Can fat be transferred to any area of the breast or just the upper pole?

Yes, fat can be transferred to any part of the breast which has a good blood supply. It is typically used to improve skin quality, breast volume and shape, or to disguise implant rippling or palpability.

Excellent question. Fat can be grafted in any portion of the breast area, including the lower pole and either side. It is important to note that when it comes to fat grafting, the amount of breast tissue and subcutaneous tissue present at baseline will dictate how much fat can be transferred with success. For example, patients with more tissue have more areas that the transferred fat can incorporate into and survive due to the blood supply to those areas. Conversely, patients with very little tissue (or patients with a history of mastectomy), there is less tissue to inject that transferred fat into. This means that smaller volumes can be transferred at one time, and, often times multiple surgeries are needed to build up to the desired volume.
If you already have an implant in place, fat grafting can be a great adjunct to add a little more volume and to blend the implant into the chest to make a more natural result. Often times, the step off from the implant in the upper pole is blended with fat to make a smoother transition. This is a popular place to transfer fat, but it is not the only place where fat can be transferred. Every patient has a different chest wall anatomy and shape, so the placement of fat can be individualized to each patient. The decision ultimately based on a conversation between you and your plastic surgeon to see what is best for you given your anatomy/frame and your ultimate goals.

Thank you for your question regarding the area of the breast that fat transfer can be performed on.

In my practice, depending on the patient, I am able to inject the fat in any area of the breast.

I recommend that you have an in person consultation with two or more experienced board-certified plastic surgeons in your area to talk about your goals and realistic expectations.