Candido Fuentes-Felix, M.D., FACS
I had fat grafting about three years ago and fat was removed from my thigh area. Since then I have gained a little weight and it seems that my thighs are bigger and they are definitely out of shape. If I vigorously exercise this area, will my thighs tone up, or will I need to have surgery again to tone them?
Exercise will not increase your tone. Exercise increases the tone of muscles but it does not affect the tone of the subcutaneous tissue (fat). I do not believe further surgery will increase the tone either. I do not know of anything that will increase the tone of the skin, short of perhaps laser, which would create damage to the dermis and allow for some contraction.
I would like to have larger breasts but do not want breast implants. Is it possible to take fat from another place in your body (such as the buttocks) and place these fat cells in the breasts to increase the breast size?
Breast enlargement with fat injections is definitely not recommended. Fat injections into the breast will lead to some fat necrosis. The fat necrosis in turn will lead to microcalcifications. These microcalcifications can appear similar, on a mammogram, to the signs of breast cancer, necessitating a biopsy procedure to rule out the possibility of cancer.
There is another way to enlarge the breasts called the BRAVA method. In this method you wear a suction apparatus that looks like a bra. If you wear this for several months, it may increase the size of your breast by one size. However, not all patients have had success with this device.