Case Study: 22-Year-Old Female 3 Months After Thigh Liposuction and Hybrid Breast Augmentation

2026.07.21

Before

After

This case features a 22-year-old woman who underwent thigh liposuction combined with hybrid breast augmentation.

Her goal was to achieve a natural-looking breast enhancement while maintaining harmony with her slim body frame.

Three months after surgery, the breasts have become noticeably softer, with a smooth contour and a natural appearance that continues to improve over time.

Procedure Details

Patient
22-year-old female

Breast Augmentation

• Motiva Ergonomix II Mini 235 cc implants
• Mini axillary incision
• Subglandular placement

Liposuction

• Anterior thighs

Liposuction Volume

• 350 cc

Fat Grafting

• Right breast: 100 cc
• Left breast: 90 cc

Recovery at 3 Months

By one month after surgery, the breast contour had already become smooth and well integrated.

At three months, the implants have settled further, and the surrounding tissues have softened, creating an even more natural appearance and feel.

Patients often notice continued improvement over the first several months following surgery as postoperative swelling resolves and the implants gradually integrate with the surrounding tissues.

Highlights of This Case

This patient had a naturally slender body type, meaning only a limited amount of fat was available for grafting.

To achieve adequate breast volume while maintaining a natural appearance, we combined:

• Motiva Ergonomix II Mini 235 cc implants for predictable volume enhancement
• Autologous fat grafting (100 cc to the right breast and 90 cc to the left breast) to soften the implant edges and improve the upper breast contour

Rather than simply increasing breast size, hybrid breast augmentation is designed to improve overall breast shape, softness, and proportion.

Why Choose Hybrid Breast Augmentation?

For lean patients, breast augmentation can present unique challenges.

Implants alone may occasionally produce visible implant edges or a less natural transition in the upper pole, particularly when soft tissue coverage is limited.

Fat grafting alone, on the other hand, may not provide sufficient volume for patients seeking a significant increase in breast size.

Hybrid breast augmentation combines the advantages of both techniques by offering:

• Reliable volume enhancement with silicone implants
• Softer contours through autologous fat grafting
• A smoother upper-pole transition
• Improved cleavage
• A more natural appearance and feel

For many slim patients, this approach provides an excellent balance between aesthetics and predictability.

The AVAN TOKYO Approach

At AVAN TOKYO, breast augmentation is never planned based solely on implant size.

Every surgical plan is customized after evaluating:

• Skeletal anatomy
• Chest width
• Existing breast asymmetry
• Soft tissue thickness
• Available donor fat
• Desired breast shape
• Overall body proportions

Fat grafting is carefully placed around the implant to enhance natural contours rather than simply increasing breast volume.

Our philosophy is to create breasts that look proportionate, feel natural, and complement each patient’s physique.

Who May Be a Good Candidate?

Hybrid breast augmentation may be an excellent option for patients who:

• Desire a natural-looking breast enhancement
• Have a slender body type
• Want more volume than fat grafting alone can provide
• Wish to minimize visible implant edges
• Want fuller cleavage and upper-pole fullness
• Prefer a balanced and harmonious body contour

The most appropriate treatment plan should always be determined through an individualized consultation.

Risks and Potential Complications

As with any surgical procedure, potential risks include:

• Infection
• Bleeding or hematoma
• Breast asymmetry
• Fat necrosis
• Palpable lumps
• Partial fat resorption
• Capsular contracture
• Visible scarring
• Changes in nipple or breast sensation
• Implant malposition
• Implant rupture (rare)
• Need for revision surgery

All surgical procedures carry risks, and outcomes vary between individuals.

Surgeon’s Commentary

Hybrid breast augmentation combines the structural support of silicone implants with the contouring benefits of autologous fat grafting.

For slender patients like this one, this technique allows us to achieve meaningful volume enhancement while preserving a soft, natural appearance.

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, our goal extends beyond simply increasing breast size. We carefully consider each patient’s anatomy, body proportions, and aesthetic goals to create results that look elegant, balanced, and natural from every angle.

We believe that the best breast augmentation is one that complements the entire body—not one that simply creates a larger bust.

Surgeon: Dr. Shin Moriwaki (Director, AVAN TOKYO Ginza Liposuction Clinic)