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Hybrid BA – Implants plus Fat

Breast Implants With Fat Transfer – Composite Or Hybrid Breast Augmentation Surgery

Hybrid Breast Enhancement or Composite Breast Augmentation is achieved by combining a breast augmentation surgery using breast implants with additional fat transfer to the breast. It is the latest technique of breast augmentation surgery where the implant and fat transfer will deliver more natural and aesthetic results than conventional breast augmentation procedures alone. Usually, in people with less breast tissue, the fat transfer can give a natural breast contour and cleavage as the breast augmentation is not solely dependent on the implant. More recently, the use of larger implants for breast augmentation has been replaced with smaller implants and your own fat – The hybrid breast augmentation.

Benefits Of Hybrid Breast Augmentation Surgery:

  • Smaller silicone breast implant sizes can be used, as the fat transfer is combined with an implant to achieve the desired breast size, minimising the complications of larger breast implants
  • Enhanced cleavage lines can be achieved with selective fat transfer along the medial edge of the breast implant.
  • Improved upper pole fullness can be achieved with fat transfer to the breast.
  • In slim patients, the risk of rippling, palpability and visibility is reduced with the use of fat transfer to increase the soft tissue covering the breast implant.
  • As stem cells also get transferred to the breast along with fat tissues, this leads to a good and healthy skin tone.
  • Fat transfer may be an opportunity to correct an asymmetry while also using symmetrical implants, avoiding the implants dropping at different rates.

Am I A Good Candidate For Hybrid Breast Augmentation?

  • Patients who have very small breasts and want to increase the volume of their breasts.
  • A patient who is dissatisfied with their previous augmentation aesthetic outcome and wants more natural results.
  • Patients who want big breasts that do not look unnatural.
  • Patients with a wide chest and space between their breasts.
  • Patients with asymmetrical breast or chest, previous scar, and several breast defects.

Am I Suitable For Breast Augmentation With My Own Fat?

Any individual who is reasonably well mentally and physically healthy is a candidate for a breast implant. You may not be a good candidate if you are:

  •       Pregnant and breastfeeding
  •       Have breast cancer or an abnormal mammogram.
  •       You have an active infection or chronic disease.
  •       Your cosmetic goals are unrealistic.

The Hybrid Breast Augmentation Procedure:

The procedure is done in a standard hospital setting and includes two procedures, autologous fat transfer along with the placing of a breast implant. Due to this reason, the recovery time is slightly longer. For the fat transfer component, the patient should have enough body fat to allow enough fat to be harvested for the procedure. If the person is very lean with less body fat, it may not be possible to harvest enough fat to carry out this procedure successfully.

The hybrid breast augmentation is carried out in the following steps:

  1. General Anesthesia: Hybrid breast augmentation surgery is carried out under general anaesthesia. You will be completely unconscious and will not feel any pain during the procedure. You will also be given pain relief and sedation after the procedure.
  2. Operative site preparation: The operative sites (both breast and fat harvesting) are sterilized to lessen the chance of infection.
  3. Fat preparation: Liposuction is performed in which the patient’s fat is harvested from areas like the outer thigh, buttocks, or abdomen. This fat is filtered to separate impurities and increase concentrations of stem cells.
  4. Making an incision: Your plastic surgeon will make an incision to get access to the breast. The common site of incision is under the armpit, inframammary incision (beneath the breast), and periareolar incisions (around the nipple). The implant is then placed along with the autologous fat cells. To achieve natural results from hybrid breast augmentation surgery, it is essential to find an experienced plastic surgeon.

Book a consultation now to find out more about the benefits of the Hybrid breast augmentation procedure.

Recovery After Hybrid Breast Augmentation Surgery

At the completion of your surgery, Dr Turner will apply dressings to the incision site to aid wound healing. All sutures used self-dissolve, so no post-op suture removal is necessary. You will be placed in a surgical garment in the recovery room when you are fully awake and comfortable. It is important to wear the garment full time for the first month to assist wound healing and settling of the new breast shape.

Patients report mild postoperative pain, which is treated with oral medication. You will be given a prescription for pain management. Have someone fill the prescription, drive you home and take care of you as you recover during the first few days after your surgery.

You can return to your normal activities at a slow and gradual pace. You may be back to work as soon as one week after hybrid breast augmentation surgery and may begin light exercise at two weeks. Most activities can be resumed fully at six weeks following your procedure.

