Which option – fat graft, breast implants or a breast lift, is most suited for breast enhancement? Here are some common requests plastic surgeons hear at their practice and the recommended solutions.
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I am flat-chested and want larger breasts.
There are 2 ways to augment the breasts – using breast implants or your own fat. Breast implants add instant volume and give the breasts a little lift. Find out more about breast implants in my previous post, where Dr. Chia Hui Ling from SW1 Plastic Surgery Clinic, debunked common myths and shared the real risks surrounding breast implants. Dr. Chia is a female Plastic Surgeon specializing in breast enhancement surgeries.

If implants are strictly out of the question for you, the latest in plastic surgery is to recycle your fat and inject it into your breasts, buttocks, face or anywhere there is a desire for more volume. Fat transfer (or lipotransfer) gives a shapelier body and larger breast size “au naturale”.
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I have saggy breasts after breastfeeding.
I am happy with my size but would like perkier breasts.
If you are seeking perkiness with upsizing, a mastopexy, or breast lift, is the answer. Here, the plastic surgeon “reverses” the sagging process by removing excess skin and shaping the breasts from within. The scar from a mastopexy surgery is camouflaged by placing it around the nipple (periareolar scar). If there is a significant amount of loose breast skin, a vertical scar, or a horizontal scar may be required to give better a better breast shape.

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I have saggy breasts.
I would like larger AND perkier breasts.
Mastopexy is often combined with breast implants or fat transfer to give a fuller and more lifted bustline. Breast atrophy, or deflation, is common after childbirth and weight loss. Also known as augmentation mastopexy, the union of a mastopexy and breast implants is a common mummy makeover procedure.
- Women often complain of breast atrophy after breastfeeding
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My breasts are too big
Women who undergo breast reduction surgery enjoys not only a more beautiful and lifted breast shape. “Patients are highly satisfied after breast reduction because they are often relieved of the sufferings of a heavy chest. Very large breasts can be responsible shoulder and neck aches, rash along breast folds, exercise difficulties and limit garment choice. Breast reduction surgery may be covered by insurance or Medisave, so do discuss with your plastic surgeon.
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My breasts are not symmetrical
“Women with breasts asymmetry will benefit from a customised plan, which may involve breast implants, fat transfer, mastopexy or breast reduction,” added Dr. Chia. It is crucial to seek a plastic surgeon skilled in the range of breast enhancement techniques. Dr. Chia also uses VECTRA 3D image simulator to help her patients visualise the possible outcomes after a breast enhancement surgery.

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