25-Year-Old Female | Circumferential Arm, Axillary Fat, Accessory Breast & Chin Liposuction Combined with Hybrid Breast Augmentation Before Her Wedding
Many patients preparing for their wedding tell us the same thing:
Case overview
| Procedure | Liposuction (circumferential upper arms, accessory breast tissue, armpit area, under the chin) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | Approx. ¥1,792,000 (estimate based on the current monitor price, tax included; anesthesia, tests, etc. are charged separately; the final total is confirmed at counseling) Price list |
| Main risks | swelling, bruising, pain, edema, skin irregularities, asymmetry, scars, hollow cheeks, laxity, capsular contracture, rippling, lumps, calcification, etc. (see details below) |
| Doctor | Dr. Shin Moriwaki (Director) |
“I want to look my best in my wedding dress.”
For brides, it’s not just the breasts that matter. The shoulders, upper arms, underarms, neckline, jawline, and décolletage are all visible in most wedding gowns. Creating a beautiful upper-body silhouette requires treating these areas as one harmonious unit rather than focusing on a single procedure.
This case features a 25-year-old woman who underwent circumferential arm liposuction, axillary fat and accessory breast liposuction, chin liposuction, and hybrid breast augmentation approximately three months before her wedding.
Case Summary
Patient
25-year-old female
Timing
Approximately 3 months before her wedding
Procedures
- Circumferential arm liposuction
- Axillary fat liposuction
- Accessory breast liposuction
- Chin liposuction
- Hybrid breast augmentation
Fat Harvested
Approximately 260 cc of purified fat
Implant
Motiva Ergonomix II Demi 235 cc
Implant Placement
Subglandular
Fat Grafting
- Right breast: 83 cc
- Left breast: 70 cc
Follow-up
1 month after surgery
Why Combine These Procedures Before a Wedding?
A wedding dress highlights far more than breast volume. It also emphasizes the shoulders, upper arms, collarbones, neckline, and jawline.
For this reason, improving only one area often does not produce the most balanced result.
In this patient, circumferential arm liposuction was combined with axillary fat and accessory breast contouring to create a smooth transition from the arms to the breasts. Chin liposuction further refined the neck and facial profile, while hybrid breast augmentation enhanced breast volume and décolletage.
Together, these procedures created a more elegant and feminine upper-body silhouette.
Why Hybrid Breast Augmentation?
In this case, a Motiva Ergonomix II Demi 235 cc implant was placed in the subglandular plane. Fat grafting (83 cc on the right and 70 cc on the left) was then carefully performed to soften the implant edges, improve symmetry, and enhance the upper pole and cleavage.
Hybrid breast augmentation combines the predictable volume of silicone implants with the natural contour provided by autologous fat grafting.
Benefits include:
- Stable and predictable breast volume
- Softer implant edges
- Improved upper pole fullness and cleavage
- Better correction of mild asymmetry
- A more natural appearance and feel
Because a portion of the transferred fat is naturally absorbed over time, final volume retention varies among individuals.
Recovery at One Month
At one month after surgery, noticeable firmness and tightness are still expected. This is a normal part of the healing process and does not represent the final result.
Over the following two to three months, swelling gradually decreases, tissues soften, and the implants settle into a more natural position.
Similarly, the arms continue to improve as swelling and postoperative fibrosis gradually resolve.
Recovery Is Just as Important as Surgery
When surgery is planned before an important event such as a wedding, postoperative care plays a critical role in achieving the best possible outcome.
Following your surgeon’s instructions—including wearing compression garments, maintaining stable body weight, eating a balanced diet, staying hydrated, and attending follow-up appointments—can significantly influence healing and the final contour.
Planning surgery early also allows sufficient time for swelling and firmness to improve before the wedding day.
AVAN TOKYO’s Bridal Body Contouring Philosophy
At AVAN TOKYO, we do not simply perform liposuction or breast augmentation as isolated procedures.
Instead, we evaluate the entire upper body, including:
- Shoulder contour
- Upper arm shape
- Axillary fat and accessory breast fullness
- Collarbones and décolletage
- Breast volume and symmetry
- Jawline and neck contour
- Wedding dress design
- Timeline before the wedding
Using an anatomy-based approach, we design every procedure to create a naturally elegant silhouette from every angle.
Frequently Asked Questions
Is firmness normal one month after hybrid breast augmentation?
Yes. Firmness and tightness are common during the early healing phase. Most patients notice gradual softening over the following several months.
When should I have surgery before my wedding?
The ideal timing depends on the procedures performed and individual healing. In general, planning surgery at least three months before your wedding provides more time for recovery, while an even longer interval may allow for further refinement.
Can these procedures be performed together?
Yes. If your overall health, operative time, and available donor fat are appropriate, combining these procedures can improve overall upper-body harmony while requiring only one recovery period.
Risks and Potential Complications
Potential risks include swelling, bruising, pain, infection, hematoma, asymmetry, contour irregularities, prolonged fibrosis, skin laxity, temporary numbness, pigmentation changes, fat necrosis, palpable lumps, capsular contracture, implant malposition, implant rupture, visible scarring, and the possibility of revision surgery.
Surgeon’s Commentary
For bridal body contouring, timing is just as important as technique.
By combining circumferential arm liposuction, accessory breast contouring, chin liposuction, and hybrid breast augmentation, we can create a refined upper-body silhouette that beautifully complements a wedding dress.
It is important to remember that one month after surgery is still an early stage of healing. As demonstrated in this case, postoperative firmness is expected, and the results continue to improve over the following months.
At AVAN TOKYO, we carefully plan each patient’s surgery based on their wedding date, dress style, anatomy, and aesthetic goals, with the objective of achieving elegant, natural, and long-lasting results for one of the most memorable days of their life.
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 face (cheeks and under the chin), excessive hollowing of the cheeks, skin laxity, asymmetry of the contour, and a temporary feeling of nerve weakness or difficulty moving the corners of the mouth 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.