Hybrid Breast Augmentation After Previous Silicone Implants – 1 Month Post-Op | Fat Grafting to Enhance Cleavage and Upper Pole Fullness
This is a case of a 25-year-old female patient, 1 month after undergoing Secondary Hybrid Breast Augmentation.
Case overview
| Procedure | Liposuction (circumferential upper arms) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | ¥748,000–¥948,000 (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) |
The patient had previously undergone silicone implant breast augmentation at another clinic and was satisfied with her breast size. However, she wished to achieve greater fullness in the upper breast (décolletage), improve the appearance of her cleavage, and create a softer, more natural overall feel. Therefore, she underwent fat grafting breast enhancement at AVAN TOKYO.
Secondary Hybrid Breast Augmentation is a procedure that utilizes the existing silicone implants as a foundation while refining the breast shape, texture, and natural appearance through autologous fat transfer. It is particularly effective for improving upper pole fullness and creating a smoother, more natural transition in the cleavage area, which can be difficult to achieve with implants alone.
For this procedure, fat harvested through circumferential arm liposuction was used. Approximately 400 cc of purified fat was obtained, and 140 cc was injected into the right breast and 120 cc into the left breast.
Compared with conventional fat transfer breast augmentation, the injected volume was relatively modest. However, because sufficient volume had already been achieved with implants, this amount was adequate for contour refinement and aesthetic enhancement.
Particular attention was paid to improving the décolletage, cleavage, and midline chest area, which are generally more challenging areas for fat graft survival. The patient has also actively supported fat retention through a high-protein diet, consumption of soy milk and soy-based products, and continued smoking cessation.
At 1 month post-operatively, excellent fullness has been maintained in the upper breast and cleavage areas, resulting in a natural and attractive upper breast contour.
Secondary Hybrid Breast Augmentation combines the volume provided by implants with the softness, shape refinement, and natural appearance achieved through fat grafting, allowing for a more balanced and aesthetically pleasing outcome.
If you are considering Hybrid Breast Augmentation, Fat Transfer Breast Augmentation, correction after silicone implant surgery, or enhancement of the décolletage and cleavage area, we welcome you to consult with us regarding suitability, fat survival, and expected postoperative results.
Related Articles
- Why Does AVAN TOKYO Recommend Hybrid Breast Augmentation? — Combining the Strengths of Silicone Implants and Fat Grafting
- What Is “Cover Fat Grafting”? The Technique Used to Soften the Appearance of Implants
- Why Arm Liposuction Combined with Hybrid Breast Augmentation Creates the Most Beautiful Upper-Body Contour
- Hybrid Breast Augmentation Procedure Information
Risks and Possible Side Effects
Swelling, bruising, infection, lump formation, fat necrosis, calcification, breast asymmetry, individual differences in fat survival, scarring, pigmentation changes, skin irregularities, and skin tethering may occur. Results vary among individuals.
Medical Supervisor:
Shin Moriwaki, M.D.
Member, Japan Society of Aesthetic Surgery (JSAS)
Member, American Academy of Aesthetic Medicine
ECFMG Certified
AVAN TOKYO GINZA LIPOSUCTION CLINIC
English / Chinese / Vietnamese Available
Appointments and consultations are available via LINE, Website, or Phone.
Procedure: Circumferential Arm Liposuction + Fat Transfer Breast Augmentation (Secondary Hybrid Breast Augmentation)
Postoperative Period: 1 Month (Single Procedure)
Price: JPY 748,000 – JPY 948,000
Possible risks include swelling, bruising, infection, lump formation, fat necrosis, calcification, asymmetry, individual differences in fat survival, scarring, pigmentation, and skin irregularities.
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.