Explant, Lift and Fat Transfer - is it possible to increase upper pole fullness without an implant? (Photo)

Question

I had saline implants 10 years ago. I now want them removed, lifted and fat transfer for upper pole fullness. I have severe drooping that I would like to have corrected. My question is, is it possible to have upper pole fullness without an implant if the goal is not large breast but more perkiness.

Gerald Minniti, MD, FACS · Answer

The answer is a hard no. The only thing that can give you upper pole fullness is an implant, which is safe and effective, and does not cause systemic illness. Surgeons' talk about 'auto tissue transfer' as part of their breast lift or fat grafting are not being honest about true upper pole fullness with any sort of durability past 3-6 months.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the 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 if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I have been in practice for over 30 years, and breast revision surgery is a large portion of my practice. I have seen 100's of cases similar to years who have had excellent outcomes. In your case, there is virtually no way to have long-term upper pole fullness without an implant. I have developed a technique That was exactly designed for your issues. It is termed "Reductive Augmentation" and this was published in 2017. It combines a breast augmentation, mastopexy/lift, and removal of inferior pole breast tissue. You should be able have an excellent result. Best wishes to you.

Karl William Schwarz, MD · Answer

The short answer is yes it is possible but it also depends on the amount of breast tissue you naturally have. Fat grafting can certainly help but it is also important to have a reasonable amount of breast tissue to allow us to shape the breast primarily and then we use fat to improve cleavage and upper pole fullness.

Darryl J. Blinski, MD · Answer

Based on your post photo, you would need an explant with a full anchor breast lift and nipple complex reduction, followed by liposuction and back grafting to upper polls for a slight fullness. This is the one surgical session best of virtual concert with expect fees to range from $10,000-$20,000.

Explant, Lift and Fat Transfer - is it possible to increase upper pole fullness without an implant? (Photo)

Answers (6)

Answer: Upper pole fullness with a lift and breast fat grafting

Answer: Upper pole fullness with a lift and breast fat grafting

Answer: Explant with full lift and hypertrophy of nipple complexes and possible pole fullness by fat grass

Answer: Explant with full lift and hypertrophy of nipple complexes and possible pole fullness by fat grass

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Explant, Lift and Fat Transfer - is it possible to increase upper pole fullness without an implant? (Photo)

Answers (6)

Answer: Upper pole fullness with a lift and breast fat grafting

Answer: Upper pole fullness with a lift and breast fat grafting

Answer: Explant with full lift and hypertrophy of nipple complexes and possible pole fullness by fat grass

Answer: Explant with full lift and hypertrophy of nipple complexes and possible pole fullness by fat grass

Browse related questions

Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.