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Case Study: 19-Year-Old Female | 360° Arm Liposuction + Hybrid Breast Augmentation (3 Months After Surgery)2026.07.27

before
Before
after
After

Many patients come to us saying,

“I want slimmer arms.”

Or,

“I want larger breasts.”

However, creating a beautiful upper body is about much more than treating a single area.

At AVAN TOKYO, we believe that the shoulder, upper arms, underarm area, décolletage, and breasts should be designed as one continuous silhouette.

By combining 360° arm liposuction with Hybrid Breast Augmentation, we can enhance the natural curves of the upper body while maintaining harmony and proportion.

Patient Information

Age

19-year-old female

Procedures Performed

• 360° Arm Liposuction
• Underarm (Accessory Breast) Liposuction
• Hybrid Breast Augmentation

Liposuction Volume

• Approximately 600 mL of purified fat removed

Breast Augmentation

• Motiva Mini Silicone Implant – 290 cc
• Fat Grafting

● Right breast: 130 mL

● Left breast: 110 mL

Follow-up

• 3 months after surgery

Results at 3 Months

By three months after surgery, postoperative swelling and fibrosis have significantly improved.

The upper arms appear slimmer and more refined, while the newly enhanced breast volume creates a more feminine upper-body silhouette.

This combination produces:

• Slimmer, more elegant arms
• A smoother transition from the shoulders to the breasts
• Fuller, more natural-looking cleavage
• Improved body proportions with greater definition between the bust and waist

Rather than making one feature stand out, the goal is to create balance throughout the entire upper body.

Why Combine Arm Liposuction with Hybrid Breast Augmentation?

Many patients focus only on reducing arm size or increasing breast volume.

In reality, these procedures complement each other exceptionally well.

Slimmer arms make the shoulders appear narrower and more delicate.

At the same time, restoring breast volume enhances the natural contrast between the chest and waist, creating a more attractive hourglass silhouette.

The result is an elegant upper body that looks balanced from every angle.

Why We Perform Hybrid Breast Augmentation

Hybrid Breast Augmentation combines the strengths of silicone implants with autologous fat grafting.

In this case, a 290 cc Motiva Mini implant was used to provide reliable breast volume.

Additional fat grafting was carefully placed around the implant to:

• Improve fullness in the upper pole (décolletage)
• Soften implant edges
• Create a more natural contour
• Enhance the overall feel and appearance of the breasts

By combining both techniques, Hybrid Breast Augmentation offers advantages that neither implants nor fat grafting alone can achieve.

Our Philosophy: Designing the Entire Upper Body

At AVAN TOKYO, our goal is not simply to remove fat or increase breast size.

Every procedure is designed to improve the harmony of the entire upper body.

We carefully evaluate:

• Shoulder shape
• Arm contours
• Underarm fullness
• Décolletage
• Breast projection
• Waist proportions

This comprehensive approach allows us to create elegant, natural-looking body lines that remain beautiful long after surgery.

Who May Benefit from This Combination?

This treatment may be suitable for patients who wish to:

• Slim the upper arms
• Reduce fullness around the underarms
• Enhance breast volume
• Improve décolletage fullness
• Achieve a more feminine upper-body silhouette
• Improve overall body proportions in a single procedure

Risks and Potential Complications

Arm liposuction may be associated with:

• Swelling
• Bruising
• Temporary fibrosis (firmness)
• Contour irregularities
• Temporary numbness
• Mild asymmetry

Hybrid Breast Augmentation carries potential risks including:

• Partial fat resorption
• Fat necrosis or palpable lumps
• Infection
• Hematoma
• Implant malposition
• Capsular contracture

These risks, as well as expected recovery, are thoroughly discussed during consultation.

Surgeon’s Comment

Beautiful body contouring is not about making one body part smaller or another larger.

It is about creating harmony.

At AVAN TOKYO, we design every procedure based on anatomy, carefully considering the relationship between the shoulders, arms, underarms, décolletage, breasts, and waist.

Our goal is not simply an immediate postoperative result, but a refined and natural silhouette that continues to look beautiful at 3 months, 6 months, 1 year, and beyond.

This case is presented with the patient’s consent for educational purposes.

Individual healing and treatment outcomes vary from patient to patient.