Hybrid Breast Augmentation in a 30-Year-Old Woman | Perle 255cc + Circumferential Thigh Liposuction, 6 Months After
This is a hybrid breast augmentation (silicone implant + fat grafting) case of a 30-year-old woman. In addition to wanting more breast volume, she was also concerned about the fullness of her thighs. Because hybrid augmentation uses her own fat harvested from the thighs, it allowed her to achieve breast augmentation and thigh slimming in a single operation, which is why she chose this technique.
Case overview
| Procedure | Liposuction (armpit area, thighs) / Hybrid breast augmentation (silicone implant + fat grafting) |
|---|---|
| Sessions | 1 session |
| Cost | ¥998,000 (price at the time of treatment, monitor price, tax included) Price list |
| Main risks | swelling, bruising, pain, edema, skin irregularities, asymmetry, scars, prolonged swelling, capsular contracture, rippling, lumps, calcification, etc. (see details below) |
| Doctor | Dr. Shin Moriwaki (Director) |
During surgery, we first performed circumferential liposuction of the thighs (as far as could be reached from the front), removing a total of 800 ml of fat. Of this, 320 ml of pure fat was centrifuged to remove anesthetic fluid and impurities, and 80 ml was injected subcutaneously into each breast. A Perle 255cc implant was inserted through an incision in the armpit crease and placed under the mammary gland, where scars are well hidden.
Hybrid augmentation builds solid base volume with the implant while grafted fat camouflages the implant’s edges around the décolletage and cleavage. It is also suitable for patients who lack enough fat for augmentation by fat grafting alone, and the donor site — in this case the thighs — becomes slimmer at the same time.
The photos show the donor site, the thighs, 6 months after surgery. Swelling and bruising have subsided, the fullness from beneath the buttocks to the outer thighs has reduced, and the line tapers toward the knees. Because the whole circumference was treated, the silhouette from behind is noticeably slimmer.
Results and recovery vary from person to person. The appropriate implant size and the amount of fat removed depend on each patient’s body type and goals, so please consult our doctor for details.
Surgeon: Dr. Shin Moriwaki (Director, AVAN TOKYO Ginza Liposuction Clinic)
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Supervised by Dr. Shin Moriwaki
Member, Japan Society of Aesthetic Surgery (JSAS) / Member, American Academy of Aesthetic Medicine
ECFMG Certificate (US medical qualification)
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📍AVAN TOKYO GINZA LIPOSUCTION CLINIC
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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 thighs, calves, and other lower-body areas, prolonged swelling, asymmetry, and reduced sensation may occur; the ankles and calves are particularly prone to swelling and pigmentation.
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.