Explant with Fat Transfer

I have Saline Implants, one has deflated. No capsular issues. How much should this cost to have removal and fat transfer to breasts? I am in Tampa. How do I find the best surgeon for this procedure? It seems not every one does it yet. I will travel to find best Dr. Thanks
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Doctor Answers 8

Fat tansfer post implant removal

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This is a choice but a lot depends on how big do you want to be and also how much excess fat do you have.Usually when you do fat transfer it may involve more than one session depending how big you want to be.On some of my patients I will place a smaller impalnt and then augment it with their own fat.This is a relatively new procedure.


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The best option would be to have the implants removed and replaced with new implants.  Fat injections not a good option.

Fat transfer with explanation

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It can be done, with proper technique it may replace a deflated implant.. You must have fat available to harvest, in other words have some fatty body  areas to use. There are some new techniques that provide great fat for transfer ( see revolve system by kci ) which allows your plastic surgeon to harvest and transfer good quality fat.

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I don't recommend

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...fat transfers to the breasts, it is frustrating, potentially hazardous, interfers imaging diagnosis in the future and will never achieve any results comparable with breast implants.

Alejandro Nogueira, MD
Spain Plastic Surgeon

Explant with Fat Transfer

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I would perform fat injections at the time of implant removal
 Fat can be injected into the muscle  and just beneath the capsule 

Explant with Fat Transfer

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Without examining you or at least seeing the photos- it is difficult to answer accurately. However, generally speaking when there is a saline deflation--- the pocket has contracted significantly and will require reopening. I prefer silicone implants over saline for this reason and for others. I am not a proponent of fat transfer- it has not shown to be of permanent value and the volume increase is limited. Seek an in person consultation with an experienced Board Certified PS.

Fat grafting after breast implant removal

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Please consult with a board certified plastic surgeon with experience in the procedure. You are correct, many plastic surgeons have not adopted this technique.

But, this can be a good option for patients that have adequate donor fat and have realistic expectations about what can be achieved in terms of breast size, shape, and the number of procedures required.

Best wishes.

Dr. Connall


Explantation with fat transfer

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The safest option would be to explant with a total capsulectomy then do fat transfer 6 months later.  This would return you to your normal anatomy and decrease the risk of complications.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.