Breast Augmentation in Pune with Breast Implants

What is breast augmentation?

Breast augmentation (augmentation mammaplasty) increases breast volume and improves shape, usually with breast implants. Women choose it for different reasons:

• breasts that have always felt small for their frame
• loss of volume after pregnancy, breastfeeding or weight loss
• noticeable difference in size between the two breasts
• as part of reconstruction after breast surgery

A breast implant is a silicone shell filled with either silicone gel or saline (salt water). Implants come in different widths, projections, shapes (round or teardrop) and surface textures. Implants add volume; they do not lift breasts that have sagged a lot, which may need a breast lift as well.

Who may benefit, and how is suitability assessed?

You may be a suitable candidate if you are in good general health, your breasts have finished developing, you do not smoke or are willing to stop, and you understand that implants need lifelong follow-up and may need further surgery.

At consultation your surgeon will:

1. Discuss your goals, including the look and size you would like and your lifestyle, work and sports.
2. Take a health and family history, including any breast lumps, previous breast surgery, breast cancer in the family and plans for pregnancy or breastfeeding.
3. Examine and measure your breasts: width of the breast base, skin stretch, nipple position, breast tissue thickness and chest wall shape. These measurements guide implant size more than cup size does.
4. Arrange imaging if needed, such as a breast ultrasound or mammogram depending on your age and history.
5. Use sizers or trial implants so you can see how different volumes look.

Augmentation is usually postponed during pregnancy and breastfeeding, while a breast lump is being investigated, or if there is significant sagging that would need a lift.

What are the options?

Choice	Options	Things to weigh
Fill	Silicone gel or saline	Silicone feels more natural; saline leaks are obvious and may need a smaller incision
Shape	Round or anatomical (teardrop)	Round implants give upper fullness; anatomical implants can rotate
Surface	Smooth or textured	BIA-ALCL has been linked mainly to textured surfaces
Placement	In front of the muscle, behind the muscle, or dual-plane	Muscle cover helps when breast tissue is thin; affects recovery and movement
Incision	Under the breast fold, around the areola, or armpit	Fold incision gives the most control; areola incision may affect sensation
Alternative	Fat grafting	Smaller, less predictable increase; no implant
No surgery	Padded or shaping bras	No risk; no permanent change

Our articles on implant placement and incisions and silicone vs saline implants explain these choices in more detail.

How is breast augmentation performed?

1. Planning and markings with you standing, based on your measurements.
2. General anaesthesia.
3. Incision in the chosen location, most often the fold under the breast.
4. Creating a pocket for the implant, either behind the breast tissue or partly behind the chest (pectoralis) muscle, with careful control of bleeding.
5. Sizing and positioning: temporary sizers may be used to check shape and symmetry, with you sitting up on the table.
6. Inserting the implant using a technique that keeps handling and contamination to a minimum.
7. Closing in layers and applying dressings and a support bra.

Most women go home the same day or the next morning.

How should you prepare, and what should you ask?

• Stop smoking before and after surgery.
• Have any recommended breast imaging done first.
• Share all medicines and supplements; some increase bleeding.
• Arrange help at home for a few days and avoid lifting young children for the first weeks.
• Buy the support bra your surgeon recommends.

Questions to ask:

• Which implant fill, shape, surface and size do you recommend for me, and why?
• Where will the implant sit, and where will the scar be?
• Which implant brands do you use, and will I receive the implant details and card?
• How often should I have check-ups or scans afterwards?
• What happens if I need the implants changed or removed in future?

What is recovery like?

Time after surgery	What to expect for most patients
Days 1-3	Tightness and soreness, more if the implant is behind the muscle. Support bra on, gentle arm movement, short walks.
Week 1	Most women are back to desk work in a few days. Avoid lifting, pushing or reaching overhead.
Weeks 2-4	Swelling and bruising reduce. Light exercise such as walking increases. Implants may look high and firm at first.
Weeks 6-8	Upper-body exercise and heavy lifting usually restart about six weeks after surgery, as advised.
Months 3-6	Implants settle into a more natural position and the breasts soften.
12 months	Scars have matured and the shape is stable.

What are the risks of breast augmentation?

Breast implants are generally safe, but they carry specific risks, and the chance of needing another operation increases the longer you have them.

• Capsular contracture: the scar tissue capsule that forms around every implant tightens, making the breast firm, painful or misshapen. Surgeons describe it with the Baker grades I to IV. Severe cases need surgery.
• Rupture: silicone implants can rupture “silently” without symptoms. Regulators such as the FDA recommend periodic imaging with ultrasound or MRI for silicone implants, starting some years after surgery.
• Infection, usually early; sometimes the implant has to be removed.
• Haematoma or seroma (blood or fluid collection).
• Changes in nipple or breast sensation, usually temporary.
• Implant malposition, rippling or asymmetry, sometimes needing correction.
• Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): a rare lymphoma in the capsule, mainly with textured implants, usually appearing as late swelling.
• Systemic symptoms that some women attribute to their implants (often called breast implant illness), such as fatigue or joint pain. Research is ongoing; some women improve after removal.
• Scars, which are permanent and can thicken in some skin types.

Contact your surgeon promptly for fever, redness, one breast swelling much more than the other, or, at any time in the future, new swelling, a lump or pain around an implant.

What affects your results?

Your natural breast tissue, skin elasticity, chest wall shape and the implant chosen all affect how natural the result looks. An implant that is too wide or heavy for your tissues increases the risk of thinning, rippling and sagging over time. Pregnancy, weight change and ageing continue to change the breasts after augmentation.

What affects the cost of breast augmentation in Pune?

• Implant type and brand, which is a large part of the cost.
• Placement and technique, including whether a lift is needed.
• Anaesthesia, operating theatre and hospital stay.
• Pre-operative imaging and tests.
• Support bras, medicines and follow-up visits, and future imaging for silicone implants.

Cosmetic breast augmentation is usually not covered by insurance. Many women considering augmentation after pregnancy also look at a mommy makeover, which combines breast and abdominal surgery.