Should I pair my breast lift with a fat transfer or implants?

Question

I will be undergoing a breast lift in a month. I will either pair it with a fat transfer or implants. I don't really want larger breasts; just want them a bit filled in where they lost volume. I would love the "lift" to last as long as possible. Do breasts with implants "stay up" for more years? Does the extra weight of the implants cause the breasts to droop more over time? Can I get away with less supportive bras with implants?

Alan Gonzalez, MD, FACS · Answer

Hello @Celebrated395456, thank you for your question. With implants, the approach technique and the prosthesis chosen lead to different results, so it is also important to determine what the patient expects and what the surgeon can do for them. If it is fat transfer it depends on how the fat is seeded. Everything depends on the expertise and technique of the specialist, . For more information and recommendations, consult one or several board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS..

Thomas Trevisani, MD · Answer

This question is best answered by your chosen Plastic Surgeon and discussed at the consultation. Without posted photos- it's difficult to comment what you'd benefit from .Generally speaking, if the patient is a candidate and desired increase in volume- lift can be combined with smaller implants.

Martin Jugenburg, MD · Answer

Hello, Thank you for your question. You have several options at hand. Fat transfer may be a better option if you want a bit a slight bit of fullness on top with the breast lift. Keep in mind that a fat transfer only will increase your breast size by half a cup. If you want anything larger than that then consider putting in a small implant. Regarding drooping over time and/or wearing supportive bra. No matter what you decide to do over time breasts will still drop, perhaps a bit faster with bigger heavy implants and its always a good idea to wear a supportive bra. Gravity always wins

Daniel Barrett, MD · Answer

Dear Celebrated395456,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ugur Horoz, MD · Answer

hello, with breast lift if you don’t want remarkable size breast only lifting, small volume fat or small volume implant may be available. But it is better to plan this with your surgeon because it is related to your breast ptosis, skin situation; type, current fullness. and your expectation.

Shana Kalaria, MD · Answer

With my breast lift technique it is possible to get some upper pole volume and cleavage without implants or fat transfer. If you are looking to remain about the same size, then this is your best option. Good luck!

Connie Hiers, MD, FACS · Answer

Fat transfers are usually done not at the same time as the lift. If you choose small implants, the results of the lift will hold longer. Implants are more reliable than fat, especially if there is any weight change.

Camille Cash, MD · Answer

Breast implants are a safe and predictable way to enhance the breasts.  Silicone implants come in many sizes and styles to create a unique look that's right for you.  Fat transfer has the potential to create micro calcifications.  These can be confusing on mammograms and therefore are not my choice for elective breast enhancement.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
A breast lift lift will elevate the nipple areolar complexes into anatomic position, will remove excess skin, and will conify the shape of the breasts. This procedure will have long lasting results. 
Breast augmentation will add volume and weight whether from an implant or from fat transfer. Breast implants are designed to be approximately the same density and weight as breast tissue. If you have larger sized implants or large volume fat transfer, breast support is recommended.  If you have extensive stretch marks about the breasts, consider a smaller sized implant or lift alone as implant weight may stretch the skin and result in sag recurrence. Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or overweight, the skin's dermal elastic fibers rupture, resulting in the permanent loss of elasticity and the development of streaks on the skin surface. The skin will stretch over a greater surface area and will predispose to further sagging.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Should I pair my breast lift with a fat transfer or implants?

Answers (9)

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