What matters is not simply adding size, but creating a more beautiful breast line

Some patients who undergo hybrid breast augmentation are happy with their results,

but still feel that they would like just a little more volume.

This is not unusual.

Once swelling settles and the breast shape becomes more natural, some patients begin to feel:

• “I want a little more fullness in the décolletage.”
• “I want a little more overall presence.”

In these situations, there are two main options:

• Exchange the silicone implant for a larger size
• Add more fat grafting

Both can be appropriate depending on the case.

However, at AVAN TOKYO, when natural beauty is the priority,

we often consider additional fat grafting first.

Why do we often recommend additional fat grafting?

The value of fat grafting is not only that it adds volume.

Its greatest advantage is that it can help create a smoother and more refined breast line.

In hybrid breast augmentation, the implant provides the structural foundation,

while fat grafting softens and blends the surrounding contour naturally.

This means that with additional fat grafting, we can more easily refine details such as:

• creating more natural fullness in the décolletage
• improving the transition in the cleavage area
• softening the visible outline of the implant
• making the entire upper body look more harmonious

In carefully selected layers such as the subcutaneous plane or within the pectoralis region,

fat retention can be relatively good.

Depending on the case, this may allow an increase of around 1.5 cup sizes.

When is implant exchange more suitable?

On the other hand, there are cases where implant exchange to a larger size is the more suitable option.

For example:

• when the patient wants a more obvious size increase
• when there is limited donor fat available
• when a more clearly visible volume change is desired in one step
• when the desired size is difficult to reach with fat grafting alone

Implant exchange is a very rational option when the patient’s desired size is clear.

However, as implant size increases, the “implant look” may become more noticeable depending on the patient’s body type.

That is why the decision should not be based on size alone,

but also on how natural the final result can remain.

At AVAN TOKYO, our goal is not simply to make the breasts bigger

At AVAN TOKYO, even when a patient says,

“I want just a little more volume,”

we do not focus only on increasing size.

What we value is

how to create a more beautiful breast line.

This includes attention to:

• the natural curve of the décolletage
• smoothness of the cleavage area
• the flow down to the lower breast border
• balance with the entire upper body
• natural feel and softness

A truly beautiful breast augmentation is not simply about having larger breasts.

It is about having breasts that look naturally elegant within the whole upper-body silhouette.

The best method depends on the patient’s ideal

Some patients want only a little more roundness.

Others want a more obvious size increase.

Some want to prioritize naturalness above all else.

The answer is different for each person.

That is why, at AVAN TOKYO, we do not decide only by medical indication.

We also carefully listen to what kind of breast shape the patient truly wants,

and then determine whether additional fat grafting, implant exchange, or both would be the most appropriate option.

Conclusion

When a patient feels,

“I want just a little more volume after hybrid breast augmentation,”

there are two main options:

• increasing implant size
• adding more fat grafting

At AVAN TOKYO, when the goal is a more natural and smoother contour,

we often recommend additional fat grafting first.

However, when a patient wants a clearer and more obvious size increase,

implant exchange may be the better choice.

What matters most is not simply

how much larger the breasts become,

but

how beautifully the breast line is designed.

At AVAN TOKYO, we offer breast augmentation planning that takes into account not only size,

but also naturalness and the beauty of the entire upper body.