Combination Augmentation
This procedure combines implant insertion which creates volume and autologous fat grafting which enhance the thickness of the soft tissue.
It’s ideal for women who want fuller volume and a natural-looking shape.
Combination Breast Augmentation

If a woman has almost no breast tissue or her subcutaneous fat layer is very thin, performing augmentation with just implants can cause the implant’s edges or wrinkled surface to be felt or even seen through the skin a phenomenon known as rippling.
Features of Combination Breast Augmentation
MERIT 01
Beautiful Cleavage
In cases where the breasts are set wide apart or the chest is pigeon-shaped, the gap between the breasts can appear even more noticeable after implant insertion. By filling the inner area with fat, it is possible to create a beautiful, natural-looking cleavage.
MERIT 02
Correcting the asymmetry
In combination breast augmentation, fat can be grafted in the needed areas and in the required amounts, allowing for more precise correction of asymmetry.
MERIT 03
Soft Texture
Since fat grafting increases the thickness of the soft tissue over the implant, it helps reduce the palpable feeling of the implant and provides a more natural, softer texture.
MERIT 04
Fuller Volume
Using too large implants can make the results look unnatural. However, by combining fat grafting with implants, it becomes possible to use slightly larger implants under less ideal conditions, achieving fuller volume with a natural look.
MERIT 05
Liposuction
The fat needed for the breasts is harvested from the thighs, flanks, or abdomen. This can also reduce unwanted fat in those areas, providing a body-contouring effect a “two-in-one” benefit.
MERIT 06
Natural Movement
The breasts move naturally according to one’s posture whether standing or lying down, resulting in a more supple and lifelike appearance.
MERIT 07
Tear-Drop Shape
Even when using round implants, fat grafting can add volume to the lower part of the breast, resulting in a more natural, teardrop-like shape.

Combination Breast Augmentation Method
Common postoperative complications such as bleeding or infection may occur depending on the individual, so careful attention is required.
STEP 01
An incision is made either through the armpit (endoscopic method) or along the breast fold to create space for the implant.
STEP 02
A temporary implant, called a sizer, is inserted to check the pocket and breast shape, helping determine the most suitable implant size and specifications.
STEP 03
Fat grafting is performed to supplement the soft tissue thickness and improve the cleavage and breast contour.
STEP 04
The final implant, selected based on the sizer, is inserted.
STEP 05
If needed, additional fat is grafted to refine and complete the result.
Combination Breast Augmentation at a Glance!
As it is manufactured with uniform thickness and viscoelasticity across the entire 360° surface, it offers excellent elasticity and durability under equal tensile strength. In addition, the implant has a low risk of damage during insertion and can be placed through a smaller incision.

Types of Breast Implants at JW Plastic Surgery

Motiva

Mentor

Sebbin
Breast Augmentation: Pre-op and Postoperative Care and Precautions

Medication Guidelines
01 | Two weeks before surgery: stop taking any medications that may cause bleeding.
02 | Take prescribed antibiotics and anti-inflammatory medication for about 1 week after surgery
03 | Capsular contracture prevention medication: taken only temporarily, and only if prescribed.

No Smoking,
No Drinking
01 | Refrain from smoking for one week before and after surgery.
02 | Avoid alcohol for one week before surgery and four weeks after surgery.

Pain management
Before waking from general anesthesia, a PCA (patient-controlled analgesia) device is used to minimize the pain.

Daily Life
Most daily activities can be resumed immediately after surgery, and returning to work is possible within 2–3 days.

Face wash & Showering
You can wash your face and lower body right after surgery but a full-body only shower 2–3 days post-surgery.

Exercise
01 | You can walk as soon as you wake up from the anesthesia
02 | However, strenuous exercises such as aerobics, tennis, swimming, or weight training are recommended only after 4–8 weeks post-surgery.
CLEAN Surgery – Capsular Contracture Rate under 0.2%
(Based on data from 2016 to date)
There are various causes of capsular contracture.
However, by addressing each of these factors individually, the likelihood of occurrence can be significantly reduced.
At JW Plastic Surgery, we perform CLEAN Surgery to ensure patient safety and achieve the highest quality results.
4K UHD Endoscopic Surgery Minimized bleeding
Repeated disinfection of the surgical area
Sterile irrigation of the dissected pocket
Aseptic implant insertion using Ioban
Complete removal of air, fluid, and blood from the implant pocket
Dr. Seol Chul-hwan
performs a 100% all surgeries himself, NO proxy surgeries
Dr. Seol Chul-hwan
Personally checks each patient’s recovery progress
The processes required to lower the risk of capsular contracture demand several times more effort, but thanks to the CLEAN Surgery system, since 2016, among patients who have undergone breast augmentation, cases of capsular (spherical contracture), where the breast becomes firm and ball-shaped, have occurred in less than 0.2% of cases. JW Plastic Surgery is dedicated to ensuring safe surgery and beautiful results.
JW BREAST SURGERY
About Breast Surgery at JW Plastic Surgery
RECOMMEND
We are a Plastic Surgery Clinic Recommended by Other Medical Professionals

