AVAN TOKYO’s philosophy on fat retention and the reality of downtime

Right after fat transfer breast augmentation, many patients feel:

“My breasts became much larger immediately after surgery.”

However, in reality,

the breasts usually have the most volume immediately after the procedure.

This is not a failure —
it is a very normal recovery process.

At AVAN TOKYO, we believe it is extremely important to explain this properly before surgery.

Why are the breasts largest immediately after surgery?

Immediately after fat grafting, the breasts contain:

• injected fat
• swelling
• anesthesia fluid
• inflammatory fluid

In other words,

the breasts temporarily appear larger than the final retained volume.

Over the following 1–1.5 months,

• swelling decreases
• unnecessary fat is absorbed
• only surviving fat cells remain

This is the normal process of fat stabilization.

The same applies to Hybrid Breast Augmentation

This process also occurs with:

Hybrid Breast Augmentation.

Even when implants are used,
the fat-grafted areas continue changing during the healing period.

Especially in delicate areas such as:

• the décolletage
• cleavage
• upper pole fullness

even small volume differences can significantly change the appearance.

Even 50cc Can Change the Shape

In this case,
a 20-year-old patient underwent hybrid breast augmentation with:

• Right breast: 100cc
• Left breast: 70cc

Some patients ask:

“Can such a small amount really make a difference?”

But in reality,

the upper breast and cleavage are extremely delicate aesthetic areas.

Even 50cc can noticeably affect:

• fullness
• softness
• cleavage definition
• upper pole contour

Fat Retention Differs Greatly Between Individuals

In fat transfer breast augmentation,

“how much fat survives”

is more important than simply:

“how much fat is injected.”

Fat retention depends on many factors, including:

• blood supply
• skin elasticity
• body constitution
• nutrition
• smoking
• postoperative management
• body weight changes

Postoperative Nutrition and Calorie Management Are Very Important

At AVAN TOKYO, we strongly emphasize:

postoperative calorie management.

Extreme dieting or rapid weight loss after surgery can reduce:

even the fat that successfully survived.

That is why after fat grafting,
we recommend:

• adequate nutrition
• avoiding rapid weight loss
• maintaining healthy circulation

Sometimes a Second Fat Grafting Procedure Is Helpful

At AVAN TOKYO, we prioritize:

long-term natural beauty

rather than forcing excessive correction in one surgery.

If fat retention after the first procedure is limited,

secondary fat grafting

can be an excellent option.

This is especially effective for refining:

• cleavage
• décolletage
• upper breast fullness