Autologous Fat Transfer a.k.a. fat grafting

Standard
IMG_20150909_132719059

Post-op, Comforted by Stabby the Unicorn

It’s been a while since I posted.  My last procedure was in September 2015, fat was transferred to fill the indentations around my implants, and to try to create a natural slope above the implants.

IMG_20150831_201300910

Example of one of the indentations to fill.

The fat grafting was painful, surprising and disappointing.  It was a fairly simple procedure. While you are under general anesthesia, the surgeon makes a couple incisions in your abdomen and inserts a cannula to suck out fat (liposuction).  The cannula is moved around and a few cups of fat are harvested.  The fat is centrifuged to separate out the blood and whatever else got in there, so that they can inject just the fat back into you.  Using a large gauge needle, the surgeon injects the fat back around the implants, in the hopes that approximately 80% or more is retained by the body.

IMG_20150908_144615165

Day of surgery

IMG_20150908_173327522

Day of surgery

Bruising and injection sites, day of surgery.  Every day after surgery, the bruising and swelling continued to progress, despite wearing a medical girdle to compress the area.  What they don’t tell you, is that blood will pool, down, to your lady business, and even thighs.  Ouch.  Ew.

IMG_20150911_224116150

Blood pooling after liposuction.

This procedure was far more painful than placing the implants.  And disappointing.  Most of the fat that was transferred seemed like it was going to take, but over time, it’s been sinking down as my body has been burning it off.  I am now scheduled for an implant exchange and more fat transfer to try to make my boobs, boob-shaped, as they should be.

 

Reconstructive Surgery

Standard

I had to resist posting too soon after the implant surgery, because all I wanted to do was scream, ‘what in the fuck have I done to myself?!?!?’  I woke up with pancake-flat implants, no fat grafting, no more big boobs.  I spent these last two weeks freaking out about the end product, waiting for my post-op visit, and knowing that things are healing and I have to wait for things to ‘settle.’

5 Days post implant reconstructive surgery

5 Days post implant reconstructive surgery

At my post-op visit today, the surgeon explained that they put in a smaller implant, because the next size bigger was ‘bulgy.’  They didn’t do fat grafting, because they had to do extra work in my left side, in order to lower the fold and even out the implants, and they had to cut away a lot of scar tissue on the left side.  He said he figured we would discuss a revision surgery anyway, in case I changed my mind and wanted nipples, which we rediscussed and still decided no on.

5 days post-op implant reconstruction

5 days post-op implant reconstruction

I will now wait a month and heal and continue to let things settle.  In a month, I can decide if I want to have a revision surgery to have fat grafting to fill in the large impressions above each implant.  I anticipate wanting fat grafting to fill in those indentations.

Two weeks post-op implant placement.

Two weeks post-op implant placement.

Indentation above implant.

Indentation above implant.