40, mom-of-2, candidate for fat transfer without lift, for increased volume only? (Photos)

Question

I'm a 40 year old mom of two who has experienced a lot of weight fluctuations over the last 15 years. My breasts have lost a lot of volume and I have basically no upper pole fullness. Despite the fact that they sag, I'm more or less happy with the shape and position of my breasts, but do wish to have more fullness as they feel "empty". I'm wondering if I am a candidate for fat transfer without a breast lift given the sagging factor.

Daniel Barrett, MD · Answer

Dear Dani Dani Hm
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Joel Patrick Maier, MD · Answer

The first step in rejuvenation of your breasts is a mastopexy . . . to achieve a durable, high, tight breast, a full "anchor scar" lift is needed. This allows the surgeon to be complete in the tissue tightening. This results in a proportionate, maximally lifted "C" cup breast that most women are happy with. If desired, the you can consider enhancement (by fat or implant- saline recommended for least worry) at a later date. Thank you.

Wayne I. Yamahata, MD · Answer

Fat grafts will add volume to your breast but not provide substantial lift. If you are seriously considering the procedure, I would suggest a consultation with a board-certified plastic surgeon. He or she can provide you with realistic expectations for the outcomes, with or without a lift

Michelle Zweifler, MD · Answer

Options to restore upper pole fullness include breast implants, breast lift, fat grafting and combinations.  If fat grafting is an isolated procedure to help with fullness, it often has to be performed more than once to achieve enough volume.  Weight fluctuations may affect the final results.

Chet Mays, MD · Answer

Thanks for your inquiry!  Fat transfer is a great option to add fullness to areas of concerns.  You would need a good amount of fat to build up breast tissue.  The downfall to fat transfer is that if you are losing weight or gaining weight, that fat will respond the same way.  We would love to see you and help address your concerns.  Make sure to schedule a consultation with a Board Certified Plastic Surgeon to help you meet your goals.

40, mom-of-2, candidate for fat transfer without lift, for increased volume only? (Photos)

Answers (10)

Answer: Fat grafting to breast

Answer: Fat grafting to breast

Answer: 40 yo, candidate for fat transfer

Answer: 40 yo, candidate for fat transfer

Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.

40, mom-of-2, candidate for fat transfer without lift, for increased volume only? (Photos)

Answers (10)

Answer: Fat grafting to breast

Answer: Fat grafting to breast

Answer: 40 yo, candidate for fat transfer

Answer: 40 yo, candidate for fat transfer

Browse related questions

Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.