Hybrid breast augmentation

The hybrid breast augmentation technique combines an implant with fat grafting. An implant is used to enhance the projection and to add that extra volume for patients desiring a considerable increase in breast volume.

Why this approach?

  • fat grafting alone will not add sufficient volume and projection
  • your own fat tissue is used for a more natural result
  • specific areas of the breast can be treated with fat grafting
  • a smaller implant volume is used and additional volume is provided with fat
  • a smaller implant means less foreign material
  • liposuction is used to remove the fat and will improve your body contour

Any disadvantages?

  • incision in the inframammary fold to insert the implant (3 – 4 cm)
  • insertion of an implant although as small as possible
  • unpredictable resorption rate of injected fat
  • bruising from the liposuction

Important issues before surgery

  • your expectations and feasibility (is there enough donor fat?)
  • skin quality
  • skin laxity (is skin expansion possible when fat is injected?)
  • breast asymmetry (more fat injection in one breast?)
  • attention for the aesthetic parts of the breast (lower pole and cleavage)
  • breast deformities (previous surgery or congenital)
  • genetic predisposition (breast cancer)

Who is a good candidate?

  • good general condition, not pregnant and no breast feeding
  • realistic expectations with a clear understanding of how grafted fat behaves
  • breasts are fully developed
  • the breast size bothers you
  • you are disappointed by volume loss
  • asymmetrical breasts
  • patients that want a larger volume that cannot be achieved with lipofilling only
  • empty upper breast pole
  • breast malformation or contour deformity

A breast augmentation with lipofilling or fat grafting is indicated to add small volumes (one cup size). Breast augmentations with larger volumes require the insertion of an implant. Alternatively, the hybrid breast augmentation technique uses a smaller implant (less foreign material) and additional lipofiling to achieve the desired outcome

How does it work?

At the outpatient clinic your desired volume augmentation is noted. Based on the availability of donor fat tissue (love handles, thighs, belly, buttock region) we are able to estimate the volume of fat that can be removed. Eventually, the goal is to insert a smaller implant and add the additional volume with fat grafting. Injection of 100cc of fat results in a volume augmentation of approximately 50cc (based on our experience). During the procedure we assess how much is obtained and sizers are used to choose the right implant. The implant is inserted (preferentially before the muscle) and lipofillling is performed in the subcutaneous tissues.

Postop care

At the outpatient clinic your desired volume augmentation is noted. Based on the availability of donor fat tissue (love handles, thighs, belly, buttock region) we are able to estimate the volume of fat that can be removed. Eventually, the goal is to insert a smaller implant and add the additional volume with fat grafting. Injection of 100cc of fat results in a volume augmentation of approximately 50cc (based on our experience). During the procedure we assess how much is obtained and sizers are used to choose the right implant. The implant is inserted (preferentially before the muscle) and lipofillling is performed in the subcutaneous tissues.