42-Year-Old Woman | Hybrid Breast Augmentation | 3 Months Post-Op | Motiva Demi 295cc + Fat Grafting2026.08.23
Treatment Details
● Procedure: Hybrid Breast Augmentation
● Breast Implant: Motiva Ergonomix2 Demi 295cc
● Fat Grafting: Right 120cc / Left 110cc
● Follow-up: 3 months after surgery
Case Overview
This is a 42-year-old woman, 3 months after hybrid breast augmentation.
Hybrid breast augmentation combines breast implants for reliable volume enhancement with fat grafting to refine the breast contour and create a softer, more natural appearance.
In this case, we used Motiva Ergonomix2 Demi 295cc implants and injected 120cc of fat into the right breast and 110cc into the left breast.
Rather than relying on implants alone, fat grafting was added to smooth the breast contour and improve the transition around the implant.
3-Month Postoperative Progress
Immediately after breast augmentation, the implants may initially sit slightly high, and the breasts can feel tight or firm.
At around 3 months, postoperative swelling and tissue stiffness usually begin to settle, and the implants gradually move into a more natural position.
In this case, the implants have already settled into a good position at 3 months, and the overall breast shape is becoming softer and more natural.
The fat-grafted areas also continue to stabilize over time, helping create a smoother transition around the implant.
Can Women in Their 40s Have Hybrid Breast Augmentation?
Yes.
Hybrid breast augmentation is not a procedure determined by age alone.
At AVAN TOKYO, we see patients across a wide age range, from younger adults to women in their 50s and 60s.
What matters more than age is the individual condition of the breast and body, including:
● Chest width
● Breast tissue volume
● Thickness of the soft tissue
● Skin elasticity
● Degree of breast sagging
● Desired breast size
● Desired upper-pole fullness
● Overall body proportions
For women in their 40s and older, pregnancy, breastfeeding, and age-related changes may affect breast tissue and skin elasticity.
For this reason, it is important to carefully select the implant size, implant profile, surgical plane, and fat grafting volume based on each patient’s anatomy.
Why We Chose Motiva Demi 295cc
Choosing a breast implant is not simply about selecting a number of cubic centimeters.
We consider:
● Chest width
● Breast base
● Soft-tissue thickness
● Skin elasticity
● Desired projection
● Overall body proportions
Motiva Ergonomix2 Demi provides more projection than the Mini profile while maintaining a balanced and natural appearance.
In this case, a 295cc Demi implant was combined with fat grafting to achieve both stable breast volume and a softer, more natural contour.
What Is Hybrid Breast Augmentation?
Hybrid breast augmentation combines:
Breast implants + fat grafting
Breast implants are effective for creating reliable and predictable volume, even in patients with limited natural breast tissue.
Fat grafting can then be used to refine areas such as:
● Upper breast
● Cleavage area
● Inner breast
● Implant edges
● Areas of asymmetry
By combining both techniques, hybrid breast augmentation can provide both volume and finer contour adjustment.
What AVAN TOKYO Focuses on in Breast Augmentation
At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we do not consider breast augmentation simply as a procedure to make the breasts larger.
We evaluate the entire upper body, including:
● Shoulder width
● Upper arms
● Chest wall
● Waist
● Skeletal structure
● Overall body proportions
In hybrid breast augmentation, we carefully design:
● Implant size
● Implant profile
● Implant position
● Fat grafting location
● Fat grafting volume
● Upper-pole fullness
● Breast symmetry
● Balance between the bust and waist
Our goal is not simply maximum volume, but a breast shape that looks natural and balanced with the patient’s body.
Who May Be a Good Candidate for Hybrid Breast Augmentation?
Hybrid breast augmentation may be suitable for patients who:
● Want a more natural implant contour
● Have a slim body with limited soft tissue
● Want both natural results and noticeable volume enhancement
● Want to improve upper breast fullness
● Have breast asymmetry
● Want more volume than fat grafting alone can usually provide
● Have experienced breast volume loss with age
The best treatment depends on each patient’s anatomy and goals.
Is 3 Months the Final Result?
Not yet.
At 3 months, the breasts usually look significantly more natural, but the result may continue to change.
Over approximately 6 months to 1 year, further improvements may occur in:
● Implant position
● Breast softness
● Scar appearance
● Fat-grafted areas
● Integration with surrounding tissues
At AVAN TOKYO, we therefore focus not only on the early postoperative result, but also on how the breasts will look over the longer term.
Risks and Possible Complications
Possible risks and complications of hybrid breast augmentation include:
● Infection
● Hematoma
● Lumps
● Fat necrosis
● Capsular contracture
● Implant displacement
● Breast asymmetry
● Scarring
● Skin irregularity or tethering
● Changes in sensation
● Fat absorption
● Possible need for revision surgery
Results and recovery vary between individuals.
Summary
This case shows a 42-year-old woman, 3 months after hybrid breast augmentation.
The procedure was performed using:
Motiva Ergonomix2 Demi 295cc + Fat Grafting: Right 120cc / Left 110cc
At 3 months, the implants have settled into a more natural position, and the overall breast contour continues to soften.
Hybrid breast augmentation is not limited to a specific age group.
Women in their 20s, 30s, 40s, 50s, and 60s may all be candidates depending on their chest anatomy, skin quality, breast tissue, fat volume, and aesthetic goals.
At AVAN TOKYO, we focus not only on breast size, but also on the overall balance of the shoulders, arms, chest, and waist.
If you are considering:
“Natural-looking breast augmentation”
“Breast augmentation in your 40s”
“Implants combined with fat grafting”
or
“Which breast augmentation method is best for my body?”
we can discuss the most appropriate treatment plan during your consultation.
Surgeon: Shin Moriwaki, MD
AVAN TOKYO GINZA LIPOSUCTION CLINIC