Secondary Hybrid Breast Augmentation – 1 Month Postoperative
This patient is a 25-year-old female who previously underwent breast implant augmentation at another clinic.
Case overview
| Procedure | Liposuction (circumferential upper arms) / Fat grafting breast augmentation |
|---|---|
| Sessions | 1 session |
| Cost | ¥1,200,000 (price at the time of treatment) Price list |
| Main risks | swelling, bruising, pain, edema, skin irregularities, asymmetry, scars, capsular contracture, rippling, lumps, calcification, etc. (see details below) |
| Doctor | Dr. Shin Moriwaki (Director) |
Although she was satisfied with her breast size, she wished to achieve:
- More upper pole fullness
- Better cleavage definition
- A softer and more natural appearance
She therefore underwent Secondary Hybrid Breast Augmentation at AVAN TOKYO.
Fat was harvested through circumferential arm liposuction and used for breast fat grafting.
The total amount of purified fat harvested was approximately 400cc.
Fat grafting volume:
- Right breast: 140cc
- Left breast: 120cc
Compared with traditional fat transfer breast augmentation, this was a relatively conservative injection volume. However, because breast implants were already providing the primary volume, the purpose of fat grafting was to refine contour and improve softness.
Particular attention was given to areas where fat survival is typically more challenging:
- Décolletage
- Cleavage (midline breast area)
The patient was also highly committed to postoperative nutritional management, including:
- High-protein meals
- Daily soy milk and soy-based foods
- Continued smoking cessation
At 1 month postoperatively, excellent volume retention was observed in the décolletage and cleavage regions, contributing to a smoother and more natural upper breast contour.
Secondary Hybrid Breast Augmentation combines the strengths of both implants and fat grafting.
Breast implants provide reliable volume enhancement, while fat grafting improves shape, softness, and natural aesthetics.
This combination often results in a high level of patient satisfaction while maintaining a natural appearance.
【Procedure】
Circumferential Arm Liposuction + Fat Transfer Breast Augmentation (Secondary Hybrid Breast Augmentation)
【Patient】
25-Year-Old Female
【Follow-up】
1 Month Postoperative
【Fat Harvested】
Approximately 400cc
【Fat Injected】
Right 140cc / Left 120cc
【Risks & Side Effects】
Swelling, bruising, infection, fat necrosis, calcification, asymmetry, variable fat survival, scarring, and palpable lumps.
Surgeon: Dr. Shin Moriwaki (Director, AVAN TOKYO Ginza Liposuction Clinic)
Risks and side effects
Liposuction may cause swelling, bruising, pain, edema, skin irregularities or tightness, asymmetry, pigmentation, and scars at the small incision sites. Rarely, complications such as infection, hematoma, numbness, or reduced sensation may occur. On the upper arms, shoulders, and back, skin laxity, rippling, or a pulling sensation may occur.
Silicone implants may cause capsular contracture, implant rupture or malposition, rippling (waves of the implant visible on the surface), infection, and changes in nipple or breast sensation.
Fat grafting may cause calcification, lumps or cysts, individual variation in fat survival, asymmetry, and irregularities at the donor site.
These symptoms may occur during recovery and most improve over time, but their severity and the recovery period vary from person to person. If you have any concerns, please consult your doctor rather than judging for yourself.