37 years old - Will a lift with fat transfer help restore the lost volume and positioning of my breasts?

I believe you have two choices. First, you can have a breast lift done, preserving the volume that you already have, which may be enough because that volume that is spread over the chest and abdomen will be concentrated in just the breast. That may create the look that you want. The second choice is to have fat grafting either with the breast lift or to wait 6-12 months afterwards and then decide if you even need the volume that fat grafting may give you. Without looking at your pictures, it is difficult to give you more specific advice. If you decide to do fat grafting to the breast, seek a plastic surgeon who has good experience in that procedure.

It sounds that you need a lift. If you are already a DD, you do not need to add volume with fat. Fat is no substitute for the lift. You might even consider a small reduction which includes the lift.

Very good question. A lift with fat transfer could help. But fat transfers to the breasts don’t really fill out the breasts as much as most patients might think. If you want volume on your upper pole, a fat transfer wont really stay in that spot. Fat transfers to the breasts help in overall fullness but not on the upper pole. Plus, they tend to work less when combined with a lift.

Most importantly, many patients have enough breast tissue for it to be rearranged in order to fill out the breasts with a lift/reduction. We can use a flap of breast tissue almost like an implant. We lift the sagging tissue and fold it up and over. Then we suture it to the muscle as high as possible. I believe a 36DD, even if deflated, is big enough to have a good amount of tissue for this technique.

Because of your size and saggyness, I would recommend researching this possibility rather then a fat transfer.

Best of luck,
Dr. Miguel Mota