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Breast Augmentation : Silicone implant and Fat Grafting

Home » Breast Augmentation dilemma: Silicone implant and Fat Grafting

Breast Augmentation dilemma: Silicone implant and Fat Grafting

Is Breast Augmentation the Right Choice for Me to Improve Breast Size, Shape, or Confidence?

Many women I meet feel unsure about their breast size or loss of volume after pregnancy or weight changes. This often affects clothing choices and self-confidence. In my clinical experience, breast augmentation can offer safe, natural-looking enhancement when planned correctly and ethically.

Why do women choose breast augmentation?

Breast augmentation helps improve breast size, symmetry, and volume to enhance body balance and confidence.

  • Desire for fuller or better-shaped breasts

  • Noticeable size difference between the two breasts

  • Volume loss after pregnancy, breastfeeding, or weight loss

  • Correction after previous breast surgery

  • Improved self-image and body proportions

Dr. Milan Doshi’s Tip:
In my OPD, the most common reason isn’t “size” alone—it’s wanting breasts that feel proportionate and natural for one’s body frame.

Breast augmentation is commonly done using silicone implants or fat grafting, depending on anatomy and goals.

  • Silicone Implants: Best for a defined size increase and structured shape

  • Fat Grafting: Ideal for subtle enhancement with a very natural feel

Dr. Milan Doshi’s Tip:
Choosing the technique is not about trends—it’s about matching the method to your tissue quality and expectations.

Silicone implant surgery places a medical-grade implant to achieve predictable size and contour.

  • Performed in an operating theatre under general anesthesia

  • Small, carefully planned incisions

  • Implant placed above or below the chest muscle

  • Technique customized to chest width, skin quality, and goals

Dr. Milan Doshi’s Tip:
In my clinical experience, precise implant selection matters more than implant size alone for natural outcomes.

Fat grafting uses your own fat to enhance breast volume and shape naturally.

  • Fat harvested via liposuction from abdomen, flanks, or thighs

  • Fat is purified and gently injected into the breasts

  • Smaller incisions and softer contour changes

  • May be done under local or general anesthesia

Dr. Milan Doshi’s Tip:
Fat grafting works best when expectations are realistic and donor fat quality is good.

Silicone implants offer reliable volume but involve implant-based surgery.

Advantages

  • Precise control over breast size and shape

  • Immediate and predictable results

  • Suitable even for lean patients

Limitations

  • More invasive procedure

  • Long-term implant monitoring required

  • Small risk of capsular contracture or rupture

Dr. Milan Doshi’s Tip:
I always explain implant longevity clearly—implants are durable but not lifetime devices.

Fat grafting offers natural enhancement but with size limitations.

Advantages

  • Uses your own tissue for a natural look and feel

  • Simultaneous body contouring from liposuction

  • Minimal scarring

Limitations

  • Only moderate size increase possible

  • Some fat absorption over time

  • Occasionally needs staged sessions

Dr. Milan Doshi’s Tip:
Fat grafting is excellent for refinement—not dramatic size jumps.

All surgeries carry risks, though complications are uncommon with proper planning.

Silicone Implants

  • Capsular contracture

  • Implant rupture or displacement

  • Infection or sensation changes

Fat Grafting

  • Partial fat absorption

  • Minor contour irregularities

  • Rare oil cysts or calcifications

Dr. Milan Doshi’s Tip:
In my practice, thorough pre-operative evaluation significantly reduces avoidable risks.

Results depend on technique, anatomy, and healing.

Silicone Implants

  • Immediate increase in size and projection

  • Stable, long-term shape

Fat Grafting

  • Gradual improvement over 3–6 months

  • Very soft, natural appearance

Dr. Milan Doshi’s Tip:
True success is when breasts look harmonious—not obviously “operated.”

Breast augmentation cost varies by technique and individual needs.

Technique Typical Range (INR) What It Usually Includes
Silicone Implants ₹1,40,000 – ₹2,00,000 + 18% GST Surgeon, anesthesia, OT, implants, medicines
Fat Grafting ₹1,50,000 – ₹2,50,000 + 18% GST Liposuction, fat processing, surgery & care

Final cost depends on implant type, complexity, and customization.

Dr. Milan Doshi’s Tip:
Cost should never guide the decision alone—safety and outcome quality matter more.

Q1. Is breast augmentation safe?

Ans. Yes, when performed by a qualified, experienced plastic surgeon with proper protocols.

Q2. How long is recovery after surgery?

Ans. Most patients resume light activities in a week. Full recovery takes 4–6 weeks.

Q3. Will the breasts feel natural?

Ans. Modern silicone implants feel soft, while fat grafting feels completely natural.

Q4. Can I breastfeed after breast augmentation?

Ans. In many cases, yes. Surgical planning matters if future breastfeeding is important.

Q5. How long do breast implants last?

Ans. Most implants last 10–15 years, though regular follow-up is essential.

Conclusion

In my clinical experience, breast augmentation is not about changing who you are—it’s about restoring balance, confidence, and comfort in your body. Whether silicone implants or fat grafting is right for you depends on your anatomy, goals, and lifestyle. A detailed consultation allows me to guide you safely toward results that look natural and feel right for you.

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Dr. Milan Doshi, Indian Board Certified
Celebrity Cosmetic Surgeon
26+ Years of Experience | 16000+ Surgeries

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