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5 days ago
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A MyBCTeam Member

With just the implants you may not even need any fat grafting or lipo. I didn't require it any of the times I've had implants.

To me compared to the actual mastectomy, lipo/fat grafting was a breeze. The most painful cancer related surgeries I've had, out of 16 total surgeries, were the double mastectony, DIEP surgery, and when they removed half of my kidney. I didn't notice the lipo pain at all that was done during the initial DIEP surgery because the incisions hurt the most. I had 2 more surgeries to fine tune things, get rid of dog ears, and have fat grafting done to smooth out several areas and they were a breeze. All the lipo fat came from my lower abdomen/hip area which had nerve damage from initial DIEP incision which runs from hip to hip which is why the lipo didn't really hurt. For me, in comparison, most cancer surgeries I've had tend not to hurt too much since I've had much worse surgeries between the mastectomy, DIEP, and kidney.

5 days ago
MyBCTeam

Skipping fat grafting with implants is absolutely a valid choice, and many people go the implant-only route with good results. It's worth knowing that experiences vary quite a bit.

Some MyBCTeam members have found implants comfortable and manageable:

- "The implants have been fine for me so far."
- One member noted that after Show Full Answer

Skipping fat grafting with implants is absolutely a valid choice, and many people go the implant-only route with good results. It's worth knowing that experiences vary quite a bit.

Some MyBCTeam members have found implants comfortable and manageable:

- "The implants have been fine for me so far."
- One member noted that after switching from expanders to implants, "98 percent of the discomfort went away."

Others have described ongoing challenges like constant discomfort or fatigue, so it's not a one-size-fits-all experience. On the flip side, fat grafting does carry its own risks worth knowing about, such as hard lumps forming if some transferred fat doesn't survive. So opting out isn't just about pain — it also sidesteps those potential complications.

The best move is to have an honest conversation with your plastic surgeon about your concerns. They can walk you through what implants alone would look and feel like for your specific body type and help set realistic expectations.

5 days ago

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