Breast Surgery

Combination Breast Augmentation

Combination Breast Augmentation korea
Breast implants + fat transfer; giving you beautiful cleavage, a natural-looking shape and soft texture

What is Combined Breast Augmentation?

Combined breast augmentation for voluptuous and natural-looking breasts

Many women undergo breast augmentation surgery in Korea to achieve beautiful and natural-looking breasts. If you happen to have extremely small breasts or thin subcutaneous fat, a general breast augmentation using breast implants is not enough.

If you get breast implants using breast augmentation only, the breast implants may be visible or the skin may become wrinkled after an operation.

Not only does a combined breast augmentation make soft tissues thicker by grafting autologous fat, but it also makes your breasts more voluptuous and natural by inserting breast implants.

  • Surgery Duration1.5 - 2 hours
  • HospitalizationNot required
  • # of Postoperative visits3 times
  • AnesthesiaGeneral anesthesia
  • Removal of Stitches5 - 7 days after the operation
  • Recovery PeriodAble to return to daily activity within 2 - 3 days after operation

Combined Breast Augmentation

Teardrop Implant Breast Augmentation using HD Endoscopy

Harvest Jet 2 (Breast Augmentation)

We recommend combined breast augmentation to the following people:
  • Those who have extremely small breasts or thin subcutaneous fatIf there is a high probability that the inserted breast implants may be seen due to extremely small breasts or thin subcutaneous fat, we also conduct autoplasty for more natural-looking breasts.
  • Those who have pigeon breasts or wide breastbones (sternum)- If you have pigeon breasts, you cannot attain a beautiful cleavage solely though breast implants.
    - Cleavage is an important element for femininity. Many women who are willing to undergo a breast augmentation want beautiful and natural-looking cleavage.
    - If you have wide sternum or pigeon breasts, you cannot attain natural-looking cleavage solely through breast implants.
    - In this case, we graft fat into the cleavage to create beautiful cleavage and voluptuous breasts.
  • Those whose nipples are overly distant from each other.- If you have wide-set breasts, situating the breast implants closer to the center is not enough to correct the breast shape.
    - It may instead make the nipples look more distant from each other.
    - In this case, we apply combined breast augmentation to adjust the center of the nipples and breast implants and then correct the breast asymmetry with fat transfer. This way, we correct wide-set breasts.

The Features of Combined Breast Augmentation

Soft Texture

If you have thin subcutaneous fat, you may be able to feel the breast implants under the skin after an operation. In this case, autologous fat should be grafted as well for a more natural feel.

Voluptuous Breasts

A combined breast augmentation can make your breasts more voluptuous than when either breast implants or autologous fat is inserted. If bigger breast implants are inserted without fat transfer, the breasts may become unnatural and feel awkward.

Natural Movements

A combined breast augmentation allows for natural movements whenever you stand up, lie down, or take other poses and makes your breasts more elastic.

Teardrop Breasts

Even though the same teardrop breast implants are inserted, the breast shape may vary depending on the patient’s body shapes. Using fat transfer, we can create more beautiful and voluptuous teardrop breasts.

Breast Symmetry

We can correct asymmetrical breasts by inserting different sizes of breast implants. In addition, combination breast surgery performed with precise fat transfer can correct asymmetrical breasts more precisely.

Beautiful Cleavage

If you have wide-set breasts or pigeon breasts, breast implants may make your breasts wider. In this case, fat should be grafted between the breasts to create a beautiful cleavage.


For a fat transfer to the breasts, fat is collected from the abdomen or thighs. In addition, this procedure is effective for reducing cellulites of the abdomen or thighs.

Know-how for JW’s Natural Breast Augmentation

#1 | Breast augmentation using HD endoscopy equipment

#2 | Prescription of special medications after an operation

  • We prescribe special medications for your natural-looking breasts.
  • By prescribing select medicines, we minimize capsular contracture.

#3 | Minimization of Scars

All the incision area has to be minimized. Because longer incision can make surgery much easier but scar will be shown more also we use melting thread on the hypoderm and special tape to attaching the surface of the skin to minimize the scar. You can start to take shower 2 to 3 days after the operation.

Step 1

Minimizing Scar on Armpit. We got to find most wrinkled area by moving arms up and downward.

Step 2

Make an incision mark about 3.5cm on the most wrinkled area so scar can be hidden after operation.

Step 3

Local anesthesia on the armpit and breast.

Step 4

Find right position where implant will inserted by using of HD endoscopy after make an incision.

Step 5

Minimizing Scar by performing same stitching method as facial plastic surgery.

Step 6

12 months after breast augmentation.
b. Periareola Incision

Normally previous periareola incision method was circular incision so scar was more shown but JW Plastic Surgery Korea use “zigzag periareola incision method” to minimize the scar.

If an incision is made on the deep bottom line of the breasts, scarring can hardly be seen.

c. Inframammary Fold Incision Method

a. JW’s Scar after breast augmentation by IMF Incision method (Inframammary Fold Incision Method)

b. Other Clinics Scar after breast augmentation by IMF Incision method (Inframammary Fold Incision Method)

#4 | Special Shaping Brassiere

Although breast symmetry is considered during breast augmentation, the breast shapes may become asymmetric depending on the lifestyles or breast tissues. For example, a right-handed person uses their right arm much more frequently. In addition, the heart is located on the left chest, the use of the muscles of each breast is different.

Therefore, a shaping brassiere is required to maintain the balance of the breasts. In addition, some patients may find the bottom line of the breasts to be unnatural after breast augmentation. To prevent this, a shaping brassiere is recommended to the patients for beautiful and natural-looking breasts.

