Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





What are the main factors to consider in deciding between breast implants or fat transfer to the breast?

Plastic Surgery

I have been considering getting breast enhancements for quite some time, but I am unsure what type of augmentation I should choose between fat transfer and breast implants. What are the main factors to consider in choosing between the 2 procedures? For example, are the costs between the 2 very different? Or should I make the decision based on the desired cup size?

DOCTOR’S ANSWER (5)

In addition to the points other plastic surgeons have covered, you may also want to take into consideration the structure of your upper body.

Implants and fat grafting can be combined in the same procedure and would benefit individuals who are/have:

• Lean with little breast tissue

• Thin skin which provide less 'coverage' for hiding implants

• A wider set of breasts. Adding fat grafting to the medial part will make it look more centralized.

In such cases, combining both techniques will give leaner figures a more natural outcome. The implant will give it volume and shape. Whereas, the fat grafting is used to conceal the edges or outlines of the implants, especially if you don’t have sufficient tissue on the higher part of the chest. Additional fat would also give the illusion of a fuller cleavage.

Each patient prioritizes surgical outcomes, costs, and techniques differently. I hope all the inputs on this page helps you make a better decision.

Best regards,

Dr Por Yong Chen

802 views 23 Nov 2018

There are a few key things to consider:

1. What type of look do I want?

- If you want to be a lot bigger and want an augmented look, breast implants may be more suitable. Fat transfer is good for moderate increases that give a very natural result.

2. Are my breasts suitable?

- If your breasts are droopy, fat transfer alone will not improve the shape of your breasts. Implants can take up some of the slack, but it will depend on your nipple position and how big you want to be.

3. Am I comfortable with implants?

- If you will not be comfortable having foreign material in your body, you may prefer fat grafting.

4. Do I have excess fat that I would like to remove?

- Most people would say "yes". Even though we all have some stubborn areas of fat we want removed, it may not be enough to give you the augmentation you want.

5. What is my budget?

- Fat grafting takes longer and is therefore more expensive. You will most likely need more than one session as well.

I think fat grafting is a great method for breast augmentation, but it can't always give the desired result.

Hope this helps!

1206 views 26 Oct 2018

I agree with Dr Chui, there are certainly many considerations when choosing between fat transfer or implants. While impossible to cover everything in detail, some of the important factors are:

1. Cost?

- At least in my practice, the cost of both options is very similar so this is usually not an important deciding factor.

2.  Feasibility?

- Most slim patients wanting a significant augmentation do not have sufficient fat for transfer to achieve a "C" cup.  In such patients, implants are the only safe option.

3. Desired Result?

- If you have ample fat to achieve your desired cup size, fat transfer achieves a softer, natural-looking breast which may  change shape and position with ageing.

- 5th generation breast implants are usually better for shaping a breast and for larger enhancements. They should not change shape or position with time.  However, they can feel slightly firmer than a natural breast if you are slim and have very little breast tissue.

I hope this serves as a good starting point in your decision-making.  Ultimately, a detailed assessment and consultation will always be most beneficial.
1198 views 26 Oct 2018

Thank you for your question!

Both Dr Chui and Dr Tham have given you very clear points to consider with regards to fat grafting and implants for augmentation of the breasts. 

In my practice, I break it down very simply for my patients:

Can they accept implants in their body? If yes, then implants always deliver a consistently better shape and size improvement that is stable over time. If no, then fat grafting is their only alternative. 

Concurrently, is the improvement in the appearance of the breast more important or the liposuction more important? If it is the breast appearance, almost always, implants deliver a better result. If liposuction is the priority and “by the way” filling of the breasts are desired, then fat grafting can be a very good alternative with a satisfactory outcome. 

The intricacies of each are best explained thoroughly in a consultation. 

I hope this helps! 

Best regards,

Dr Samuel Ho 

1135 views 28 Oct 2018

Hi S.jm,

The costs of breast augmentation with  fat transfer and breast implants are quite similar.

The short answer to your other question is - Yes, desired cup size is probably your best starting point.

If you are looking to go up more than one cup size then implants would be your choice unless you are willing to consider more than one fat grafting surgery or are willing to try the Brava (https://www.mybrava)

The other consideration, and probably the more important one, is whether your have history of breast lumps, breast disease and what your baseline breast imaging looks like. Fat grafting may not be the best idea if your ultrasound or mammogram is not entirely normal. There are some conditions where fat grafting may complicate the reading of your breast imaging in the future.

So I would suggest a consult to achieve your ideal looking breasts and to avoid negative implications on future breast screening.

Best wishes

972 views 9 Nov 2018
Not the answer you're looking for? Browse other answers tagged Plastic Surgery or ask your own question now FOR FREE.