I had a fat breast transfer. Developed an abscess, now I have an asymmetry. What procedure would be the best to fix it? (Photo)

Question

Female, 25 years, never had kids, height 5.1 feet, weight 145 lbs. Surgery mentioned was done 2 years ago.

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Alan Gonzalez, MD, FACS · Answer

Thank you very much for your question, the symmetry in the middle of our body is normal, the difference you have is not much, I know that you went through a bad time and as a consequence asymmetry in your breasts, however we find these asymmetries normally in the human anatomy, in the procedure that I suggest is to perform a breast pexy with a prosthesis, this pexy can be around the aoreole and must be accompanied by a prosthesis to find symmetry on both sides.Breast liftThe breast pexy seeks several objectives such as relocating the areola and nipple to a higher position, improving the shape of the breast either by reorganizing the breast parenchyma or, if this is not enough, placing a prosthesis to restore volume.The amount of breast tissue changes proportional to weight, pregnancy, lactation, heredity, or hormonal changes. Before The plastic surgeon must assess the individual characteristics of her breasts, as well as the general condition of the woman for the correct indication of the intervention. During The augmentation mammoplasty is performed in the operating room and under general anesthesia. The duration of the intervention is 2 to 3 hours. After Depending on the type of work you do, joining normal life can range from a few days to 2 or 3 weeks. The patient must follow the instructions of the plastic surgeon regarding medication to control discomfort, the bra, activities that can be performed, exercise, etc.

Casey Anderson, MD, FACS · Answer

Your best bet is probably another fat transfer if you are looking to increase symmetry. You will be higher risk for recurrent infection.

Walt Sweeney, MD · Answer

For the best advice I would recommend that you visit a trained plastic surgeon for an in person examination. The procedure that would serve you best is lift. For the right breast you wold likely need a lollipop lift and for the left breast (smaller breast) you would probably be well served with a donut lift. At this time modest sized implants could be placed along with repeat fat grafting to any area of deficiency or contour irregularity.

Eric Pugash, MD · Answer

Fat transfer sounds like a great idea, but in reality is unreliable and often must be done again to obtain the desired result. Remember that the fat cells, once they are harvested from one area of the body, start to die. The fat is then cleaned and injected into another area, in this case the breast, in the hope that some of the fat survives. It is rare to have survival of more than 50% of the fat. You have had an abscess, which can occur as a result of the devitalized fat being placed into the body. You would likely benefit from augmentation with breast implants. You may also require mastopexies, or breast lift. I suggest you see an experienced aesthetic breast plastic surgeon to explore your options. All the best.

Leopoldo Baccaro, MD · Answer

It would all depend on what your aesthetic goals are. If you would like the same volume, a small reduction/lift could be performed and in that way improve the symmetry of volume and nipple position.

If you’d like more volume, implants could be added as well.

If you still have some scarring from the abscess, that potentially could be addressed during a lift.

Daniel Barrett, MD · Answer

Dear Jubilant408287,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. 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

Connie Hiers, MD, FACS · Answer

You would do well with an augmentation for both and lift to the lower breasts. With implants, the problem area may look better. Micro-needling could also help topically.  I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and you would clearly benefit from a lift with or without breast enhancement. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results

Dr Corbin

Dr Corbin

Amit Gupta, MD - Account Suspended · Answer

The easiest way to fix it, is to undergo another session of fat transfer to increase the size of the smaller breast. You also have the option of a bilateral silicone breast augmentation & you can do a little bit of fat transfer to symmetrize the two breast after the implant.

I had a fat breast transfer. Developed an abscess, now I have an asymmetry. What procedure would be the best to fix it? (Photo)

Answers (10)

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