- Over 21 years of extensive experience and expertise
- A trusted breast revision surgery center recommended by other hospital doctors
- Ongoing breast surgery research through academic conferences and presentations
- 1:1 dedicated care system designed to prevent risk of secondary revision surgeries
- A renowned specialist in 4K UHD endoscopic breast augmentation
ONE-STOP
Pre-Surgery ONE-STOP Comprehensive Examination
Before breast surgery, all necessary health assessments, including blood tests, EKG, and chest X-ray can be performed conveniently in-house at JW clinic without needing to visit other hospitals such as an internal medicine clinic.

Blood test

Electrocardiogram (ECG)

Chest X-ray

Virtual Simulation

At JW Plastic Surgery, we use a 3D body scanner to provide accurate diagnosis and predict precise surgical outcomes.

Accurate measurement of body dimensions

Detailed 3D image analysis for precise surgical planning

3D Image Observation
Implant Trial Experience
This program allows you to try on implants of different sizes suited to your body type using specialized fitting garments, so you can experience the expected breast size and shape before surgery.

STEP 01
Accurate breast size measurement

STEP 02
Implant fitting

STEP 03
Check breast fit and appearance
SYSTEM
Postoperative Breast Augmentation Care System
All treatments and follow-ups are personally performed by the operating surgeon.
Day 1 post-surgery
Check for any bleeding and perform the first treatment.
Day 2~3 post-surgery
We apply waterproof tape to the incision site. (Full-body showers are allowed from this day.)
7 Days After Surgery
All tapes are removed. Since no skin sutures are used, stitch removal is unnecessary, and there are no suture-related scars.
1 Month Post-Surgery
Prescription of scar cream and whitening cream.
Patients can switch from a surgical bra to a regular bra.
(It is recommended to choose a bra that does not affect breast shape.)
Every 3 Months
Continuous follow-ups, up to 1 year
After 1 Year
Regular check-ups are no longer needed, but patients can continue to receive follow-up evaluations from their surgeon at any time after.

LED Light Therapy
Promotes blood circulation and romotes deswelling

High-Frequency Thermal Therapy
Promotes blood circulation and reduces swelling

Capsulitis Treatment
Prevents capsular contracture, relieves swelling and pain

Breast Ultrasound
Implant check

Hematoma Laser & Injection
Hematoma treatment

Scar Whitening Laser
Treats pigmentation caused by hematoma
Prescription of Special Medication
After surgery, if necessary, special medications may be prescribed to achieve a natural breast appearance. These medications are carefully selected based on clinical research and help minimize capsular contracture, even in patients who are prone to developing it due to their body type.
Wearing a Special Surgical Bra
Even if both breasts are made as symmetrical as possible during breast augmentation surgery, the position of the implants may shift over time depending on lifestyle habits or the natural characteristics of the breast tissue.
For example, right-handed people tend to use their right arm and pectoral muscles more frequently, and since the heart is located on the left side, the height and angle of the rib cage differ slightly between sides.
The surgical bra helps maintain proper implant positioning, correcting any imbalance and providing consistent support to prevent displacement.
In addition, after augmentation surgery, the inframammary fold can sometimes appear less defined, creating an unnatural look. The surgical bra helps redefine the fold and expand the lower breast area, enhancing the overall natural appearance of the breasts.
JW Plastic Surgery provides this special surgical bra free of charge,
and during each follow-up visit, the bra is adjusted and customized to fit the patient’s breast shape perfectly.
SAFETY SYSTEM
Surgical Safety Management System
01
Infection prevention through a thorough sterilization protocol
Equipped with an air shower cubicle, sterilization and disinfection equipment, HEPA filters, and a laminar flow air purification system meeting high-risk surgery standards to prevent infection.
02
Minimizing capsular contracture through aseptic clean surgery
Continuous monitoring of the patient’s ECG, blood pressure, pulse, oxygen saturation, carbon dioxide levels, and body temperature throughout the procedure.
03
Real-time patient monitoring system during surgery
Equipped with an uninterrupted power supply and fire-resistant structure throughout the entire hospital building.
04
Prepared for any emergency situation
Emergency treatment system equipped with a defibrillator and emergency rescue equipment.
05
Emergency Response System
Various implants available, including Motiva, Mentor, and Sebbin are selected according to each individual’s breast characteristics and personal preferences.
06
Wide range of clinically proven implants
Our in-house anesthesiologist provides care from the beginning of surgery through recovery, with safety equipment in place to respond immediately to emergencies and ensure effective postoperative pain management.