Full Upper-Arm & Axillary Fat Liposuction + Hybrid Breast Augmentation (Motiva Mini 235cc, Subglandular) — 23-Year-Old Female, 3 Months After Surgery
This is the case of a 23-year-old woman. She wished to slim down her upper arms, reduce her axillary breast tissue (the bulge in front of the armpit), and add volume to her bust at the same time, so we performed full-circumference upper-arm and axillary fat liposuction together with hybrid breast augmentation (silicone implant + fat injection).
Case overview
| Procedure | Liposuction (circumferential upper arms, accessory breast tissue) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | Approx. ¥1,524,000 (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) |
In this procedure, fat was harvested by liposuction from the entire circumference of the upper arms (the bat-wing area, shoulders, and front) and from the axillary region. For the hybrid breast augmentation, a Motiva Mini 235cc silicone implant was placed in the subglandular plane, and the harvested fat was then injected — 100cc into the right breast and 110cc into the left. The injection volumes were adjusted to the natural left-right difference of her bust.
Upper-arm liposuction and breast augmentation are an excellent combination. While the arms become slimmer, the harvested fat can be used to enhance the bust, making it easier to balance the entire upper body. The implant creates the foundational volume, and fat layered over the décolleté and implant borders creates a smooth, natural curve even when viewed from the side.
The photos show her progress 3 months after surgery. Her arms look slimmer, and her bust has a natural, rounded silhouette. Fat engraftment and tissue settling will continue to change gradually, and we are following up on her recovery.
Please note that results and downtime vary from person to person. If you are considering similar procedures, please consult a doctor to confirm a treatment plan suited to your own condition.
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[Supervising Doctor] Shin Moriwaki
Member of the Japan Society of Aesthetic Surgery (JSAS) / Member of the American Academy of Aesthetic Medicine
ECFMG Certificate
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📍AVAN TOKYO GINZA LIPOSUCTION CLINIC
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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.