• Dru's Avatar

    Anyone have fat grafting to improve implants after mastectomy?

    Asked by Dru on Wednesday, August 13, 2014

    Anyone have fat grafting to improve implants after mastectomy?

    I had a double mastectomy 1 1/2 years ago and the surgeon who did the implants would like to do an outpatient procedure to inject more fat into the left breast so that the implant isn't visible (it ripples where the skin in thin). I'd like to hear from others who have done this.

    10 Answers from the Community

    10 answers
    • 3tykes' Avatar
      3tykes

      I had my mastectomy last year and the skin was very thin, so when my surgeon put in my implant she also did some fat grafting. I have a follow up visit with her today to see if we need to add a bit more. It gives the breast a very natural look and does not show the implant. I'm quite happy with the results.

      about 5 years ago
    • denimi's Avatar
      denimi

      I've been wondering the same thing. Is the grafting an easy procedure? My scar has tethering and I hate the look of it but not sure if I want to go through the procedure....

      about 5 years ago
    • Dru's Avatar
      Dru

      My doc did some fat grafting with the initial reconstruction but not enough in the one breast. The procedure itself is fast and relatively easy but there are drawbacks according to studies I found...apparently the fat can be absorbed by the body over time, leaving the breast volume smaller. And no long-term studies have been done as yet. Some surgeons are concerned that injecting fat could stimulate dormant cancer cells. Now I feel like I should wait on the procedure until I learn more.

      about 5 years ago
    • 3tykes' Avatar
      3tykes

      Yes Dru, i had heard the same reports. At this point i think i'm ok with what i have, because don't want to have the cancer come back in the fat cells that get added. It's really such a hard road to walk on and unless someone has been here they just don't understand. Wish all of us the strength to deal with this and a happy and healthy life ahead!

      about 5 years ago
    • ld_105's Avatar
      ld_105

      I had this done this past April and I am very happy that I did. (I had a concave depression above the implant and it was obvious that I had had a mastectomy). It is a relatively easy procedure. I asked the PS about fat being re-absorbed by the body. He said that the results at two months post surgery was what would stay in the breast. So far no complaints. During the procedure he over-stuffed the breast adding fat on the side, above, and below the breast. There are small stitches where they inject the fat. they fade over time. I know some people have complained about the liposuction being painful but I did not have a problem with it and would do it again in a minute.

      about 5 years ago
    • ld_105's Avatar
      ld_105

      Dru, I also asked my oncologist about transferring cancer cells to the breast, she said no it wouldn't.

      about 5 years ago
    • Dru's Avatar
      Dru

      Thanks for all the input. Still not sure what I'll do, but this new info helps.

      about 5 years ago
    • debsweb18's Avatar
      debsweb18

      I had fat grafting but it didn't make any difference. I had radiation so the skin was so tight the fat couldn't "poof" out the skin.

      about 5 years ago
    • Dru's Avatar
      Dru

      I had radiation in this breast too, so that's another concern. But my skin isn't tight; it looks like there is space for the fat to reside. I also read that the fat can die and turn blue/black - necrosis. I don't know how likely that is, however.

      about 5 years ago
    • debsweb18's Avatar
      debsweb18

      I ended up going to a new plastic surgeon and I pretty much started over and I had a Latissimus dorsi flap surgery. He told me when he does fat grafting he puts lots of fat in. Most likely due to the reabsorption factor. I don't think my first plastic surgeon did. You might want to ask your surgeon about that. I think someone else mentioned that as well.
      I didn't have fat necrosis but I think we're at risk of some type of necrosis with most of these surgeries.
      By the way, you can't see either scar from the grafting- breast or belly! That was a plus.
      Good luck with whatever you decide.

      about 5 years ago

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