Breast fat transfer instead of implants? (Photo)

If the implant is under the muscle the rippling will only be in the lower outer portion and likely will be minimal. Don’t buy into the fat grafting thing. It’s absolute nonsense. Also you’re very thin. Where would the surgeon get the fat? There are plenty of surgeons who buy into the fat transfer thing. There are so many failures, complications and poor results from fat transfer, no matter who does it. Get another opinion.

It is unlikely that you have enough fat to have the same effect as an implant. I agree with your surgeon. Combining breast implants with fat grafting can improve the appearance of the breasts in someone like your self. The challenge in a patient like you would be finding enough fat to have a meaningful decrease in the visibility of rippling.

The right choice for you depends on your aesthetic goals. Fat transfer alone generally provides a fairly modest change in size (likely less than a cup size) but can be used to customize shape. Ripling is more common with saline implants. The highly cohesive (gummy bear style implants) are designed to limit rippling. An implant will always be more visible in thin women with less soft tissue, but thin women can still have an elegant result with a small, low profile implant. This still might be an option worth considering if a more significant size change is important to you. Another option to maximize size change with fat transfer alone would be serial fat grafting (repeat fat grafting).