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.

Gary M. Horndeski, MD · Answer

Many women do not like breast lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Harry T. Haramis, MD, FACS · Answer

Fat transfer to the breast is a great option for more upper fullness.

Fat would be liposuctioned and processed for transfer. Recovery is easier than implants.

In my experience, this can avoid implants and lift, if you are ok with maintaining current breast position.

Excellent results are anticipated, provided your plastic surgeon performs fat transfer to the breasts regularly.

Connie Hiers, MD, FACS · Answer

You can add fat which will give you bigger and still sagging breasts. You could also consider first a lift, and later add fat if you want more volume. adding volume will not correct sagging.

Kamran Khoobehi, MD · Answer

you will get better results with fat grafting and lift. You can try fat grafting first with the understanding that may need lift later. please see my web site and Instagram for examples.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos if you’re not concerned of the breast sagginess, then Lipo with fat transferred to breast under guided ultrasound injections can be done. Fee from $5000-$10,000. Best of virtual consult with.

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

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