Slim pear shaped, very flat chested, almost no breast tissue but pretty curvy. Interested in fat transfer?

This is difficult to answer without pictures. It's possible to enhance the breasts to almost an additional cup size with fat transfer. Fat transfer technique is important for successful fat transfer. I recommend water-assisted fat harvesting which gives pure fat to transfer and combine with platelet rich plasma (PRP) to get the most viable and sustainable fat cells. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Adding some pictures would help in giving you accurate advice.  The two major ways to augment breasts are with an implant or fat grafting.   This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello,Without a photograph it is difficult to advise you of the amount of enhancement you can expect from a fat transfer to the breasts.  Generally, multiple staged treatments are needed to achieve an increase of more than one half to one cup size. It all depends on the amount of donor tissue available, your skin laxity(capacity for injection), and the fat "take". You can design your treatments to maintain your pear shape while enhancing your breasts.Warm regards,Dr. Pedy Ganchi                                                                                                                                          Village Plastic Surgery

I prefer to augment the breasts with implants rather than fat. I think the results are more consistent with implants.  

If you are an A cup and hoping for a large B, you would need to have ample donor fat and multiple procedures. Based on your description, you may not have enough fat to transfer and would require implants to achieve your goal size. See a board certified plastic surgeon in consultation.

Under the circumstances of having virtually no breast tissue I think you have to plan on at least two fat transfer procedures assuming adequate donor volume is available.  For patients who want greater certainty of an increase in size, breast implants are worth considering but the option of fat transfer still is present for you.  I think you can achieve half cup size or may be slightly more with each fat transfer session but there are no guarantees.  Regards,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd