When enhancing cleavage with fat grafting,

one of the most important considerations is lateral migration toward the underarm.

If fat is injected medially without proper planning,

it may gradually shift laterally over time.

Injecting laterally to guide the breast inward

At AVAN TOKYO, we intentionally inject fat into the lateral breast to create structural support,

which naturally guides the breast inward and enhances cleavage.

This is not about volume alone, but about direction and support.

Case overview

This case involves a 21-year-old female, 1 week post-op.

• Well-developed native glandular tissue
• Good skin elasticity

These factors allowed for a relatively larger graft volume:

340 cc on the right and 330 cc on the left.

Fat grafting is about design, not just volume

Successful fat graft breast augmentation depends on:

• Where the fat is placed
• Which layer is used
• How forces are distributed

Strategic planning is essential for natural, stable results.

Potential risks

• Infection
• Fat necrosis or palpable lumps
• Variability in fat retention

Careful technique helps minimize these risks.