Breast fat transfer in Gangnam: how did a flat upper breast change after 3 months?

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Patient Registration Info

Age Weight Height BMI
30s
54kg
168cm
19

Surgical site

Surgical site : Breast

Can Breast Fat Grafting Improve a Flat Upper Breast When There Is Already Volume in the Lower Breast?

Even when the breasts have sufficient overall size,
a relatively flat upper breast can make the volume
appear concentrated in the lower portion,
creating a somewhat sagging appearance.

In this case, restoring volume to the deficient upper breast
while preserving the existing breast shape can help improve
not only the overall size but also the height and contour of the breasts.

▶ Lesarts Plastic Surgery Official English Blog

Breast concerns are not always related
to insufficient overall breast size.

Even when there is adequate volume in the lower breast,
a flat upper breast can make the volume appear concentrated
in the lower portion, giving the breasts a less supported appearance
than their actual size might suggest.

Therefore, when planning breast fat grafting,
it is important to consider more than just breast circumference
or overall size.

The areas lacking volume and how they affect
the overall breast shape should also be carefully evaluated.

This patient also had sufficient volume in the lower breast
but relatively limited fullness in the upper breast.

Fat grafting was planned to naturally increase
the overall breast volume while restoring fullness
to the flat upper breast and creating
a more balanced breast shape and contour.

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[Preoperative Upper Breast Volume and Overall Breast Shape Before Breast Fat Grafting]

From the front view before surgery,
there was already some volume in the lower breasts,
while the upper breasts appeared relatively flat.

Because most of the breast volume appeared concentrated
in the lower portion, the lower breast had some natural curvature.

However, rather than appearing lifted and full,
the breasts gave a stronger impression
of sitting lower on the chest.

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[Preoperative Flat Upper Breast and Lower-Breast-Dominant Volume Before Breast Fat Grafting]

For this procedure, the goal was not simply
to increase the overall breast size without considering
the existing volume in the lower breasts.

It was important to preserve the natural lower breast volume
while restoring fullness to the relatively deficient upper breasts
to create better balance between the upper and lower portions.

Fat was grafted to the previously flat upper breasts
to create the appearance of the breasts beginning slightly higher
and to form a natural transition into the lower breasts.

This approach was used to naturally improve
both the overall breast size and the shape
that had previously appeared somewhat lower.

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[Changes in Upper Breast and Overall Breast Volume 3 Months After Breast Fat Grafting]

Let’s compare the front view 3 months after surgery.

Before surgery, the upper breasts appeared flat,
with most of the breast volume concentrated
in the lower portion.

After fat grafting, volume extends naturally
from below the collarbones toward the center of the breasts.

The overall breast size also increased naturally
compared with before surgery.

More defined shadowing can also be seen
between the breasts, creating greater dimension from the front.

The breast shape that previously appeared lower
also shows a fuller and more lifted appearance.

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[Changes in Bust Height and Breast Curvature 3 Months After Breast Fat Grafting]

From the side view, the change in breast curvature
is more noticeable as volume has been restored
to the upper breasts.

Before surgery, the relatively prominent lower breast volume
made the overall breasts appear positioned lower on the chest.

After surgery, additional volume in the upper breasts
created a naturally higher starting point,
while the curve from the upper to lower breasts
appeared fuller and more lifted.

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[Changes in Anterior Breast Volume and Breast Dimension 3 Months After Breast Fat Grafting]

From the oblique view, the increased dimension
in the front of the breasts is more noticeable.

Before surgery, the upper breasts lacked fullness,
so most of the volume appeared concentrated
in the lower portion.

After surgery, volume was restored to both
the upper and anterior breasts, creating
a more naturally connected overall breast contour.

Rather than making one specific area overly prominent,
the deficient areas were filled while preserving
the patient’s existing breast curves, resulting
in a more balanced overall shape.

The patient was satisfied not only with
the natural increase in breast size but also
with the change in overall breast shape
as the previously flat upper breasts became fuller.

She particularly noticed a significant difference
when wearing everyday clothing.

When wearing bras or swimwear, she was also satisfied
with the natural upper breast fullness
that had previously appeared lacking.

Breast fat grafting is not simply a procedure
for increasing overall breast size.

For patients who already have some lower breast volume
but relatively flat upper breasts, restoring volume
to the deficient areas may help reduce
the lower-heavy appearance and create
a more naturally balanced breast shape.

Therefore, breast fat grafting may also be considered
when concerns include flat upper breasts,
insufficient cleavage, or a breast contour
that appears lower than expected for one’s age.

It is important to first evaluate which areas
require additional volume.

After discussing the current breast shape
and desired changes in detail, the appropriate
grafting areas and treatment approach can be planned.

▶ Lesarts Plastic Surgery Official English Blog

Breast Fat Grafting FAQ

Q1. Can I have breast fat grafting even if I already have volume in the lower breasts?

Yes. If certain areas, such as the upper breasts, lack volume,
fat grafting can be planned to restore the deficient areas
while preserving the existing breast shape.

Q2. Can flat upper breasts make the breasts appear saggy?

If the upper breasts lack volume compared with the lower breasts,
the overall volume may appear concentrated in the lower portion,
making the breasts appear lower than they actually are.

Q3. Can breast fat grafting also change the shape of the breasts?

Grafting fat into areas that lack volume can affect
not only breast size but also the balance between
the upper and lower breasts and the overall breast curvature.

Q4. What changes can be seen 3 months after breast fat grafting?

In this case, upper breast volume was maintained at 3 months,
with visible changes in overall breast size,
anterior dimension, and breast curvature.

Q5. Is it natural to add a large amount of volume only to the upper breasts?

Rather than adding excessive volume only to the upper breasts,
it is important to consider how the upper breast volume
connects with the existing lower breast volume.

The appropriate amount of fat should be determined
based on the overall breast shape and proportions.

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