Case Study: 19-Year-Old Female | 360° Arm Liposuction + Hybrid Breast Augmentation (3 Months After Surgery)
Many patients come to us saying,
Case overview
| Procedure | Liposuction (circumferential upper arms, armpit area) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | ¥1,500,000 (price at the time of treatment) 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) |
“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.
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.