If you are considering arm liposuction together with hybrid breast augmentation, there is one area we strongly recommend evaluating at the same time:

the axillary fat / accessory breast area.

Slimming the upper arms and adding volume to the breasts can significantly improve the appearance of the upper body.

However, if fullness remains around the armpit or accessory breast area between the arms and the breasts, the overall contour may still look interrupted or bulky.

At AVAN TOKYO, we do not treat the upper arms and breasts as completely separate areas.

Instead, we design the upper body as one continuous line:

upper arm → armpit / accessory breast area → breast

This approach can create a smoother and more refined upper-body silhouette.

Why the axillary area is important when combining arm liposuction and breast augmentation

The patient featured in this case is 151 cm tall, weighs 37 kg, and has a BMI of 16.23.

The procedures performed were:

● Circumferential upper-arm liposuction

● Axillary / accessory breast liposuction

● Hybrid breast augmentation

● Motiva Ergonomix2 Mini 220 cc implants placed in the subglandular plane

● Fat grafting: 80 cc to the right breast and 92 cc to the left breast

A total of 360 cc of pure fat was removed from the upper arms and axillary areas.

At 11 months after surgery, the arms remain sharply contoured and slim, while the breasts maintain a natural three-dimensional shape.

One of the key points in this case is that the axillary area was treated together with the upper arms.

By reducing fullness beneath the armpit, the transition from the arm to the breast becomes smoother, helping the entire upper body appear more polished.

Why does liposuction need to extend toward the armpit?

Many patients assume that upper-arm liposuction only involves reducing fat directly on the arms.

However, when the arms are resting naturally at the sides of the body, fullness can often be seen around the inner upper arm and beneath the armpit.

Some patients notice:

● A bulge under the armpit when the arms are closed

● Upper arms that look slim, but the armpit area still appears thick

● A noticeable transition between the arm and chest

In these situations, localized fullness beneath the armpit can affect the appearance of the entire upper body.

For this reason, one of the important technical considerations in upper-arm liposuction is how smoothly the contour is extended into the axillary area.

Axillary liposuction is not simply about removing as much fat as possible

The axillary and accessory breast regions require careful surgical judgment.

This is not an area where more fat removal always means a better result.

If tissue too close to the outer breast is removed excessively, the lateral breast contour can lose volume and appear hollow.

Potential problems may include:

● A hollow or deflated appearance of the outer breast

● Unnatural depressions near the lateral chest

● A visible interruption between the arm and breast

Therefore, successful axillary liposuction depends on determining:

what should be removed and what should be preserved.

At AVAN TOKYO, we assess the contour with the arms both open and closed and evaluate the upper body from the front, side, and oblique angles.

The goal is not simply to make one area smaller, but to create a natural transition between the arms, axilla, and breasts.

Arm liposuction and breast augmentation are not simply “slimming” and “enlargement”

It is easy to think of upper-arm liposuction as a procedure that makes the arms smaller and breast augmentation as a procedure that makes the breasts larger.

However, when designing the upper body, absolute size is not the most important factor.

What matters is the proportion and continuity between the upper arms, armpits, and breasts.

Slimmer arms can make the breasts appear more prominent.

Reducing axillary fullness can make the transition from the arms to the breasts appear smoother.

Hybrid breast augmentation can then add controlled projection and roundness to the breasts.

Together, this can create a stronger visual contrast between:

slender arms and a naturally three-dimensional bust.

This balance can make the entire upper body appear more refined and feminine.

Can liposuction make a difference even in patients with a BMI in the 16 range?

This patient had a BMI of 16.23 and was already very slim before surgery.

Patients often ask:

“If I am already thin, will liposuction really make a difference?”

In slim patients, small amounts of localized fat can still have a significant impact on body contour.

The appearance of the arms and axilla depends not only on the total amount of fat, but also on where that fat is located.

This is why AVAN TOKYO does not focus on competing for the largest amount of fat removed.

Instead, we focus on selectively treating the areas that affect the overall silhouette while preserving the tissue necessary for a smooth and natural contour.

What is hybrid breast augmentation?

Hybrid breast augmentation combines breast implants with fat grafting.

The implant provides the primary breast volume and projection, while fat grafting can be used to refine areas that may be difficult to adjust with an implant alone.

Fat can be used to improve:

● Breast contour

● Cleavage

● Upper-pole transition

● Implant visibility

● Minor asymmetry

In this case, the patient received:

Motiva Ergonomix2 Mini 220 cc implants in the subglandular plane, combined with 80 cc of fat grafting to the right breast and 92 cc to the left breast.

For very slim patients, implant selection and soft-tissue coverage are especially important.

The goal is to avoid an overly obvious implant outline while achieving a breast size that remains balanced with the patient’s frame.

A refined upper-body contour maintained 11 months after surgery

In cosmetic surgery, early postoperative photographs are not the only important results.

It is also important to evaluate how the body contour looks after swelling has resolved and the tissues have matured.

At 11 months after surgery, this patient continues to show:

● Sharply defined upper-arm contours

● Reduced axillary fullness

● Natural breast projection

● A smooth transition from the upper arms to the breasts

The objective is not only to create an early postoperative change, but to achieve a balanced contour that remains natural over time.

Who may benefit from combining upper-arm liposuction, axillary liposuction, and hybrid breast augmentation?

This combination may be worth considering if you:

● Notice a bulge under the armpit when your arms are resting at your sides

● Are concerned about accessory breast or axillary fat

● Want a smoother transition from the arms to the breasts

● Are already slim but want a more refined upper-body silhouette

● Want slimmer arms while maintaining or increasing breast volume

● Are considering both upper-arm liposuction and breast augmentation

At AVAN TOKYO, we do not evaluate only the arms or only the breasts.

We consider the entire upper-body balance, including the shoulders, upper arms, axillary area, lateral chest, and breasts.

Slimming the upper arms.

Reducing unnecessary axillary fullness.

Creating natural breast projection.

When these three elements are designed together, the result of both arm liposuction and hybrid breast augmentation can become even more visually effective.

During consultation, we assess each patient’s bone structure, fat distribution, breast shape, and soft-tissue thickness to determine the most appropriate treatment plan.

The required liposuction area, implant size, implant pocket, and fat-grafting volume will vary depending on the individual.

Risks and potential complications

Upper-arm and axillary liposuction

Possible risks include swelling, bruising, pain, asymmetry, contour irregularity, fibrosis, pigmentation changes, scarring, and temporary or persistent sensory changes.

Hybrid breast augmentation

Possible risks include swelling, bruising, infection, hematoma, asymmetry, fat necrosis, nodules, calcification, fat resorption, capsular contracture, implant malposition, and scarring.

Patients should receive a full explanation of the expected benefits, limitations, risks, and recovery period before deciding to undergo surgery.

AVAN TOKYO GINZA LIPOSUCTION CLINIC

We provide individualized upper-body contouring plans including upper-arm liposuction, axillary and accessory breast liposuction, fat grafting, silicone breast augmentation, and hybrid breast augmentation.

Our approach focuses not only on the size of individual areas, but on creating a balanced and continuous upper-body silhouette.