Yes, this is something we have a lot of experience correcting with fat grafting. Our fat grafting procedure will improve your breast deformity and give you more natural, softer, warmer and bouncier breasts. But, since the thin tissues can only be doubled in thickness after each grafting session, you should realize from the outset that this might require more than one grafting procedure. And if you were radiated, to get there you might require at least 4 grafting sessions.
It is true that radiation makes the reconstruction much more difficult. Implants do not do well inside radiated tissue and even flap surgery is more prone to complications. However, fat grafting can reverse that damaging effect of radiation. But this is still not a panacea. It takes a few successive fat-grafting sessions to bring back the tissues to their non-radiated state. Our method of fat grafting, together with the use of the external vacuum expander EVE, has proven to be uniquely successful in reconstructing radiated mastectomy and lumpectomy defects. The results are as close to perfect as possible. But you should be warned that the reconstruction would require a succession of grafting procedures, rarely less than 5 sessions over the course of one year.
Yes, we can help you restore your breasts without any implants and without any major surgery. Our procedure is much more patient-friendly than any of the other procedures. The results are a better reconstruction and a breast that feels like your own. Patients also keep most of the normal sensation in their breasts. This is truly breakthrough. Will be glad to see you in consultation at the Miami Breast Center to evaluate your situation and answer all your questions.
BRAVA alone could give you slightly larger breasts but will not give you much of a lift and might accentuate the tubular deformity. It is the combination of BRAVA and fat grafts harvested by liposuction that would help you best correct the tubular deformity and give you some lift.
Yes, you are still a good candidate for our technique of fat graft reconstruction. A good number of our patients come to us for this very same reason and we replace the implant with fat to restore a more normal feel and look.
While our procedure should be a first choice alternative, unfortunately for many patients we are the last resort after all else has failed. They learned about fat grafting too late and wished they had it done from the start. It is truly unfortunate that our technique, although proven safe and effective, is still not available everywhere. Plastic surgeons offer their patients the technique they are most familiar with. And total breast reconstruction with fat grafting is not something most plastic surgeons have mastered yet. The majority of patients at the Miami Breast Center come to us because other methods have failed. We have extensive experience with this unfortunate situation and we have refined the techniques to salvage these reconstructions. We will not use foreign objects, only your own autologous fat, which the body will not reject. We will do a little at a time, as much as your body will allow, and build upon that. If you were reconstructed with implants, each grafting session will consist of replacing your implants with new ones half their size while we take advantage of the resultant tissue laxity to double the thickness of your tissue. Therefore, our goal at each of the procedures is to half the amount of silicone while doubling the amount of your own tissues around the implant. This might slightly reduce your implant breast size but will give you softer, warmer, bouncier and more natural breasts. We proceed with successive procedures 3 months apart till you end up with new breasts that are all fat and no silicone. If along the way, if you do not mind a small implant deeply hidden under lots of fat, we stop the reconstruction. If, on the other hand you want to be even larger, we proceed with still another grafting session.
Yes. This is our goal. With fat grafting, we are uniquely poised to sculpt the reconstructed breast and match it with your normal breast. Unless you specifically ask us to modify the normal breast (breast matching procedures are covered by insurance), we prefer to leave the normal breast alone and strive to regenerate a new breast that best matches it
We have reconstructed many D Cup breasts after complete mastectomies. You can see in our photo gallery some D Cup results. With our procedure, you get a stepwise increase in breast size after each grafting session. Typically, if you had no radiation, after 3 successive grafting sessions 3 months apart you can get a breast that is in harmony with your body size. If you are satisfied with smaller, we can stop after the second session, if you want larger we graft more. We stop when you are happy with the size.
