You can graft around an implant but it depends on the blood supply around the implant. Typically, around the implant a layer of scar tissue usually forms. Scar tissue is notoriously known for its low blood supply. Bringing fat next to the implant has the potential to live if done right. Over time with the survival of fat around the implant, additional fat grafting (or Fat transfer / Fat Injections / Fat Transplants / Fat augmentation / Fat enhancements) can be done there to further increase the volume around the implant. If you remove the implant, the success of fat grafting can be attained but within the scar tissue, the fat has a more difficult time to survive. This may mean that you will need to do more touch ups to the area. Fat grafting can lead to long term results. It is all about the technique. In my practice, fat does survive and sometimes near 90% of the fat can survive. This is true, so much so, that I need to be careful not to put too much fat in to certain areas. It is easier to put more fat into the area than to take it out. Here are some results of fat grafting:
Hope that helps!
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington