Hybrid Breast Augmentation (Motiva Mini 290cc) + Liposuction of Full-Circumference Upper Arms and Underarm2026.09.25

Before

After

A 20-year-old woman. She wanted more volume in her bust and also wished to refine the fullness from her upper arms to the underarm area, so we performed a hybrid breast augmentation combining a silicone implant with fat grafting, together with liposuction of the full-circumference upper arms and underarm fat as the fat donor sites. The photos show her from the front, 6 months after surgery.

A Motiva Mini 290cc implant was inserted in the subglandular plane through an axillary incision along the underarm crease. Fat harvested from the full-circumference upper arms (back of the arm, shoulder and front) and the underarm area was purified by centrifugation, and 80ml subcutaneously plus 50ml intramuscularly on the right, and 80ml subcutaneously plus 30ml intramuscularly on the left, were grafted.

The procedure was performed under general anaesthesia (propofol) combined with nitrous oxide and sevoflurane, with tumescent solution infiltrated into the upper arms and chest. The operation took about 1 hour 45 minutes, and 600ml of fat was harvested. After surgery, she wore a compression bolero.

In the photo 6 months after surgery, the previously flat area from the décolleté to the lower chest shows forward projection and roundness, with added volume at the cleavage. On the upper arms, the fullness on the outer side has decreased and the line from the shoulder to the elbow 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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