Hybrid breast augmentation
Hybrid breast augmentation, also known as composite breast augmentation, is a significant advance in the traditional breast augmentation procedure as it involves optimising the appearance and shape of the breast using both breast implants and fat transfer to the breasts. In expert and the procedure has very high patient satisfaction rates due to its ability to optimise volume, upper pole fullness and enhanced cleavage.
In order to achieve the best results in breast augmentation requires an implant that is adequately covered by overlying soft tissue which is especially the case in very thin patients who have very little breast tissue and have tight skin envelopes. In these patients, having breast augmentation with implants alone could lead to a less-than-ideal aesthetic outcome despite excellent improvement in breast volume and projection. This is because it is difficult to conceal the edges of the breast implant in patients who have very thin soft tissue, and this affects slim women most commonly. The lack of balance between the size of the breast implant and inadequate soft tissue coverage also means that patients are able to feel the edges of the breast implant, and skin rippling may be evident which leads to a cosmetically unacceptable result.
Over time, surgeons have used several different techniques to hide the edges of breast implants in slim patients more effectively. Placing breast implants under the chest wall muscle, which is also referred to as the dual plane approach, helps to increase the amount of soft tissue between the implant and the overlying skin. The latest fourth-generation implants have much lower rates of rippling and capsular contracture. Surgeons have often borrowed techniques from breast reconstruction using various support scaffold materials to adequately support soft tissue and prevent many of the soft tissue-related complications from slim patients who have breast augmentation with implants alone. However, these methods have not stood the test of time due to their significant cost and lack of predictability in achieving consistently good results.
Our surgeons have many years of experience in carrying out the fat transfer to the breasts and have now applied their expertise to performing breast fat transfer at the same time as Bristol mentation with implants to create more natural results and hide the implant edges using the injected fat. Hybrid breast augmentation is a commonly performed procedure at Centre for Surgery in London. It relies on combining the insertion of breast implants with simultaneous fat transfer to the breast to optimise breast volume and properly contour the overlying soft tissues surrounding the breast.
For patients looking for natural-looking results, hybrid breast augmentation could be the ideal treatment option. Using both breast implants and fat transfer permits the surgeon full control over reshaping the breast. In slim patients with limited soft tissue coverage, hybrid breast augmentation is an excellent solution to addressing the inherent limitations of performing breast augmentation with implants only in women with poor soft tissue coverage. Hybrid breast augmentation is an excellent technique for correcting breast asymmetry in women with uneven breasts. Both techniques permit surgeons to use smaller breast implants as the combined fat transfer also contributes to volume enhancement of the breasts. Breast implants that are smaller in size carry fewer risks than larger breast implants.
Benefits of hybrid breast augmentation
By combining breast fat transfer with a breast implant procedure, the benefits of achieving excellent aesthetic results are many. Breast fat transfer can accurately augment soft tissue surrounding the implant and shape the breast in the area where the edges of the implant are potentially visible beneath the skin. Expertly performed fat transfer to the breast can disguise the edges of the breast implant. This benefit is particularly useful in slimmer patients who desire both an improvement in upper pole fullness and an improvement in the appearance of their cleavage.
Another key benefit of hybrid breast augmentation is the option it gives surgeons to place breast implants in more superficial planes such as the subglandular plane. This means the surgeon does not need to cut the muscle to insert the implant beneath, also known as the dual plane approach. Placing the breast implant beneath the muscle can lead to potential muscle weakness over time. For patients who carry out weightlifting exercises in the gym, the risk of a double-bubble deformity or animation deformity is possible. The recovery from dual-plane breast augmentation is also longer than when breast implants are placed above the muscle. By selecting breast implants above the muscle combined with fat transfer, surgeons can effectively correct any mild degrees of breast sagging or breast ptosis.
Ideal candidates for hybrid breast augmentation
Hybrid breast augmentation carries very high patient satisfaction rates when ideal patients are chosen for the procedure. You will be considered an ideal candidate for combined breast implants with breast fat transfer if:
- Patients who are in good physical and mental health
- Patients who have realistic expectations about what hybrid breast augmentation can achieve
- Patients must have adequate fat reserves to enable sufficient liposuction to be carried out, followed by a fat injection to the breasts.
- Patients who desire more natural-looking breasts
- Patients were keen to enhance both the cleavage and upper pole fullness
Patients who smoke should be aware that this significantly increases the risks of surgery, and all patients should stop smoking at least six weeks before hybrid breast augmentation.
At your face-to-face consultation, you’ll be able to view a series of before and after photos to get an idea of how you could look after surgery. Please note that this is only a rough idea of what your final results could look like, and it’s not 100% accurate as every patient feels differently and has different expectations for treatment. As with all types of cosmetic surgery, it is very fully informed, and we would invite you to ask as many questions as possible at your consultation and to have follow-up consultations before surgery to enable you to be fully equipped with all the knowledge with what the surgery can achieve for you.
What does hybrid breast augmentation involve?
Hybrid breast augmentation is designed to increase the volume of the breasts with breast implants and enhance the shape with breast fat transfer. The procedure involves two essential steps: placement of breast implants and liposuction followed by breast fat transfer to enhance the shape of the breasts. The surgeon uses specially designed cannulas to inject the fat around the implants and in the cleavage area to achieve natural-looking breasts.
