Thin women with very little breast tissue, 5"5, 106lbs, fat transfer breast augmentation or implant to get a B cup? (photo)

I
suggest that you schedule a consultation with a board-certified plastic surgeon
to fully discuss and learn about your options. A plastic surgeon will consider
the width of your natural breasts at the base and the amount of tissue to
recommend the implant material and size that may work well for you. Adding
volume to your breasts may help restore your nipples to a better position and
shape.

I perform fat transfer to the breasts a lot and you will likely acheive about a 1/2 cup increase in size with fat transfer. You may achieve more than a cup increase if you undergo two or more sessions of fat transfer. On a different note, If you're concerned about coverage over an implant, then performing fat transfer and then placing an implant is an option. It can also be performed at the same time. Hope this helps. 

Thank you for your questions and picture. This is a very common question in women with thin frames and very little fat tissue. While there is some success with fat grafting for breast augmentation, it can be unpredictable, costly, and require multiple surgeries to get the desired result. With a breast implant, the results are much more predictable and usually more cost effective. I think that based on your pictures, you could have a good result from a breast augmentation. You should have a consutlation with multiple local baord certified plastic surgeons and get some differing opinions. Only then can you make the choice that is right for you.Best of luck!

Thank you for your question and photo. Based on this single two dimensional photo it is impossible to evaluate how much fat one can obtain for transfer and estimate the cup size. An implant placement can guarantee  a certain volume, but fat grafting cannot. Placement of any kind of implant, shaped or round will give you the same result, contrary to what some surgeons promote on this forum. I just came back from the ASAPS's (American Society for Aesthetic Plastic Surgery)annual meeting in Las Vegas. In the breast surgery panel, it turns out that less than 10% of surgeons use shaped implants in their practices and 75% of the attendees could not differentiate between shaped vs round implants in the pictures. Only 25% guessed it correctly! In your case, I would suggest a small round low profile implant with fat grafting at the same time, mainly at the inferior and lateral borders of the breasts for better implant coverage. See a board certified plastic surgeon for an in person consultation/evaluation.Good luck.

It's a good question. I don't think that you would have enough fat to give you a B cup breast augmentation. Fat transfer to the breasts is best for patients whose number one goal is to have liposuction, but also wouldn't mind a subtle increase in their breast size.Given the fact that you have little shape to your natural breasts. You may consider anatomic implants. These implants are filled with silicone gel and are shaped like a teardrop. They provide volume AND shape to the breast. They give a more natural appearance with less fullness in the upper pole (top of the breast).You could consider a nipple reduction. The surgery can make a long nipple (papule) shorter.