The patient shown in this case shows the typical problem that we see in slim patients requesting breast augmentation surgery. She has very little soft tissue to cover the implants and in these cases of very thin patients implants only tend to be rather noticeable. Fat harvesting can be difficult in thin patients, but, like in this case, one can usually get some fat form the inner thighs.
This is usually more than enough to effectively supplement the implants in the cleavage area.
The patient had 280cc teardrop implants placed under the muscle via an inframammary incision. Approximately 50cc of fat graft was placed around the implant specially into the pectoralis major muscle insertion, smoothening out especially the gap and the cleavage area.
The combination approach of adding fatgrafting to silicone gel implant breast augmentation has given as great results in our breast augmentation practice. The addition of autologous fat transfer does not add much surgical trauma but adds a lot to the result.
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