Who's it for?
Very small breasts. When there is little natural tissue, an implant alone would need to be too large to make a noticeable difference, with all the disadvantages that entails. Adding your own fat allows a visible result with a more moderate implant.
Tuberous breasts. When the breast has a more elongated or pointed shape with little volume in the lower portion, fat helps round out the shape without using large or high-projection implants.
Nipples positioned far apart or close together. In patients with a prominent chest, the nipples may point outward; in very muscular patients, they may point toward the center, with little lateral fullness. Fat helps balance these proportions.
Is it simply an implant plus fat?
No. It involves several technical decisions: where the implant is placed, where and how much fat is added, and how the two work together to create a natural contour. Fat is usually taken from the abdomen or, in very slim patients, from the thighs.
How does it differ from augmentation with implants alone?
Recovery is very similar. Surgery takes about an hour longer — around three hours in total — and costs more because of the additional operating time and materials. Some of the transferred fat is reabsorbed during the first few months, and we account for this when planning the procedure.
How do we choose the implant size?
We use your measurements, 3D simulation and sizing garments at the consultation to help you choose. We decide together, and the final decision is yours. Wearing fitted clothing will help you see the difference.
Recovery and anesthesia
Full recovery takes one to two weeks. Following the instructions, most patients resume light daily activities in around 48 hours and gradually return to aerobic exercise from the third week. The final result is assessed at one year. Surgery is performed under general anesthesia, administered by a board-certified anesthesiologist, after a cardiovascular assessment.
Where breast surgery is going
Smaller, lower-projection implants are increasingly used for more natural results. Hybrid augmentation follows this approach.
Frequently Asked Questions
What is hybrid breast augmentation?
Augmentation with a smaller implant combined with your own fat.
Where is the fat taken from?
The abdomen and, in thin patients, the thighs.
How long does surgery take?
About three hours.
Does the transferred fat last?
Some is reabsorbed during the first few months; the remainder integrates permanently.
Can it help with tuberous breasts?
Yes, that is one of its main indications.