The procedure takes approximately 2 to 3 hours to complete, and your surgeon takes every precaution to make small incisions. Hybrid breast augmentation is carried out under TIVA general anaesthesia as a day case at our state-of-the-art Baker Street Centre in Marylebone, central London.
The first step of the procedure involves liposuction. Very small incisions are made near the area from which fat is to be removed. Aspiration cannulas are then inserted through the small incisions, and the power-assisted liposuction technique is carried out to remove fat efficiently. The removed fat is placed in a sterile fat canister which is then purified and processed, ready for the later fat transfer part of the procedure.
The surgeon will then perform the breast implant part of the procedure. The inframammary incision is created, followed by dissection of the breast pocket, most commonly on top of the breast muscle, which helps to minimise bleeding pain and discomfort post-operatively. Once the breast pocket has been created, the breast implants are inserted using a Keller Funnel sterile no-touch technique. The surgeon will select the size of the implant based on the amount of fat transfer to be carried out. Hybrid breast augmentation usually involves selecting smaller breast implant sizes, but larger-sized implants may be chosen for those with inadequate fat reserves. The ideal breast implant size will be agreed upon with you at the preoperative consultation. Once the breast implants are in the correct position, the surgeon will perform a layered closure using dissolvable sutures. The appearance of the scar depends on several factors, including your skin type and whether you smoke.
The final part of the procedure involves fat transfer. The fact that has been harvested and purified is then injected using specialised cannulas into the marked areas of the breast. Fat cells are usually injected in a more superficial plane as this is where the blood supply is most well developed, and a rich blood supply helps ensure fat cell survival. Once the planned amount of fat transfer has been carried out, the tiny incisions used for the fat injection will be closed and then covered with a sterile dressing.
Once the procedure is complete, it is normal to expect a mild to moderate degree of pain and discomfort in both the breast and the sites where liposuction was performed. Your surgeon will pre-infiltrate the areas of the breasts and liposuction with local anaesthetic during the procedure to minimise any post-operative pain and discomfort once you have fully recovered from the effects of the anaesthetic and you are medically fit for discharge, our post-operative nursing team will safely discharge you into the care of a responsible adult escort who must look after you for the first 24 hours after your procedure. You will also be given a postoperative prescription for antibiotics and painkillers, which must be taken per the doctor’s instructions.
Recovery after hybrid breast augmentation
The hybrid breast augmentation procedure is carried out in such a way as to minimise the post-operative recovery period. Your surgeon only uses gentle techniques to minimise post-operative bruising and swelling. Refraining from strenuous physical activities for at least the first four weeks after surgery is important. The best sleeping position involves lying on your back with the head of the bed raised to about 30°, and this is most helpful during the first week following the procedure. Lying in this elevated position helps to accelerate the resolution of post-operative swelling and enhances wound healing. Patients should generally lie on their back for at least the first 3 to 4 weeks after surgery to prevent implant malposition or premature fat loss.
You may resume normal activities as per the postoperative recommendations, which must be followed in full. In most cases, patients can return to work after one week as the majority of bruising and swelling will have settled down by then. Patients should avoid strenuous gym activities for the first six weeks following the surgery. It is recommended to wear a well-fitting post-operative bra or a sports bra to help maintain the position of the implants. Once your pain has settled down and you no longer require painkillers, you may resume driving after two weeks postop. You should avoid any breast massage for the first three weeks as it may affect the fat transfer results. All forms of smoking should be avoided entirely during the postoperative period for at least four weeks. Active smoking is associated with a high risk of delayed wound healing and surgical site infection. Smoking also has a deleterious effect on the newly transferred fat cells. The amount of fat transfer that survives in patients who smoke is markedly reduced. This may then necessitate the requirement for a revision top-up procedure to restore the adequate amount of volume.
Risks and complications of hybrid breast augmentation
All types of cosmetic surgery, including hybrid breast augmentation, carry risks. It is important that all patients are aware of the potential risks associated with the procedure as this will help to minimise the risk of complications developing postoperatively.
Risks of hybrid breast augmentation
- Post-operative haemorrhage
- Capsular contracture
- Breast implant rupture
- Fat necrosis
- Breast asymmetry
- Temporary changes in nipple sensitivity
By choosing to have hybrid breast augmentation at Centre for Surgery in London, you can be assured of receiving the highest standard of medical care delivered by consultant plastic surgeons. The risk of complications after hybrid breast augmentation can be significantly reduced by following all preoperative and postoperative care instructions.
What is hybrid breast augmentation?Hybrid breast augmentation involves simultaneous breast augmentation with implants combined with liposuction and fat transfer to the breasts to enhance volume and optimise the breasts' shape.
How much does hybrid breast augmentation cost?Hybrid breast augmentation starts from £6995. The exact price will depend on the type of breast implants chosen, the number of areas of liposuction, whether you have had similar surgery before and the degree of breast enlargement you desire to have. Once you have had a face-to-face consultation with the surgeon, you will receive clear costings from your dedicated patient coordinator.