A member asked:

If they are doing fat transfer to the breasts why do people still get breast implants?

12 doctors weighed in across 7 answers
Dr. Gregg Nishi answered

Specializes in Bariatrics

Fat transfer breast: Fat transfers can create a modest size increase effectively. However, many women want to go from an a cup to a d cup or larger, and for that, implants are generally required.

Answered 6/10/2013

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Dr. Thomas Fiala answered

Specializes in Plastic Surgery

Limitations: Fat transfer usually can only increase cup size by about 1 cup per session. Also, it creates a very natural shape. Many women want lots of fullness & roundness in the upper breast, or want more of a size change - so that's when implants are used. Also, implant surgery is often less expensive than fat grafting.

Answered 6/10/2013

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Dr. Joseph Mele answered

Specializes in Plastic Surgery

Breast Implants: Breast implants replaced fat grafting 50 years ago. Only time will tell if the recent resurgence in fat grafting to the breasts is warranted. Breast implants provide bigger and more predictable volumes. Fat grafting can be unpredictable, and the fat will increase and decrease in volume with changes in weight.

Answered 9/30/2013

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Fat graft for breast: Enlargement has not been proven to be safe long term. For reconstruction or for other contour deformities or in other areas of the body, fat grafting is excellent, but has limitations. For example, about half to 2/3 of transferred fat dies, leaving scars and/or calcifications, which could delay or misdiagnose breast cancer. Implants are still the best, safest, and proven ways to enlarge breasts!

Answered 7/26/2014

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New vs time-tested: Fat grafting is a relatively new option that is still being fully evaluated. It does look promising ( for examples see http://www.Fattransferbreastaug.Com) but does have many potential drawbacks such as lack of a predictable outcome and potential interference with surgical, mammographic or oncologic evaluation of the breast whereas the outcomes and risks of implants are better understood.

Answered 6/11/2013

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-: Breast implants can generally provide bigger sizes than what can be obtained, as a final result. With fat transfer to the breasts. Sometimes the patient does not have enough fat to give a substantial size increase. In that case an implant could be more desired.

Answered 11/10/2014

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Dr. Zahid Niazi answered

Specializes in Cosmetic Surgery

Fat vs Implants: The reasons that people choose implants vs fat grafting are - 1) calcification and scarring issues within the breast parenchyma following fat grafting can possibly cause delay in diagnosis of breast cancer. 2) augmentation size limitation with fat grafting. 3)implants provide consistency in size ; shape that does not impair visualization of the breast parenchyma as implants are below the breasts.

Answered 11/23/2013

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