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Composite Breast Augmentation

Composite Breast Augmentation San FranciscoComposite Breast Augmentation San Francisco

The two most common methods for breast enhancement are using a silicone breast implant or transferring your own fat. Dr. Sieber offers the best of both in performing composite breast augmentations. 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. Fat can be placed to provide more cleavage, improve breast asymmetry, or to blend in the upper part of the breast giving an even more natural result than implants alone.

Composite Breast Augmentation Improvements

 After composite breast augmentation patients can expect:

  • Increased breast size
  • Better breast shape
  • Improved cleavage
  • Natural breast appearance
  • Improvement in deflated breast appearance after children
  • Better breast symmetry

Quick Facts

 Length: 1-3 hours

Anesthesia: General

Inpt/Outpt: Outpatient

Side effects: Bruising, swelling, pain

Recovery: 3-5 days off from work

Composite Breast Augmentation Technique

 Since composite breast augmentation is a combination of three separate procedures, it is more involved than traditional breast augmentation alone.

The procedure is performed under general anesthesia in a certified outpatient facility. Prior to surgery, you will have worked with Dr. Sieber using Vecta 3D imaging to decide on implant size and style that achieves your goals for surgery.

The procedure begins with Dr. Sieber making a pocket for the breast implant beneath the chest muscle. This helps to achieve a more natural result and also provides support for the implant over time.

Next liposuction is performed on whichever areas were discussed prior to surgery. For more information on the steps involved in liposuction visit (hyperlink to lipo page).

After processing the fat, it will be reinjected into the breast tissue to shape and enhance the breast tissue even more than an implant along. The extra fat also provides additional coverage of the implant giving a more natural look and feel to the breast.

Preparing for Composite Breast Augmentation

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Composite Breast Augmentation


 Q: Who is a good candidate for Vaser Hi-Def Lipo

A: The best candidates are patients who are a normal body weight without any excess skin. Patients are typically active and eat well, but still, have stubborn pockets of fat. Vaser allows Dr. Sieber to remove the unwanted fat, exposing the muscles underneath.

Q: What is the difference between standard liposuction and Hi-def lipo?

A: Vaser hi-def lipo takes standard liposuction to the next level of results. In traditional liposuction fat is typically removed uniformly from areas of the body, often resulting in a flat and “operated” looking appearance. Hi-def lipo is commonly referred to as liposculpture because as fat is removed in certain areas, a little is left in others. This strategic removal of fat allows Dr. Sieber to expose the underlying muscles like in the abs, pecs, and shoulders. It can make an already fit person have a more sculpted and athletic appearance.


VASER High Definition Liposuction removes the deep layers of fat as well as the fat at the superficial and subdermal layers. This means that pockets of fat between the skin and the muscles can be reached and removed. This is a crucial factor in the way hi-def lipo sculpts the body, instead of simply removing deep layers of fat.


Patients will keep the effects of VASER High Definition Liposuction as long as they maintain a healthy, stable weight. Any weight loss, weight gain, pregnancy, or childbirth after the procedure will alter the results. Patients are encouraged to follow a healthy lifestyle, including an active lifestyle and a nutritious diet.

Q: What exactly can I expect after Vaser High Definition Liposuction?

A: After hi-def liposculpture, a thin layer of fat will be left in areas that naturally have muscles underneath such as the shoulders, chest, and abs. This will be juxtaposed to areas where fat is completely removed, creating highlights and shadows to enhance your natural anatomy.

Q: How long will I have to wear compression after surgery?

A: Dr. Sieber recommends wearing a firm compression for the first 2 weeks after surgery, then spanx or a similar type of compression for an additional ten weeks.

Q: Are lymphatic massages really necessary?

A: The short answer is yes! lymphatic massages will help to remove any excess fluid from the tissue, expediting the time you will experience swelling. It also helps to prevent lumps and bumps underneath the skin known as contour irregularities.

Contact Us Today

To find out more about composite breast augmentation with Dr. David Sieber at Sieber Plastic Surgery, call us today at 415-915-9000 or schedule a consultation here.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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