You will have an appointment to see Dr Turner within the first week after surgery to check that your wounds are healing as expected and to review your new breast shape. Dr Turner will see you frequently over the first year to monitor your progress and will give you advice on scar management, wearing garments and resuming normal activities.

It is extremely important to your final result that you follow all post-operative instructions given to you by Dr Turner.

Risks And Complications Of Hybrid Breast Augmentation Surgery:

Hybrid breast augmentation surgery is a safe procedure, but with any surgery side effects are common. The operation is conducted under anesthesia, following complication related to anesthesia may be seen:

  • Postoperative infection
  • Bleeding or haematoma
  • Graft failure / Fat Necrosis: Death of fat cells may occur.
  • Poor Scarring including keloid scars
  • Loss of sensation to the nipple and breast skin
  • Revision surgery to correct or improve the outcome
  • Inability to Breastfeed
  • Interference with breast imaging
  • Capsular Contraction
  • Breast implant malposition
  • Breast implant rotation
  • Animation deformities
  • Breast implant rupture
  • Breast asymmetry
  • Anaplastic Large Cell Lymphoma (ALCL)

The risk factors should be well discussed in full with your surgeon and get information on preventing them before the breast augmentation procedure.

Prices & Fees For Hybrid Breast Augmentation

How much does it cost for a hybrid breast augmentation surgery – combining implants with fat grafting?

The price for hybrid breast augmentation is dependent on several factors. Your anatomy, the time in theatre for surgery required and which hospital the procedure is performed will impact the price. The expertise of your surgeon, and the type of implant to be used will also play a significant role. For more detailed information and a detailed quote for the cost of the procedure, you can book a consultation with Dr. Turner, a leading Specialist Plastic Surgeon serving both Sydney and Newcastle.

Hybrid BA Faqs – Questions  About Combining Implants With Grafting Your Own Fat

How Much Can Fat Transfer Increase Breast Size?

The size achieved depends upon the amount of fat available and the size of the implant used, however we generally only transfer between 50 to 125mls of fat per breast. The breast size also increases on gaining weight following the surgery.

Does All The Fat Graft Survive?

The graft survival largely depends upon the surgeon’s level of expertise, fat harvesting technique, and processing of the liposuction aspirate. The survival is increased if it is harvested under low pressure than the standard high pressure used for liposuction. The harvested fat should be processed to remove blood and cellular debris and injected with a small cannula using a technique of multiple injections as fat cells will have more chance of acquiring vascular connection to survive and grow. Generally around 70% of the injected fat graft will survive long term.

Will Weight Change Affect The Size Of My Breast?

The answer is yes. Your breast fat cells will behave just like other fat cells in your body. On gaining weight, your breast size will also increase accordingly. Just like that, if you lose weight, your breast size will also decrease.

Can I Swap My Old Breast Implant For My Fat?

Yes, this is becoming a more popular option, however depending on the size of your old implants, this may require multiple procedures.

Summary – Hybrid BA Surgery

To conclude, hybrid breast surgery is increasingly popular with a pleasant aesthetic result. The complications are comparative to other forms of breast augmentation surgery.

The main downside of hybrid breast augmentation surgery is the increased surgery cost of combining surgical techniques.

The upside of hybrid breast augmentation surgery includes using smaller breast implants, a more natural look, better cleavage, and symmetrical breasts.

Further Reading and Medical References

Your Hybrid BA Consultation With Dr Turner

The first step is to secure a consultation with a qualified and skilled specialist plastic surgeon. During your meeting, you should discuss which procedure will be best for your aesthetic goals. You should also discuss with your surgeon your expectations and take feedback on what best suits your body anatomy.

At the consultation, Dr Turner will discuss with you about the procedure, preparations, recovery, and costs of the procedure. You can also enquire about specific aspects of hybrid breast augmentations i.e.,

  • The Fat Transfer technique and benefits
  • Are you a suitable candidate to undergo this procedure?
  • What should you do to get the best result?
  • What surgical procedure best fits you?
  • How long will the recovery period last?
  • What to expect with your hybrid breast augmentation to look like over time?

Why Choose Dr.Turner For Hybrid BA Breast Augmentation?

Dr. Scott Turner is a leading Specialist Plastic Surgeon serving Sydney and Newcastle specializing in cosmetic & reconstructive surgery. He has performed many breast implant surgeries and fat transfers.

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