Supplementing a flap recon - fat grafting? Small implants?

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HopeWins
HopeWins Member Posts: 181
edited September 2019 in Breast Reconstruction

I've been reading up on fat grafting and have some questions. My situation is - bilateral nipple/skin sparing DIEP. No radiated skin and final pathology shows I won't need further tx - woohoo! So I'm fortunate to be able to focus on feeling good about my boobs again. I was a B/C. Overall, tissue transfer is pretty close in volume to my real breasts but the distribution is flatter/wider. The BS actually said to me in the hospital that I had more boob than abdomen and said that the PS could add a small implant. I wouldn't say they are droopier, but I don't have any fluff at the upper and inner parts of my boobs. . They definitely don't look perkier, I'll say that much. I had thought I wouldn't mind being a little smaller but I'm kind of wanting more. I feel a little guilty about this but I kind of want an upgrade. I am super grateful to have cancer out of my life but also want to come out of this feeling good about my sliced/diced body.

Soooooo- options? I want some perk/projection. I want just a little bit of cleavage. Maybe up to a cup worth total. I'm probably a small B now and would like to be a small C or a true C. I'm not sure of my appetite for multiple surgeries. I'm 2w out from bmx and DIEP so multiple surgeries on the horizon sounds exhausting. I do have some unwanted fat in my thighs and love handles that I wouldn't mind donating, but I don't have a ton of extra fat. I've got nothing left to give from my abdomen since DIEP.

  • Knowing that ~50% of fat is reabsorbed does the PS overfill?
  • Can one get a cups worth of fat transferred?
  • Anyone recommend putting on big girl panties and doing 2-3 fat transfers for optimal results?
  • Anyone here had flap surgery and then added a small implant?

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