
For some patients at Astrid Plastic Surgery, we use both breast implants and fat grafting synergistically, in the form of Hybrid Breast Augmentation (HBA), to achieve the the best breast aesthetics. There are some conditions that breast implants alone cannot address effectively when it comes to breast augmentation. Fat grafting is used as an adjunct to correct imperfections with the aim to attain a more “perfect” result. Here are some conditions where HBA will help:
Be it unbalanced breasts, scoliosis, rib asymmetry, or inborn conditions like Poland’s Syndrome, the ability of fat grafting to give precise pinpoint correction makes hybrid breast augmentation an excellent tool for creating more beautiful and symmetrical results.
Chest differences such as sunken breastbone (pectus excavatum) and pigeon chest (pectus carinatum) can significantly affect the results of breast augmentation. HBA is a useful technique plastic surgeons use to address the difficult chest contours seen in these conditions.
A common feature in women is widely-separated breasts. To create a beautiful cleavage in these women, placing the breast implants towards the middle is not the ideal solution, as the aesthetic proportions of the breasts is not achieved. A better solution is to place fat grafts in the cleavage area, in addition to breast implants to give a closer, deeper and more natural cleavage.
Breast irregularities and asymmetries are also seen after breast resection surgeries, such as lump removal, and breast infections. Breast filler injections (no longer approved in Singapore) has also given rise to complications such as infection, filler migration and breast distortion, requiring removal and causing scarring. The hybrid breast augmentation technique can work synergistically in these cases to augment the breasts and correct localized defects and scarring.
Even in women without any asymmetries, hybrid breast augmentation is particularly suitable for ladies who are very slim but wants a soft natural result. Here, the extra veil of fat grafts placed over the breast implants, can achieve their desired natural result, that implants alone cannot deliver.

Consultant Plastic Surgeon
MBBS, MRCS, MMed, FAMS (Plastic Surgery)
Dr Jonah Kua is a Consultant Plastic Surgeon, with extensive experience in reconstructive and aesthetic plastic surgery. He previously served as the Head of the Plastic Surgery Service at Changi General Hospital, was the National Program Director in Plastic Surgery at Singapore General Hospital and played a pivotal role in setting up the Breast Reconstruction and Aesthetic Surgery services in Changi General Hospital (CGH). Dr Kua is also the recipient of dual fellowship awards in the United Kingdom and South Korea. At his practice, Dr Kua combines clinical expertise with a deep understanding of individual needs, aesthetic goals and medical history to achieve natural-looking and beautiful results.

Consultant Plastic Surgeon
MBBS, MRCS, MMed, FAMS (Plastic Surgery)
Dr Chia Hui Ling has undergone advanced fellowship training in plastic surgery in South Korea and the United Kingdom, bringing international expertise to reconstructive and aesthetic procedures. She has special interests in facial plastic surgery, facial rejuvenation, breast reconstruction and microsurgery, and is known for her meticulous attention to detail and personalised approach to patient care. By combining advanced surgical techniques with evidence-based practice, Dr Chia develops individualised treatment plans that prioritise safety, function and natural-looking outcomes for every patient.