For fat grafting, is the incision also made under the inframammary fold in the same sitting?

Doctor's Answers 1

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Dr Terence Goh

Plastic Surgeon

In fat grafting, there are two sets of incisions.

One is for liposuction, so that would be done wherever we need to harvest the fat. Those are normally hidden within, for example, the underwear line or within the belly button. So it’s usually sited somewhere inconspicuous. Those incisions are slightly bigger, it could be up to 5mm or up to 1cm.

For the breast, we basically put numerous incisions to inject the fat. Typically, they’re put around the areolar. So where the nipple skin meets the normal breast skin. There’s actually an irregular contour so you can hide a lot of incisions over there.

Sometimes we can put it under the inframammary fold, but it’s not specifically an important landmark for us to site our incisions.

The procedure is done in one sitting, meaning that the liposuction is done and shortly after, once you prepare the fat, it is injected into the breast.

But then you may need more than one session to get the desired size that you want. So it really depends on what size you want.

Typically in one session, you can have an increase of about one cup size, and then if that is insufficient then you may need to repeat the procedure.

Similar Questions

For breast fat grafting procedures, where are possible areas for the fat to be harvested from?

Fat grafting is a useful method for augmenting breast volume for patients who prefer to avoid having an implant or an incision. It can also be used to enhance the results of breast augmentation with implants (the hybrid technique). However, the amount of augmentation possible does depend on the availability of suitable fat for grafting. The donor areas most commonly used are the tummy, the thighs, and the buttocks.

Photo of Dr Andrew Tay

Answered By

Dr Andrew Tay

Plastic Surgeon

Are more people choosing fat grafting over breast implants because of the risk of ALCL?

There are more and more patients considering implant removal. And when they remove the implants they can either change them to other implant types or replace them with fat. The truth is that breast implants are not meant for life. They’re all man-made devices so as with any man-made device, there’s a shelf life. Of course, nowadays the technology has gotten better, so now there are 6th generation breast implants. The implant shell is better, the gel is better, and the chance of implant ruptures are all reduced and the complications are lower.

Photo of Dr Terence Goh

Answered By

Dr Terence Goh

Plastic Surgeon

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