I am very unhappy with my results - would a fat transfer help? (Photo)

First, with your anatomy, your breasts naturally do sit somewhat low on your chest, and this cannot be moved. Second, do not go larger because your tissue may not support a heavier implant. One may be a little larger, but it may not be worth the risk to change out that implant. Third, you may not have much fat to donate, but I think your results are quite nice.

Your breasts are low on the chest wall. The only way to correct this would be to do a revision. The pocket needs to be reinforced inferiorly and laterally, expanded upward and medially to give higher implant placement and you may also benefit from fat transfer to the upper pole.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. I see this problem all of the time. A subfascial breast augmentation is equivalent to a subglandular breast augmentation. There is literally no support for your breast. I have a whole gallery of chronic changes associated with implants on top of the muscle. Gravity always wins. A large portion of my practice is dedicated to revision breast surgery, and I have been in practice for over 28 years. I wrote the only paper written on going from on top to below the muscle which would add support to your breasts. In order to keep the upper pole fullness, and have an attractive breast, You would need to go under the muscle and have a lift. Best wishes to you