The decision to choose for an implant or for lipofilling or a combination of both (hybrid technique) depends on your expectations and the clinical presentation. If it is the patient’s wish to have a considerable volume change the standard approach with implants will be chosen. Whenever possible fat grafting should be considered because of the natural result. Fat grafting will soften the contours of the breast and often the implant can be inserted in the prepectoral space (in front of the muscle). For smaller volume augmentations lipofilling could be an elegant solution.