Breast Augmentation dilemma: Silicone implant and Fat Grafting

  • Posted by: Neha
  • Category: Breast Surgery


Breast augmentation is a common surgical procedure that enhances the size and contour of the breasts. This can be achieved through the use of breast implants or a process known as fat transfer.


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Why do people get breast augmentations?

  • Desire to alter breast size if they are considered small.
  • A need to enhance breast symmetry in case of one breast being smaller than the other.
  • Addressing reduced breast size after pregnancy or significant weight loss.
  • Rectifying irregularities or concerns related to breasts after surgery for other medical conditions.
  • Aiming to boost self-confidence and self-esteem.


Types of Breast Augmentation Surgery 

  • Silicone Implants: Silicone breast implants are often chosen when individuals desire a more significant increase in breast size or a well-defined shape. They are suitable for patients with limited available body fat for fat grafting.
  • Fat Grafting: Fat grafting is ideal for those seeking a moderate increase in breast size, enhancing natural contours, or correcting mild asymmetry. It is an excellent option for individuals with excess body fat for harvesting.



Silicone Implants:

  • Silicone implants are placed in your breasts through surgery with incisions.
  • You can choose to put the implants either above the chest muscle or below it.
  • This is usually done in an operating room while you’re asleep (under general anesthesia).

Fat Grafting:

  • This method uses liposuction to take fat from other parts of your body.
  • The collected fat is then injected into your breasts.
  • It involves smaller cuts and can be done with local or general anesthesia.



Silicone Implants:

  • You can control the size and shape of your breasts precisely.
  • You get immediate and expected results.
  • Good for people with not much extra body fat.

Fat Grafting:

  • It uses your own body tissue, making your breasts look and feel more natural.
  • It also helps contour your body through liposuction at the same time.
  • Leaves less noticeable scars compared to implant surgery.




Silicone Implants:

  • It involves a more invasive surgery.
  • Long-term upkeep and potential issues related to the implants.
  • There can be scars and implant-related risks, like rupture or capsular contracture.

Fat Grafting:

  • Only offers a moderate increase in breast size.
  • Some of the fat might get absorbed by your body, needing more sessions.
  • It depends on having enough extra fat in your body.


Possible Dangers:

Silicone Implants:

  • Problems related to the implants, like breaking or leaking.
  • Scars on your skin.
  • Risk of infection and something called capsular contracture, which can make your breasts feel hard.


Fat Grafting:

  • Some of the fat can get absorbed by your body.
  • The fat might not spread evenly, leading to uneven results.
  • There’s a chance of infection and the development of cysts.



Silicone Implants:

  • You’ll see a quick and clear improvement in your breast size.
  • The results are expected and remain steady over time.
  • There’s a chance for a well-defined breast shape.

Fat Grafting:

  • The enhancement happens gradually over a few months.
  • Your breasts will have a natural appearance and feel.
  • May require multiple sessions to achieve desired results.



The cost of breast enhancement in Mumbai is about one-third of what it is in Western countries. This attracts people from other countries, including non-resident Indians and foreigners. Because the surgery is affordable, not just celebrities but people from all walks of life can make their dream of looking beautiful come true.

  • Silicone Implants: Typically cost between INR 1,40,000 TO 2,00,000 ($2,000 to $3,000) PLUS 18% GST, including surgeon, surgical facility, anaesthesia, implant and medicine and fees.
  • Fat Grafting: Generally, falls within the same cost range as implant surgery, ranging from INR 1, 50,000 TO 2,50,00 ($2,000 to $4,000) PLUS 18% GST, with fees related to liposuction and fat processing.




When it comes to breast augmentation, the decision between silicone implants and fat grafting is a profoundly personal one. Both methods come with their own distinctive advantages and drawbacks. Silicone implants offer the advantage of immediate and precise size control, while fat grafting leans on the natural feel of the body’s tissue. The transition from uncertainty and confusion to a well-informed choice is a journey marked by careful contemplation of individual goals, body type, and personal preferences. Ultimately, the choice is a pivotal step in the pursuit of enhanced confidence and satisfaction.