Hybrid breast augmentation for a more feminine and aesthetic appearance
Hybrid breast augmentation helps to create a more feminine and aesthetic appearance. In addition to the natural result, the disadvantages of breast implants can be reduced by supplementary treatment with autologous fat. For patients with small breasts who want immediate results, this new procedure is the method of choice.
What is a hybrid breast augmentation?
Hybrid breast augmentation, also known as composite breast augmentation, is the aesthetic-surgical combination of conventional breast augmentation using implants and the transplantation of autologous fat (lipofilling).
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Information at a glance
Operation duration
4 hours
Aftercare
6 weeks
Anesthesia
Twilight sleep
Thread tension
Self-dissolving threads
Hospitalization
Outpatient
Socially acceptable
after 5 days
Costs
Additions or alternatives
Breast augmentation with implant / Breast augmentation with autologous fat
10 advantages of hybrid breast augmentation
- The contours of the décolleté can be harmoniously and naturally adjusted using the body’s own tissue. This means that round and softer implants can also be used. Anatomical (teardrop-shaped) implants are slightly firmer than round implants so that they retain their shape. Hybrid breast augmentation has the advantage of giving you a natural shape and firmness.
- Implants are ready-made products. There is therefore no such thing as an ideal fit that is individually tailored to each patient. However, the contours can be individually corrected by using the patient’s own fat tissue.
- Implants with a roughened (textured) surface in particular are associated with the development of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). As anatomical implants can be dispensed with in a hybrid breast augmentation, the risk of developing BIA-ALCL is much lower.
- By using the patient’s own tissue, the implant is better covered and the risk of wrinkling (so-called rippling phenomenon) is reduced. The implant therefore does not have to be placed under the muscle to avoid wrinkling. The placement of implants under the pectoral muscle is associated with a more painful and prolonged recovery period after the operation.
- When breast implants are inserted under the pectoral muscle, implant displacement occurs more frequently. In a hybrid breast augmentation, however, the implant can be placed above the pectoral muscle. The risk of displacement is significantly lower with this breast augmentation method.
- The autologous fat treatment achieves an additional enlargement so that a smaller implant can be used.
- By using softer and smaller implants in combination with autologous fat treatment, the breast retains its natural shape, both lying down and standing up.
- The transplanted autologous fat tissue also contains numerous stem cells. The autologous fat treatment therefore leads to an improvement in skin tone.
- The décolleté and the hollow between the breasts can be emphasized with a hybrid breast augmentation.
- Round implants are cheaper from all breast implant manufacturers.
Transplanted autologous fat – For a beautiful décolleté and a natural shape, autologous fat treatment can be combined with breast augmentation with implants.
Procedure for a hybrid breast augmentation
Preparation
At the beginning, the breasts are marked with a special pen in a standing position. If the operation is performed under twilight sedation, you will be given medication to relieve your anxiety and reduce your sensitivity to pain. If you are not already sound asleep, you may hear touching on the surface of your body.
The OP
If the patient already has implants, these are removed in the first step of the surgical procedure. For this purpose, the respective implant is carefully removed with the surrounding capsule via a small incision in the area of the underbust fold. The pectoral muscle is then reattached to the sternum. The scar tissue is firmly closed towards the midline. The pocket into which the new implants are inserted is formed above the large pectoral muscle. With the Keller-Funnel method, the new breast implants are now inserted gently and precisely. This method is also known as the “no-touch” technique. The wound is sutured closed with fine stitches, which dissolve after about three weeks.
After the procedure
The surgery lasts approx. 180 minutes. Immediately after the breast augmentation, you will be continuously monitored in a so-called recovery room. Once you are fully awake, you can have a drink and, if you feel well, eat something. Several check-up appointments are arranged before leaving the practice. The aftercare measures will be discussed with you in detail and you will receive a comprehensive written report.
What are the particular risks of hybrid breast augmentation?
Surgical treatment is associated with opportunities, but of course also with risks. When using breast implants, there is always a risk of capsular contracture (capsular fibrosis). Although today’s implants are well tolerated, a certain immunological reaction will inevitably occur after several years or decades.
As part of the healing process, side differences can occur with regard to breast size and shape, but also the position and size of the scars. In general, breast implants carry the risk of wrinkling, displacement, rupture or the development of anaplastic large cell lymphoma (ALCL). However, these risks are lower when using smooth implants in a smaller version as part of hybrid breast augmentation than in a classic breast augmentation with anatomical textured implants without autologous tissue.
Liposuction or fat grafting can result in contour irregularities. However, the risks are lower than with conventional liposuction, such as for removing fat deposits from the thighs. The transplanted fatty tissue can die if the breast is not sufficiently supplied with nutrients and oxygen. Smokers have an increased risk of the fat tissue cells not healing, as well as general surgical risks (inflammation, thrombosis).
As implants attenuate X-rays, the assessment of breast tissue during a mammogram may be limited. Alternatively, the breast can be examined using ultrasound or magnetic resonance imaging.
FAQ – Frequently asked questions
Hybrid breast augmentation is the ideal procedure for patients who are interested in an augmentation of at least two cup sizes. Approximately 300 to 400 ml of adipose tissue is required to obtain sufficient adipose tissue cells. This amount of fat tissue cells can usually also be obtained in slim women on the abdomen, the outer or inner thighs, the bottom or the inside of the knees.
You can find out the costs of a hybrid breast augmentation in a personal consultation.
AUTHOR
Dr. Stéphane Stahl
We provide you with extensive expert knowledge in order to select the best possible treatment path together with you.
Privatdozent Dr. med. Stéphane Stahl is the former Director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at Lüdenscheid Hospital. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin.
He passed the European specialist examination for plastic and aesthetic surgery in 2011 and the German specialist examination in 2012. This was followed by further specialist qualifications and additional qualifications (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officer, hand surgery) as well as prizes and awards.
In 2015, he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, sought-after expert witness and regular speaker at specialist congresses. Following a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery.
His authorship includes numerous articles in prestigious peer review journals and standard surgical textbooks.
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