Composite Breast Augmentation

The two most common methods for breast enhancement are using a silicone breast implant or transferring your own fat. Dr. med. Strouthou offers the best of both by performing a Composite Breast Augmentation.

During this procedure, a breast implant is placed to help increase the size of the breast. Liposuction is performed at the same time as any problem areas, most commonly taken from the abdomen, flanks, arms, and inner thighs. The harvested fat is then transferred to the breast to further enhance the breast shape.

Lipofilling is performed in the deeper layers just above the implant and in a superficial plane at the level of the medial and upper border of the implant, hereby camouflaging the implant border and providing a natural-looking décolleté.

Lipofilling can also be performed over the entire breast in the subcutaneous layer. This will create an even more natural result. Sufficient fat needs to be available for this variant.

This will also allow the use of even smaller implants, favouring the balance of patient’s own tissues over implant volume. This will provide better long-term results.

Advantages of Composite Breast Augmentation include:

  • Improvement of breast volume and skin quality: in contrast to “lipofilling-only” augmentations, full cup size(s) increases can be easily achieved.
  • Specific shape adjustments are possible to perform, improving the aesthetic outcome with regards to symmetry.
  • Pre-pectoral pocket dissection is easier to perform and better to control compared to retro-pectoral pockets.
  • Minimal pain, which translates in faster rehabilitation.
  • No implant animation with pectoral contraction.
  • Precise control of inter-mammary distance and filling of décolleté.
  • Very natural result.
  • Liposuction at the donor site will improve body contours.


The main disadvantage of this technique is that it has a prolonged operating time, which means that the procedure is often more expensive than other conventional Breast Augmentation techniques. On the other hand, it is a two-in-one operative procedure combining Breast Augmentation with Body Contouring.

As with all surgery there are risks associated, patients can experience swelling, redness and sometimes a loss of sensation in the nipple area which in most cases returns, although this can take up to several months. The breasts can also look uneven for the first few weeks whilst they are settling, these are all quite common experiences in the initial few weeks following surgery.

There are some more uncommon risks for example hematoma, seroma, fat necrosis and infection which on occasion may require further surgical intervention. We monitor the progress of our patients for signs of these complications very carefully post operatively and our patients are given contact information should they need medical assistance once discharged from the hospital.

As with any Breast Implant surgery there is the risk of Capsular Contracture however using the modern technology of last generation implants (such Motiva) means that the risk of this is at an all-time low.

You will go home the same day of surgery and rest. Over the course of the first week you will begin range of motion exercises to keep your arms and shoulders from tightening up. You will wear your garments as instructed, typically for a minimum of 4 weeks to decrease pain, swelling, and bruising. Your breasts will initially be swollen, somewhat firm, and a little uncomfortable. This is normal and they will decrease in size as swelling goes down, and soften as the fat becomes incorporated. Final results typically take 3-6 months but often up to a year.