Hybrid Breast Augmentation (Motiva Mini 275cc) + Circumferential Upper Arm Liposuction | 28-Year-Old Woman, 3 Months After Surgery2026.10.05

Before

After

A 28-year-old woman. She wanted more volume in her bust and was also concerned about the size of her upper arms, so we performed a hybrid breast augmentation combining a silicone implant with fat grafting, together with circumferential upper arm liposuction as the fat donor site. The photos show her from the front, 3 months after surgery.

A Motiva Mini 275cc implant was inserted in the subglandular plane through an axillary incision along the underarm crease. From the harvested fat, 400ml of purified fat was centrifuged (600 rpm for 1 minute) to produce 220ml of fat for grafting; 110ml subcutaneously plus 20ml beneath the mammary gland were grafted on the right, and 90ml subcutaneously on the left.

The procedure was performed under general anaesthesia (propofol) combined with nitrous oxide and sevoflurane, with 1,400ml of tumescent solution infiltrated into the upper arms and chest. The operation took about 1 hour 20 minutes, and 400ml of fat was harvested. The incisions are small, placed at both elbows, around both armpits and below the nipples. After surgery, she wore a compression bolero for the upper arms.

In the photo 3 months after surgery, the previously flat area from the décolleté to the chest shows forward projection and roundness, with added volume at the cleavage. With liposuction around the entire upper arm, the arm line looks more refined.

Hybrid breast augmentation creates base volume with an implant and adds subcutaneous thickness with fat, aiming for a result in which the implant outline is less visible. However, fat survival, the course around the implant, the degree of swelling and bruising, and recovery time vary from person to person. Please start with an examination and consultation.

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[Supervising Physician] Shin Moriwaki
Member of the Japan Society of Aesthetic Surgery (JSAS) / Member of the American Academy of Aesthetic Medicine
ECFMG certificate (U.S. medical licensing qualification)
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📍AVAN TOKYO GINZA LIPOSUCTION CLINIC
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