Published November 16, 2018

Hybrid Breast Augmentation: Everything you need to know about fat grafting with breast augmentation

Dr Tavakoli and his patients Amal and Jade discussing fat grafting to the breast on the Morning show

What is hybrid augmentation

A hybrid breast augmentation sometimes referred to as ‘composite breast augmentation’ is the combination of an implant augmentation and fat grafting to the breast. Removing fat from an unwanted part of the body and placing it in the breast has long been a dream of many and while the idea sounds great, in practice, fat grafting to the breast is used to sculpt and shape the breast, rather than increase the patients cup size.

When is fat grafting used?

In Dr Tavakoli’s expert hands, fat grafting during breast augmentation surgery is used to disguise a minor to moderate chest wall deformity, camouflage the characteristic of tuberous breasts, add volume to the cleavage in patients with wide chest or to price additional implant covered in patients with skin skin on the breasts.

Fat grafting to the breast in these patients fulfils a task that an implant alone cannot achieve giving patients an optimal outcome from their surgery.





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Case study:

1. Chest wall deformity





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2. Scarless Correction of Tuberous breast

Tuberous breast deformity is a genetic breast condition that affects up to 5% of women. Characterstics of tuberous breasts inclulde puffy and constricted areolas, short breast fold, asymmetry and may have some degree of ptosis.

Invariably, the women seeking tuberous breast correction with Dr Kourosh Tavakoli are young in age and this needs to be considered with their treatment plan.

Traditionally, corrective techniques have been invasive requiring some form of mastopexy (benelli or lollypop) along with the use of implants which young patients wish to avoid until after children etc.

Depending on the severity, Fat grafting can be used to create volume and shape to the lower breast pole and cleavage. Furthermore, nano fat grafting can be performed around the nipple areola complex (NAC) to de-puff their appearance.

Nano fat grafting can also be used to avoid double bubble complication by obliterating the existing breast fold in cases where the patient has a short breast fold.





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Both patients presented with tuberous breasts and underwent breast augmentation with implant and fat grafting to the lower pole and cleavage along with nano fat graft to the NAC and old breast fold.

3. Revision patient – rippling





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4. Thin patient – implant coverage





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Thin patient underwent breast augmentation 235cc anatomical (teardrop) implants and fat grafting to the breast and cleavage to provide implant coverage, tapered upper pole take off and to close the cleavage gap.

What happens a Hybrid Breast Augmentation

Just before your hybrid breast augmentation surgery with Dr Tavakoli, you will be taken into a marking room where preoperative measurements will be drawn on your body with a marker. The area of the body where the fat will be taken (donor site) will be marked in red and the areas on the chest and breast that will receive the fat will be marked in black.

At the beginning of the procedure, local anaesthetic is delivered directly to the donor site so that you wake up as comfortable as possible.

The fat is then harvested using gentle liposuction and the fat is prepared.

The breast augmentation surgery will then begin with Dr Tavakoli meticulously dissecting a dual plane pocket in preparation for the implant sizers.

Once both implant pockets have been dissected and the final implant sizer inserted, Dr Tavakoli will then inject the fat into the desired area where he can shape and mould it to achieve the best possible result for the patient. The implant sizers are then removed and the pocket sprayed with “Dr Tavakoli’s Rapid Recovery Spray” before the final implant is inserted.


You can expect the area of liposuction to be tender for up to 3 weeks post op. The area that was grafted may be a little swollen and tender possibly with some mild bruising. You may be asked to wear a compression garment for a period fo time post op and this will be discussed with you during your consultation with Dr Tavakoli.

How long does the fat last:

Dr Tavakoli will over inject the area of fat graft to account for an expected survival rate of 70%. It is important to understand that fat is biological material and behaves the same way as fat in the other areas of the body. Weightloss after fat grafting can affect the outcome.

Who is a suitable candidate for fat grafting?

A suitable candidate for fat grafting or hybrid augmentation is a patient who is healthy, fit with an adequate store of fat to harvest who have a chest wall deformity, thin skin, or breast condition which cannot be addressed with a breast implant alone.

Are you ready to take the next step?

Then why not book a consultation with one of our friendly female staff members?

Dr Tavakoli’s experienced cosmetic consultants can answer all your questions and provide all costings prior to your consultation with Dr Tavakoli. Dr Tavakoli’s team ensures complete privacy throughout your entire surgical experience. To book either a consultation with Dr Tavakoli, or a free consult with our practice manager, fill in the form to the right or call 1300 368 107.

Published By: Dr Kourosh Tavakoli

Dr Kourosh Tavakoli, MS, FRACS, is an internationally renowned Australian trained plastic surgeon with over 20 years of surgical training. He is an active member of the Australian Society of Plastic Surgeons (ASAPS), International Society (ISAPS) and American Society of Plastic Surgeons (ASAPS). He is considered a world leader in plastic surgery of the breast and body and lectures extensively around the word on these topics.