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).

Dear Compassionate545888,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You don't appear to have much donor fat, so implants will be your best choice. If you had fat, it could help minimize the risk of ripples. I would select gel over saline.

Rippling is something that can happen in certain variables increase the chance of it.The biggest variable that causes rippling is choosing saline implants. compared to saline silicone implants rarely ever cause significant rippling.
A second variable that increases rippling is using high-profile implants.
The profile of the implant is determined by either simply what the surgeon wants to use but should really be determined based on the diameter of the woman’s breast in relationship to the volume augmentation she is seeking.
For example a woman who has narrow breasts and wants a very aggressive augmentation like going from an a cup to a D cup has no choice but to use low profile implants that are narrow in their diameter and have a great forward projection. A very large low profile implant would simply not fit within the diameter of her breast or even her chest wall.
On the other hand a woman who has wide diameter breast and wants a modest augmentation will do much better with a low profile implant. profile has to do with the shape of the implant and you can think of low profile implants as looking more like fluffy pancakes while high profile look more like tennis balls.
A well placed submuscular implant that’s low profile using silicone should have a relatively low chance of rippling.
I suggest having a few more in person consultations but local board certified plastic surgeons who do a lot of oppressed surgery. Surgeons who do great numbers of a single procedure tend to be better at them.
Rippling is generally mostly an issue with saline implants.
You can definitely have fat transfer if you want but you have very little host tissue so the total outcome will be very subtle in your case.
The primary determining factor in how much fat can be grafted is based on how much host tissue there is to graphed into or in other words how much tissue is there to support the grafted fat. in your case doubling your own natural breast volume is still going to leave you with a pretty small breast. doubling the volume would be considered a successful fat transfer outcome. There’s also the question of where the fat is going to be harvested from. your pictures don’t show your whole body but they do show a body that is very lean with very little subcutaneous fat.
Unless there’s a good reason to not use implants steer most patients towards getting implants because they are so predictable and work well. they can fairly precisely give patients exactly what they want while fat transfer is much more limited.
I also point out that while I’ve been a plastic surgeon for 20 years and spent the first 10 years of practice doing mostly breast surgery including implants I spent the last 10 years doing only liposuction and fat transfer. I am Ella Liposuction and fat transfer expert and no longer do implants but have years of experience in the past doing them.
Fat transfer gives subtle results.
I will also point out that delivering consistent quality liposuction and fat transfer results is far more difficult than most people think and if you opt for that procedure you need to put some serious effort into finding the most talented and experienced provider. there are substantial differences in outcomes based on who does the procedure when it comes to liposuction and fat transfer.
The learning curve to doing these procedures well is substantial.
Best,
Mats Hagstrom MD