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Breast Surgery · SKMC Abu Dhabi

Hybrid Breast Augmentation

Hybrid (composite) augmentation combines an implant with your own fat to refine shape and correct the natural asymmetry between both breasts — Dr Thomas Colson's most frequent breast procedure. A fat-only option exists for native breasts, with body contouring from the donor areas.

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Written by Dr Thomas Colson, Head of the Department of Plastic Surgery, Sheikh Khalifa Medical City (SKMC), Abu Dhabi · Double board-certified (SOFCPRE, EBOPRAS) · Last reviewed June 2026
The concept

Made-to-measure, not off-the-shelf

Composite — or hybrid — augmentation combines an implant with the patient's own fat. It is Dr Colson's most frequent breast procedure (about 70%), because almost every woman has a small natural asymmetry between her two breasts, and an implant's fixed size cannot correct it.

The implant supplies the underlying volume; the fat, transferred by lipofilling, refines the shape side by side — upper pole, cleavage and base — for a result tailored to each breast rather than fitted to a single implant size.

Fat-only option for native breasts

For a native breast — typically a younger patient, with no sagging, who has not breastfed — wanting up to about one cup more, Dr Colson offers augmentation by fat transfer alone, with no implant. The donor areas (abdomen, saddlebags, back roll, arms) are contoured at the same time.

Two benefits, one operation

Reshape the breast and the silhouette

Because the fat is harvested by liposuction from chosen donor areas, composite surgery contours the body — abdomen, flanks, back, arms — while enhancing the breast. The plan, including implant choice and the volume of fat per side, is agreed using a Crisalix 3D simulation at consultation.

A note on privacy and results

In line with UAE Department of Health guidelines on modesty and medical advertising, breast surgical results are not published online. Outcomes relevant to your own anatomy are reviewed privately during your consultation, alongside a Crisalix 3D simulation of your planned result.

Questions

Frequently asked questions

What is hybrid (composite) breast augmentation?
It combines a breast implant with the patient's own fat, transferred by lipofilling. The implant provides the underlying volume while the fat refines the shape — softening the upper pole, improving cleavage and, importantly, correcting the small natural asymmetry between the two breasts. About 70% of Dr Colson's breast practice is composite.
Why combine fat with an implant rather than using an implant alone?
Implants come in fixed sizes and shapes, so on their own they cannot correct the small differences that exist between most women's two breasts. Adding the patient's own fat lets Dr Colson fine-tune each side independently for a tailored, natural result — something an implant alone cannot achieve.
Can I have a breast augmentation without an implant, using only fat?
Yes, for the right candidate. Fat-only augmentation suits native breasts — typically a younger patient with no sagging who has not breastfed — wanting a modest increase of up to about one cup size. It avoids an implant entirely and offers a natural feel.
Where does the fat come from, and is there a body-contouring benefit?
The fat is harvested by liposuction from donor areas such as the abdomen, flanks (saddlebags), back (back roll) and arms. This means the procedure also contours those areas — reshaping the body while enhancing the breast in a single operation.
Does the transferred fat last?
A proportion of the grafted fat establishes a blood supply and remains long-term, while some is naturally reabsorbed in the first months — which is why the technique and volumes are planned carefully. The implant provides stable underlying volume, and the fat refines the result around it.
Sheikh Khalifa Medical City

Plan Your Breast Surgery Consultation

Consultations and surgery with Dr Thomas Colson are performed exclusively at Sheikh Khalifa Medical City (SKMC) in Abu Dhabi, within the SEHA network. A pre-operative Crisalix 3D simulation lets patients preview the planned breast shape before deciding.

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