Having a TT with lipo and FT to breasts. Lost tons on ketogenic diet over 10 years. Can I ever resume keto post fat transfer?

mommaoffour. Very impressive weight-loss! It sounds like you are an excellent candidate for mommy makeover with fat transfer to your breasts, if you indeed have enough fat to transfer. The issue with the transfer is having enough fat and symmetry, as fat does not always take the same on both breasts. Also weight gain or weight loss can affect fat transfer to the breasts.  For this reason you may want to consider implants. Discuss all options with your board-certified plastic surgeon. Best of luck.

Dear mommaoffourThank you for your question ! If your weight is stable on your current diet - the fat grafted should remain.  The most important aspect of fat transfer to the breasts - is that there is space for the fat to be grafted into- So the use of the BRAVA system prior to surgery will aid in the fat survival.  Generally only 60 per cent or less of the grafted fat will remain.With Warm RegardsTrevor M Born MD

Congratulations on your weight loss!  If you enjoy the benefits of the keto diet you should be able to return to it after recovery.  If you maintain a stable weight, then the fat that remains after healing from the transfer should be stable as well.

The ketogenic diet can be helpful for weight loss , but also for overall health for many people. If the diet, makes you feel better, than it is a good thing for you. 
The newly transferred fat will survive based on conditions such as blood flow at the site, or processing techniques. Loss of volume of each fat cell, (i.e. how fat the fat cell is) can be affected by overall weight loss and eventually some loss of fullness. 
After the fat transfer, you should do the right thing for your health, rather than let the fat grafting determine the type of diet you should be eating. Your health should be your primary concern...sounds like it has allowed for many positive changes in your life! Congratulations!!
My very best, 
Cheri A. Ong, MD FACS