Fat Grafting after BMX with direct-to-implant reconstruction

hi vermonster. I did have fat grafting at time of exchange 4 weeks ago. I knew from the start I may need a second round so I am schedule for just fat grafting in December. I expect it to be no different except no exchange incisions and arm restrictions. First time fat was taken from belly and I wont lie I was more sore from that part of the surgery. Belly super bruised and very sore. Wearing compression garments/ spanx helps. If we go forward in Dec I believe its inner thigh next time. I'm relatively thin and he warned it would be tough to get what he needed. Very happy with the outcome so far. Best wishes to you!

I had a stand alone fat graft procedure a year after exchange to add fullness to the upper pole. I have a bony chest and had an abrupt step off that needed some softening. I retained the fat very well and it was a great decision. I did have GA, and I think many do as lipo is a pretty aggressive process. My abdomen was used as the donor site, and was sore and bruised - it felt like I had done 1,000 sit ups, but was only sore when I moved - no pain when at rest, and not enough pain to require any medication. I wore compression (tight Spanx) for 8 weeks and could not exercise other than walking. I would do it again in a heartbeat.

I had stand alone grafting last December. You would want GA!  I also kept the fat and after about 3 days felt pretty good. I've had harvesting from inner/outer thighs, hips and belly. 

During recovery I made sure to keep things nice and warm, kind of like the DIEP ladies do. Whether that helped or not I'm not sure, but it did feel comforting. 

I did BMX DTI in feb, also teardrop shaped. Did a first round of fat grafting in May. Scheduled for another next month. Per my PS there’s not much to graft to the first time around so not is much was done, but still noticeable. Did see some reabsorb but happy that I took the extra step in reconstruction process. PS never pressured to do it and has been very helpful with getting it all scheduled in the same year.

Donor site the first time was from my stomach. It’s VERY sore after. Nearly 2 weeks before moving didn’t feel tender, bruising lingered a little longer. Lived in my sweat pants/jeans were too tight and not a comfortable option. Seeing results from that area (bc yay getting rid of some stubborn belly fat!) wasn’t immediate as it needs to heal but I could tell later that there’s a difference. Compared to BMX, the grafted area was a cake walk with recovery.

Going into surgery was weirdly calming for me. It was my third (had biopsy done surgically, then bmx). It was good to feel restored rather than destroyed being there. A lot of my nurses/anesthesiologist were repeat, it was all just less stress.

3 months between each thing is what my PS recommended. Had it not been so busy this summer for us I would have done second time in Aug rather than Oct.

unfortunately you don’t get as much as you might like removed during liposuction. My PS took as much as he could without it being considered the primary reason for doing it 🤣 because I know what area it was taken from I can tell, but no one else would notice, I wore a bikini all summer without any fear that I had an uneven belly area. A good PS isn’t gonna leave you looking lumpy I didn’t wear any type of compression other than my workout leggings