JW Plastic Surgery provides a shaping brassiere at no cost after an operation. We adjust the shape of the bra whenever you visit the hospital.

#5 | Pain management system

Many patients worry about the pain of breast surgery. Pain is generally generated by bleeding and tissue damages. Using HD endoscopy, JW Plastic Surgery minimizes bleeding and tissue damages to reduce pain.

In addition, intercostal anesthesia is provided during an operation and analgesics are prescribed after an operation. In this way, the patients hardly feel any pain and don’t need any epidural injections for pain. Patients can leave the hospital on the day of surgery without hospitalization.

#6 | Breast surgery that doesn’t require any massage

Smooth Breast ImplantsTextured Breast Implants (JW)
Massage required (O)Massage NOT required (X)
  • When using smooth breast implants, enough space of the breast implants should be secured. This space should not be narrowed so that the breast implants can freely move.
  • For this purpose, the patient should get a massage therapy one week after an operation.
  • The rough surface of textured breast implants prevents contracture and induces the assimilation the breast implants with the neighboring tissues by weakening the force tightening the capsule.
  • Textured breast implants reduce the risk of side effects such as capsular contracture and location transformation, compared to smooth breast implants.
  • In addition, breast augmentation using textured breast implants does not require any massage therapy. In the past, textured breast implants were not widely used because their texture was unnatural compared to smooth breast implants. Now, textured breast implants have become more widely used since their texture has been greatly improved.

Note:What is capsular contracture?

When breast implants are inserted, a thin film consisting of scar tissues is formed around them. This film is called capsule. All patients who undergo breast augmentation using breast implants experience this phenomenon. Capsular contracture refers to a phenomenon that the capsule becomes abnormally thick. If the patient experiences severe capsular contracture, the breasts may be transformed into the shape of a ball.

Capsular contracture may occur when the surgical sites are filled with blood or infected. The patient may experience capsular contracture due to severe rejection reactions, depending on his/her constitution. To prevent this, the surgical sites should be carefully stanched and disinfected and space for breast implants should be secured accurately.

In addition, the patient should take contraction preventives after an operation. The patient should receive massage therapies after an operation using smooth breast implants. However, textured breast implants do not require massage therapies because their surface is already treated with capsular contracture preventives.


Postoperative complications such as bleeding and infection vary depending on the patient’s conditions. Pay extra attention to postoperative management.

The Features of JW’s Breast Surgery

#1 | Pioneer in endoscopic breast augmentation

M.D. Seul Chul-hwan of JW Plastic Surgery has been performing endoscopic breast augmentation since it was first introduced to Korea.

Through numerous academic presentations and activities, he has contributed to spreading endoscopic breast augmentation in Korea. M.D. Seul Chul-hwan designs beautiful breasts through safe HD endoscopic breast augmentation.

#2 | 18 years of Experiences of Know-how in Fat Transfer

Smooth Liposuction

Some patients experience bumpy and uneven skin after liposuction on their thighs or abdomen. JW Plastic Surgery performs liposuction in the shape of a fan to create smooth body lines.

High survival rates through precise transfer

In traditional fat transfer procedures, a lump of fat is used for grafting. However, JW Plastic Surgery applies a micro fat transfer. After separating fat, it is grafted under the skin using a micro syringe. This procedure minimizes pain but maximizes the survival rate of transferred fat.

#3 | Customized Breast Augmentation using a sizer

Before inserting breast implants, check the optimal breast size, breast symmetry, and detachment using a sizer.
As this step extends the surgery duration and increases the costs, many hospitals often skip it. However, JW Plastic Surgery considers this step to be very important to find the most suitable sized breast implants and obtain optimized results.

Step 1

Secure space for breast implants using HD endoscopy equipment for breast surgery.

Step 2

Insert a sizer to find appropriate-sized breast implants.

Step 3

Based on the analysis results, insert the appropriate-sized breast implants.

Step 4

This method to find an appropriate size helps to create beautiful and natural-looking breasts and correct asymmetrical breasts.

#4 | Minimized incisions, scars, and pain

JW Plastic Surgery minimizes incisions for less scarring and patient’s satisfaction and rapid recovery.

#5 | Various Breast Implants

JW Plastic Surgery has various types and sizes of breast implants to find the best breast implants for each patient.

In order to design beautiful breasts, we are using various breast implants of Allergan, Mentor, Silimed, Sebbin, and Polytech that have been proved safe.

JW’s Combined Breast Augmentation

Beautiful cleavage project: Combined breast augmentation

If you have wide sternum, pigeon breasts, or wide-set breasts, it is difficult to create natural-looking cleavage. In combined breast augmentation, autologous fat is grafted to the empty part between the breasts to create natural-looking cleavage.

Surgical procedure

Step 1

Secure space for breast implants using endoscopy machine and predict the expected breast shape and size using a sizer.

Step 2

Reinforce soft tissues with fat transfer.

Step 3

Select and insert the most suitable breast implants, considering the expected breast size and shape.

Step 4

Transfer more fat to the breasts if necessary.


Postoperative complications such as bleeding and infection vary depending on the patient’s conditions. Pay extra attention to postoperative management.

JW’s Post-operative Management System

Management system after breast surgery

After breast surgery, JW provides a systematic and specialized scar treatment program and post-operative management program for optimized results.
Postoperative management system for preventing capsular contracture, swelling, bruises, and pain
Cooperative medical system of the breast surgery team, the postoperative management team, and anesthesiologists.
Use of certified medication for malignant hyperthermia treatment.
Thorough safety management system for an immediate response to emergencies.

With more than 20 years of experience, a surgeon specialized in Breast Surgery.

JW surgeon for the Breast has been performing surgery with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.