Hybrid breast re-construction

Hello, I am wondering if anyone has had what is called HYBRID BREAST RECONSTRUCTION? From what I understand it is a combination of a diep flap and also an implant. I currently have expanders and feel like I am almost done with the fills. I feel like my chest is very thin and there are two big boulders glued to it. I am worried that the implants will look the same with no natural looking slope. I asked my dr. if he does fat grafting and he didn't sound too positive about it saying that the fat can die , etc. So I thought about maybe doing the tummy flap...I have some loose sking but not a lot of fat in abdomen... and then adding a smaller implant. Can't decide if it is worth it to have the hip to hip scar in abdomen ..... Anyone have experience with this?

I haven't had it but I've been looking into it because I had DIEP and am significantly smaller than I used to be. You may need to travel to find a PS who will do it, but could be worth it.

Regarding fat transfer after DIEP/implants - yes, it's common and around 50% of fat is reabsorbed. Some risk of cysts/fat necrosis and you're limited to how much you can get at a time. I think my PS said 100cc per breast. That's about the size of a drain, so I'm thinking I'd need around 2-3 of those in each breast with 0% reabsorption. I'm not willing to do 4-5 surgeries so...

I agreed to try fat transfer once. Depending on how that goes, I'll either be done and live with my new smaller set, do it one more time or get implants under my flaps. At times feeling a little deflated about how long this process is, but then I remind myself its cosmetic. The nasty stuff is out of me.

LD1960 - apologies, I cant cut and paste on this darn tablet. Search for my posting on. The Breast Implant 101 thread and look at Whippetmom's response from 9/11. Three links to info on hybrid recon