Want more volume on the sides and bottom of breasts - can this be achieved with breast filler?

Question

I'm a mastectomy patient with not a huge amount of donor sites for fat transfer ... I've already had one round & they transferred about 100 cc over both breasts which I can already see hasn't made much difference and I'm only a week & half post op. I only have implants underneath this and my cleavage needs building out at the sides and bottom... is this achievable with any breast fillers out there? I'm in the Uk

Daniel Barrett, MD · Answer

Dear booboo32,
dermal fillers are not a good option for this as they don't last long and can be expensive. Fat transfer is probably your best option. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

It takes 6-12 months for fat grafts to settle and mature; only at that time you should evaluate take of fat grafts and final result! The only "filler" for the breast is fat or local flap tissue. Obtaining 300 ml. of fat grafts, as needed for one stage of reconstraction, should not be a problem in experienced hands. Sometimes 2-3 stages of fat grafting may be needed to build needed volume. You may need to seek an expert in fat grafting, outside of breast reconstructive surgeons group. Good luck.

Connie Hiers, MD, FACS · Answer

The only filler that might make some difference is something like Sculptra. There would be at least 3 sessions 4-6 weeks apart. It would then take some time for the filler to completely build up your collagen.  However, this is not permanent either. You might talk to your reconstructive surgeon about flap surgery for better volume, or exchanging your implants for something wider and bigger.

Daniel Schmid, MD · Answer

The only filler for the breasts is fat.  Sometimes it takes several rounds of grafting to get the desired result in breast reconstruction (and augmentation), esp if the patient has very little fat elsewhere that is available for transfer.  Continue to see your surgeon and follow up after the procedure.

Want more volume on the sides and bottom of breasts - can this be achieved with breast filler?

Answers (4)

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