Circumferential Arm, Back, and Thigh Liposuction + Hybrid Breast Augmentation2026.07.12

ArmsBreast Augmentation

Before

After

3-Month Recovery | Comprehensive Upper Body and Breast Contouring

This case presents the 3-month recovery after circumferential arm, back, and thigh liposuction combined with Hybrid Breast Augmentation.

Hybrid Breast Augmentation combines silicone implants with fat grafting, providing both reliable volume and a natural appearance and feel.

In this case, fat harvested from the arms, back, and thighs was used to soften the contour of the implants, creating a smoother and more natural breast shape while simultaneously improving the overall body contour.

Case Information

Procedure

• Circumferential arm liposuction
• Back liposuction
• Circumferential thigh liposuction
• Hybrid Breast Augmentation

Purified Fat Harvested

• Upper body: 1,200cc
• Thighs: 1,750cc

Breast Augmentation

• Motiva Demi 270cc silicone implants (subglandular placement)
• Fat grafting
  • Right: 120cc
  • Left: 110cc

Follow-up

3 months after surgery

A More Defined Upper Body at 3 Months

By three months, postoperative swelling and fibrosis from liposuction have improved significantly.

In this case, the fullness of the upper arms has noticeably decreased, creating a slimmer arm contour.

Combined with reduced volume in the back and thighs, the breasts appear more prominent, resulting in a balanced and feminine silhouette.

Why Hybrid Breast Augmentation?

A Motiva Demi 270cc implant was placed beneath the breast tissue and covered with strategically placed fat grafts.

Compared with implants alone, combining fat grafting may provide:

• A softer décolletage
• Smoother implant transitions
• More natural breast contours
• Improved softness
• Better harmony with the patient’s body shape

Rather than simply increasing breast size, our goal is to create breasts that look and feel natural.

The Advantage of Combining Liposuction and Breast Augmentation

One of the greatest advantages of Hybrid Breast Augmentation is that it reshapes both the donor areas and the breasts simultaneously.

Fat was harvested from:

• Arms
• Back
• Thighs

This creates:

• Slimmer arms
• A leaner back
• More refined thighs
• Fuller breasts

Instead of improving only the breasts, the entire body silhouette becomes more balanced.

Three Months Is Not the Final Result

Although most swelling has resolved by three months, healing is still ongoing.

Patients may continue to experience:

• Mild firmness
• Minor swelling
• Skin tightness

The breasts will continue to soften and settle over the following months.

Final results are generally appreciated around 6 months after surgery.

AVAN TOKYO’s Approach

At AVAN TOKYO, we focus on the harmony of the entire upper body, not just the breasts.

Our surgical planning considers:

• Arm contour
• Shoulder transition
• Back contour
• Décolletage fullness
• Breast symmetry
• Waist-to-bust proportion
• Natural side profile

Our goal is to create elegant body proportions rather than simply increasing breast size.

Who Is a Good Candidate?

Hybrid Breast Augmentation may be suitable for patients who:

• Want breast enhancement and body contouring simultaneously
• Prefer a natural appearance
• Desire fuller upper breasts
• Wish to slim the arms, back, or thighs
• Want a more defined feminine silhouette
• Prefer comprehensive body contouring in one operation

Summary

Hybrid Breast Augmentation combines the predictable volume of silicone implants with the natural softness of fat grafting.

In this case, 1,200cc of purified fat from the upper body and 1,750cc from the thighs were harvested.

A Motiva Demi 270cc implant was placed beneath the breast tissue and refined with 120cc of fat on the right and 110cc on the left, creating fuller breasts while maintaining natural contours.

Three months after surgery, the arm contour has become significantly slimmer while the breasts maintain excellent volume.

At AVAN TOKYO, we emphasize comprehensive body contouring—including the arms, back, waist, thighs, and breasts—to create balanced, elegant body proportions.

Risks and complications: Swelling, bruising, pain, fibrosis, infection, hematoma, seroma, fat necrosis, palpable lumps, fat absorption, asymmetry, capsular contracture, implant malposition, skin tethering, scarring, pigmentation changes, sensory changes, and the possible need for revision surgery.

This article is intended for medical education purposes. Individual results and recovery vary.