A beautiful breast silhouette starts with the arms.
27-year-old woman, 166 cm / 49 kg (BMI 17.8).
This patient already had a naturally slim figure and underwent 360° arm liposuction combined with hybrid breast augmentation to create a more refined and balanced upper-body silhouette.
Case overview
| Procedure | Liposuction (circumferential upper arms) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | Approx. ¥1,434,000 (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, capsular contracture, rippling, lumps, calcification, etc. (see details below) |
| Doctor | Dr. Shin Moriwaki (Director) |
A total of 680 cc of pure fat was removed from the arms.
For the breast augmentation, we used 235 cc Motiva Demi implants, combined with autologous fat grafting of 100 cc to the right breast and 110 cc to the left breast.
For slim patients, creating a beautiful upper body is not simply about making the breasts larger.
The key is to design the entire transition:
Arms → Shoulders → Décolletage → Breasts
By refining the arms and shoulder contour first, the upper body appears more streamlined. The breast volume and projection can then be designed in proportion to the patient’s frame, creating a more defined and elegant silhouette.
Because this patient had a BMI of 17.8 and relatively thin soft-tissue coverage, we selected hybrid breast augmentation rather than relying solely on implant volume. The Motiva Demi implant provides the structural volume and projection, while carefully placed autologous fat helps refine the surrounding contours and soft-tissue coverage.
We do not consider “slimming the arms” and “enhancing the breasts” as two separate procedures.
At AVAN TOKYO, we design the shoulders, arms, décolletage, and breasts as one continuous upper-body line.
For appropriately selected slim patients, combining arm liposuction with hybrid breast augmentation can be an effective option for creating a more sophisticated, balanced, and naturally defined upper-body silhouette.
Results and fat retention vary between individuals. Potential risks include swelling, bruising, contour irregularities, asymmetry and sensory changes after liposuction, as well as infection, hematoma, capsular contracture, implant malposition or visibility, fat resorption, fat necrosis and palpable lumps after breast augmentation.
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.