The Risks of Aquafilling Breast Augmentation and Safer Alternatives2025.08.28
What is Aquafilling Breast Augmentation?
Aquafilling was once marketed as a long-lasting injectable filler for breast enlargement, similar to hyaluronic acid.
However, due to its serious safety concerns and long-term complications, it is now discouraged both in Japan and internationally.
Risks of Aquafilling
Aquafilling has very strong tissue infiltration, leading to several reported complications:
- Extrusion through the skin, where the material leaks outside
- Migration beyond the breast fold, sometimes spreading to the rib area
- Risk of infection and chronic inflammation
- Even if injected only under the breast gland, the material can spread into multiple tissue layers, making complete removal impossible in some cases
These issues are not only cosmetic but can also cause serious health problems. For this reason, we recommend early removal.
Removal of Aquafilling
Because of its infiltration properties, complete removal may not always be possible.
However, removing as much as possible—especially from under the breast gland—combined with irrigation and disinfection, can significantly reduce the risk of further complications.
A Safe Alternative: Hybrid Breast Augmentation
After removal, one of the safest and most effective reconstruction methods is Hybrid Breast Augmentation.
What is Hybrid Breast Augmentation?
A combination of:
- Silicone implants → guaranteed and stable volume
- Fat transfer → natural texture and softness
Benefits
- Lower risk of infection (due to smaller fat injection volume)
- Less likely to form large nodules, and easier to treat if they occur
- Stable breast size and cleavage shape (less variation from fat absorption)
- Reduced risk of capsular contracture or rippling (fat acts as a buffer around the implant)
Conclusion
Aquafilling carries serious long-term risks and should not be left untreated.
The best option is early removal, followed by safe and reliable reconstruction.
At AVAN TOKYO Ginza Liposuction Clinic, we provide Aquafilling removal combined with Hybrid Breast Augmentation, offering patients both natural results and long-term safety.

Aqua filing removal+Hybrid Breast Augmentation 1month