42, 5'8, 140lbs, post explant revision/fat transfer - is this realistically correctable? (Photos)

Question

42 yr old Caucasian female, 5’8” ~140 lbs. Had above the muscle implants for 22 yrs (size A to C). Explanted 4/26/23, roughly 1.5 yr PO.Will not be considering implants again. My chest wall has some significant concavity on both sides where implants sat. I have very little breast tissue, folds, adhesions etc. Would like to visually correct folds, etc-I do not care about breast size-small is fine/preferable. Is this realistically correctable?

John L. Burns Jr., MD · Answer

in cases like your's where you have excess skin that has scarred down or adhered to the chest causing a deformity it is difficult to correct this with a fat transfer.  Fat requires robust vascular tissue to survive.  Where there is both scars tissue/adhesions and a lack of vascular tissue the fat won't survive.  Furthermore, fat will go to the areas of least resistance meaning that it won't overcome the effects of scar tissue.  For these reasons a fat transfer in your case wouldn't help much.  You might consider removing excess skin with a breast lift which would leave you with a flat chest but less excess skin and adhesions.

Daniel Barrett, MD · Answer

Dear whenindoubt81,
fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. 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

Gary M. Horndeski, MD · Answer

The technique I recommend is 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 if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hilton Becker, MD · Answer

Although you have considerable deformity , With pre expansion and serial fat grafting you can be considerably improved.

Connie Hiers, MD, FACS · Answer

Fat will not give enough volume to the center part of your very thin breast tissue. Your implants stretched and thinned your own tissue in that area. Fat is injected into actual breast tissue and not into the space where the implant was.  You might be a candidate for a lift first and then try fat.

42, 5'8, 140lbs, post explant revision/fat transfer - is this realistically correctable? (Photos)

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Answer: post explant revision/fat transfer

Answer: post explant revision/fat transfer

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Fat Transfer

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42, 5'8, 140lbs, post explant revision/fat transfer - is this realistically correctable? (Photos)

Answers (7)

Answer: post explant revision/fat transfer

Answer: post explant revision/fat transfer

Answer: Breasts

Answer: Breasts

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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.