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Is Breast Surgery Possible Without Implants? What Is Fourth-Generation BiVOL?

Bong Bong · Reshaping for Better Me 봉봉성형외과 · December 25, 2025

[Hakdong Station Plastic Surgery] Is breast surgery possible without implants? What is fourth-generation BiVOL? ​ ​ ​ When people think of breast surgery, many first think of impla...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Bong Bong

Original post date: December 25, 2025

Translated at: April 24, 2026 at 2:02 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

[Hakdong Station Plastic Surgery]

Is breast surgery possible without implants? What is fourth-generation BiVOL?

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When people think of breast surgery, many first think of implants. However, some people hesitate to undergo surgery because of concerns about a foreign-body sensation, how it feels to the touch, and long-term safety. Especially if you want a natural result, you may ask, “Is breast surgery possible without implants?” Recently, as one alternative to these concerns, a breast surgery method with a different approach from the conventional one has been drawing attention.

What are the limitations of conventional implant breast surgery?

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Breast surgery using implants has the advantage of allowing a relatively definite increase in volume, but depending on body type, the feel may seem unnatural or movement may feel out of place. In addition, over time, issues such as capsule formation, position changes, and rippling may occur.

For these reasons, the paradigm of breast surgery is shifting from simply increasing size to one that considers both naturalness and stability.

Why has breast surgery without implants become possible?

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With advances in medical technology and biomaterials, breast surgery using methods that were once hard to imagine has become possible. At the center of this is acellular dermal matrix (ADM). ADM is a biomaterial made by removing cells from human tissue to reduce immune reactions, and when implanted in the body, it has the characteristic of being gradually replaced by the patient’s own tissue over time. This has made it possible to approach volume and shape enhancement without implants.

Fourth-generation breast surgery, what is BiVOL?

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BiVOL is a breast surgery method that uses this acellular dermal matrix and is being introduced as fourth-generation breast surgery that moves away from implant-centered procedures. Rather than simply inserting an artificial structure, the key point of BiVOL is forming volume by utilizing the body’s inherent regenerative ability. As it is gradually replaced by autologous tissue over time, its biggest feature is that it can provide a more flexible and natural feel and shape.

How safe is the material used in BiVOL?

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The ADM used in BiVOL is known as a material also used in L&C Bio’s “Elravie Re20.” Elravie Re20 is made from highly purified human tissue-derived ingredients based on ECM (Extracellular Matrix) technology, and it is a material whose safety and effectiveness have been clinically proven. As such validated materials are applied in the same way to breast surgery, they are receiving positive evaluations in terms of long-term stability and reliability.

Why is natural volume emphasized?

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BiVOL breast surgery focuses on customized design that takes into account each person’s body type, chest wall structure, and existing tissue condition, rather than uniformly increasing size. As a result, it can create volume that harmonizes with the upper body line rather than an overly protruding, artificial-looking chest.

It may be a suitable option especially for those with thin skin, those who are sensitive to the foreign-body sensation of implants, or those who value natural movement. It can be seen as an approach suited to those who prioritize “completeness” over “size.”

Is this surgery possible for everyone?

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BiVOL breast surgery, which is performed without implants, certainly has many advantages, but it does not apply the same way in every case. The feasibility of surgery and the expected results may differ depending on the desired degree of volume, the amount of existing breast tissue, and skin condition. Therefore, it is essential to determine whether it is the right method for you through sufficient consultation and an accurate diagnosis. This is because breast surgery is a procedure in which a personalized approach is more important than anything else.

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Unlike the past, when implant-centered breast surgery was the norm, various methods that consider both naturalness and stability have recently emerged. Among them, BiVOL is drawing attention as a new concept in breast surgery that utilizes the regenerative ability of human tissue, and it is gaining interest as an option that can reduce the burden of implants while still offering natural-looking results.

If you are considering breast surgery, it is important to think carefully not just about simply increasing size, but about which method suits your body type and values.

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