Question
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.
Gynaecomastia is different from simply being manboobs; there is a glandular component in addition to a fat component. This breast glandular tissue needs to be removed in order to have a complete correction. If you have gynaecomastia, you should be able to feel a firm breast disc. To determine this definitively, your doctor will suggest for an ultrasound.
Breast implants used for breast augmentation these days are most commonly cohesive gel silicone implants. The polymer used is of medical-grade as opposed to industrial-grade silicone, and therefore much more biologically inert and safe. The question I often get asked by my patients with regards to breastfeeding are: Will the silicone leak into the breast milk and make it unsafe for my baby? Will engorgement be worse? Will I be able to breastfeed with the implant in place or will the milk supply be affected? The answer to the first question is a DEFINITE NO.
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