Why Hybrid Breast Augmentation Feels Hard at 1 Month but Natural at 3 Months2025.11.27
— The Medical Science Behind the Healing Process at AVAN TOKYO GINZA LIPOSUCTION CLINIC —
Hybrid breast augmentation, which combines silicone implants and fat grafting, is one of the most advanced techniques available today. It allows patients to achieve both reliable volume increase and natural softness.
However, many patients feel anxiety around 1 month after surgery, often reporting:
- Tightness
- Firmness
- A “foreign body” sensation
Yet by 3 months, most patients describe their breasts as soft, natural, and fully settled. This dramatic change is not subjective—it is based on clear medical mechanisms.
1. The First Month Is a Normal “Inflammation & Healing Phase”
During the first 4–6 weeks after surgery:
- Surgical inflammation is still present
- Swelling and fluid retention remain
- Early capsule formation around the implant has just begun
This causes temporary firmness and tension.
This is normal healing, not a complication.
2. At 3 Months, the Implant Naturally Drops into Its Ideal Position
In the early phase, the pectoral muscle and surrounding tissues hold the implant slightly higher due to tension and swelling.
By 3 months:
- Muscle tension relaxes
- Swelling disappears
- The capsule softens and becomes elastic
As a result, the implant settles into its natural anatomical position, creating:
- A softer upper pole
- A smoother lower breast curve
- A more natural overall silhouette
3. Capsule Maturation Explains the Softening
The body naturally forms a capsule around the implant:
- Early stage: thick and tense
- After 3 months: thin, flexible, and soft
The firmness felt at 1 month is almost always physiological, not pathological capsular contracture.
4. Fat Graft Stabilization Also Completes at 3 Months
Fat grafting follows this timeline:
- 1 month: partial survival + partial absorption
- 3 months: final surviving fat only remains
At this stage:
- Softness stabilizes
- Shape becomes permanent
- True long-term volume is visible
5. Why Satisfaction Increases Dramatically at 3 Months
By 3 months:
- Implant position is stable
- Capsule is soft
- Swelling is gone
- Fat graft has fully stabilized
This is why the majority of patients say:
“I was worried at 1 month, but at 3 months it feels completely natural.”
Our Philosophy at AVAN TOKYO
At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we do not simply “enlarge the breasts.”
We design the entire upper body balance by combining:
- Precise implant placement
- Anatomically correct fat grafting
- Careful postoperative management
- Anti-inflammatory protocols
Our goal is not only size, but natural softness, long-term stability, and elegant body harmony.
Hybrid breast augmentation is not completed at 1 month.
It is a 3–6 month biological process, and when performed correctly, it achieves a level of natural beauty impossible with implants or fat grafting alone.

