Would Fat Transfer for upper pole fullness be possible?How Many mls.of fat possible to transfer? (photo)

5 ft 2 in, 130 lbs, 34C bra sz. 6 months post mastopexy, very pleased with results . It was recommended that I would need implants for upper pole fullness. I was not interested in implants. However, some of the procedures I have heard about-- such as Lipo and fat transfer, and use of PRP. Somewhat confusing to me. My PS doesn't do PRP, says there's stem cells in fat transfers that do the same as PRP. Says only possible to transfer 200ml per side at a time and may need to be repeated up to 4 times due to reabsorption.

Doctor Answers 5

Would Fat Transfer for upper pole fullness be possible?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question.  You are an excellent candidate for fat transfer.  I think upper pole fullness is the ideal indication for fat transfer.  I do it with a lot of my mastopexy patients that do not want implants.  In my experience, usually only 1 procedure is required for upper pole fullness (I have never done more than 2).  Usually 3 or 4 procedures are required only when you want to transfer a lot of fat and for these patients I usually recommend an implant.

Tampa Plastic Surgeon
4.4 out of 5 stars 40 reviews

Fat grafting is a great option

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The use of fat for upper pole fullness is a great option if you have fat to donate from other areas. I do fat grafting and mastopexy at the same time. Please see the link for examples

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 154 reviews

Fat transplantation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I like fat transplantation for filling of the upper pole of breasts in situations of a mastopexy.  I think that this is an art and just like artists can paint on different campuses, with different mediums and different colors, plastic surgeons have developed their own methods of adding fat grafts. We have used PRP in our office for many years now for small volume fat grafting to the face. There is some data to support there is a ratio of adding PRP to fat grafts that would make the fat grafts more likely to survive. When adding 200 to 400 mL of fat to the upper pole of a breast, it would take a lot of blood to make enough PRP that the science would support its use. I do agree that fat grafting may need to be repeated in order to get the best possible result. Good luck. 

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 58 reviews

Fat Transfer to Breastsq

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
You do have options, both with pros and cons. Implants have a solid and reliable history with very high patient satisfaction rates but they must be replaced every 12-15 years. Fat grafting has the advantage of using your own body's material to increase breast size, but only small augmentation is possible and it is just gaining popularity and long term results are not yet available. There is always uncertainty about how much fat will "take", increasing the possibility of asymmetry and need for revision. Many plastic surgeons are still concerned about how the fat that did not take looks on mammograms, and if it will increase long term false positive results. Be sure to consult with a board certified plastic surgeon to help you navigate this decision. Good Luck!

Robert M. Tornambe, MD
New York Plastic Surgeon
5.0 out of 5 stars 33 reviews

Dr Kayser

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question. Fat transfer is an excellent choice in patients in your situation. This involves the transfer of fat from one part of your body to your breasts. This is an excellent choice for women who want to remain completely natural because fat is natural, yours, and has the potential to last a lifetime. The reproducibility of fat can vary from surgeon to surgeon and is, therefore, technique dependent, however, in my 15 years experience with fat grafting, it has been very reproducible. I do not agree that you would need multiple procedures to achieve your desired results since you are not going for a larger breast. I would certainly consult with a board certified plastic surgeon who is experienced in these matters. I hope this helps and have a wonderful day. Dr Kayser - St Clair Shores

Melek Kayser, MD
Detroit Plastic Surgeon
5.0 out of 5 stars 43 reviews

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.