Neil J. Zemmel, MD, FACS
Megan J. Goff, PA-C
Rachel M. Duke, NP, CANS
Short Pump Office
11934 W Broad Street, Suite 200
Richmond, VA 23233
804-464-3801

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Fat Transfer

Back to Gallery!Fat Transfer Gallery

Patient 1

BeforeAfter*

34 year old who underwent previous breast augmentation with 300cc textured saline filled implants placed in the submuscular plane via an inframammary incision. She presents with breast asymmetry and dissatisfaction with her appearance. The right breast is narrow with lateral rib show. She also has asymmetry of the upper breast poles, and volume differences between the breasts. She also is desiring contour improvement of the abdominal wall and flanks.

Revision breast augmentation with implant exchange from saline to silicone was performed. 485 cc Allergan SRM silicone implants were placed via a periareolar approach. The superior and lateral portions of the pocket were reopened to improve contour. Both implant pockets were rounded to give a more symmetric shape. This improved upper breast fullness and improved cleavage. Liposuction of the abdomen and flanks was performed and 170 cc of autologous fat was transferred to both breasts. This improved tissue thickness, added volume, and smoothed the contour of each breast.
She is shown 4 months after surgery and is very pleased with her result.

Patient 2

BeforeAfter*

Age: 42 years
Height: 5’ 4”
Weight: 125 pounds
Preop: 36 C
Postop: 36 C
Implant Size:  Allergan Inspira Style SRM 520 cc
Incision/Location: Periareolar
Notes:This patient underwent breast augmentation in 2001 with 400c saline implants placed via transaxillary approach elsewhere. She was then revised in 2004 by a second surgeon elsewhere. She now presents with complaints of breast asymmetry, breast sagging, and contour irregularities.

Revision breast augmentation was performed via a periareolar incision. The upper and inner portions of the pocket were opened to improve upper pole and medial pole fullness. This improved cleavage significantly. A larger silicone implant was placed in a dual plane II position. Liposuction of the abdomen and flanks and autologous tissue fat transfer were performed.  Fat grafting was performed along the medial and upper poles of the breasts to improve contour and fullness in the upper and medial pole. She is very pleased with her results and is shown 4 months after surgery.

Patient 3

BeforeAfter*

Age: 57 years
Height: 5’ 4”
Weight: 12 pounds
Preop: 36 D
Postop: 36 full C
Implant Size:  Allergan Style 15 339cc
Incision/Location: Full lift, submuscular
Notes: This patient underwent previous breast augmentation 2007 elsewhere via an inframammary incision using 425 cc saline implants elsewhere. She underwent a subsequent revision in 2008. She now presents for improvement symmetry and shape wishes to downsize her implants. She feels her breasts are low on her chest, and are heavy. She is also desiring cosmetic improvement of the abdomen and flanks and is requesting liposuction of these areas.

Revision breast augmentation was performed through a full lift incision. The previous implants were removed and the pockets were reopened in the upper pole and medial poles to improved upper pole and medial pole contour. Her implant also would fall towards the sides when laying down. Lateral and inferior capsulorraphy were performed to stich the pocket closed on the sides and from the bottom. This moved the implants up and towards the center. Allergan Style 15 339cc silicone implants were placed and full lift was performed. Finally, liposuction of the abdomen and flanks was performed.  Autologous tissue fat transfer (fat grafting) was performed to improve the upper and medial pole contours. She is shown 4 months after surgery and is very pleased with her new shape.

*Individual Results May Vary

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