What Is Breast Augmentation?
Breast augmentation increases the size, improves the shape, or restores lost volume of the breasts using implants or, in selected cases, your own fat. Women choose it for many reasons: naturally small or underdeveloped breasts, loss of volume after pregnancy or weight loss, asymmetry between the two sides, or simply a wish for better proportion with the rest of the body.
At Aakar Aesthetics in Nashik, Dr. Kiran Nerkar, a board-certified plastic surgeon, plans augmentation based on your body measurements, tissue quality and lifestyle rather than a fixed implant size. The aim is a natural-looking result that suits your frame.
Who Is a Good Candidate?
- Adults whose breast development is complete.
- Women in good physical and mental health with realistic expectations.
- Non-smokers, or those willing to stop before and after surgery.
- Women with volume loss, asymmetry or a wish for fuller breasts.
If your breasts also sag, an augmentation alone may not give the shape you expect, and a breast lift, with or without an implant, may be more suitable. This is discussed during your consultation.
Myths and Facts About Breast Augmentation
There is a great deal of conflicting information about breast implants, and it helps to separate common myths from facts before you decide.
- Myth: Bigger is always better. Fact: a result that looks proportionate to your chest width, shoulders and hips generally looks more natural and ages better than an implant chosen for size alone.
- Myth: Implants need to be replaced every few years without exception. Fact: implants are not lifetime devices, but many women keep the same implants for a decade or more without any problem, provided they attend routine check-ups.
- Myth: Everyone can tell if you have implants. Fact: with a size and placement suited to your anatomy, results generally look and feel natural, and many patients are only asked because friends notice a general change in confidence and clothing fit, not an obvious implant.
- Myth: Implants always interfere with breastfeeding. Fact: most women who have augmentation are still able to breastfeed, although this can depend on the incision and technique used.
- Myth: The surgery is simple and needs no real preparation. Fact: although augmentation is a common procedure, it is still a surgery under anaesthesia and deserves the same careful preparation, consultation and aftercare as any operation.
Choosing Implants: Type, Shape, Size and Placement
Implant type
- Silicone gel implants: feel closest to natural breast tissue and are the most commonly chosen.
- Saline implants: filled with sterile saline; may feel firmer and can show rippling more in thin women
Shape and surface
- Round implants give fuller upper breast and are the most common choice.
- Anatomical (teardrop) implants have a natural slope and suit selected patients.
- Smooth-surfaced implants are widely used. Textured implants have been linked to a rare lymphoma (BIA-ALCL), so your surgeon will discuss the surface type and the reasons behind the recommendation.
Size
Size is decided by the width of your chest and breast base, skin elasticity and your goals, not just by cc numbers. Trying sizers inside a bra during the consultation helps you visualise the result.
Placement
Under the gland (subglandular) or under the chest muscle (submuscular/dual-plane). Dual-plane placement often gives good coverage and a natural upper slope, especially in slim women.
Incisions
- Inframammary: in the fold under the breast; common, gives excellent control.
- Periareolar: around the lower edge of the nipple area
- Other approaches may be used in selected cases.
Fat Transfer Breast Augmentation
In this technique, fat is taken from areas such as the abdomen or thighs by liposuction, purified and injected into the breasts. It leaves only tiny scars and gives a natural feel, but it typically produces a modest size increase (often up to about one cup) and some of the fat may be absorbed. It suits women who want a subtle change and have enough donor fat.
Preparing for Your Consultation
A good consultation is a two-way conversation, and coming prepared helps you get the most from it.
- Think through what you would like to change and bring reference photographs if they help you explain your goals, keeping in mind that every body is different.
- Bring a list of your current medications, supplements and any allergies.
- Note your family history of breast disease, and mention any previous breast surgery, biopsy or significant breast infection.
- If you have had a recent mammogram or breast ultrasound, bring the report.
- Write down your questions in advance – about implant type, size, placement, scars, recovery time, and what a revision might involve in future – so that nothing is forgotten in the moment.
- Let your surgeon know about your plans for pregnancy and breastfeeding, since this can influence the technique recommended.
Being open about your goals, your daily routine and your comfort with surgery helps Dr. Nerkar tailor advice that is realistic for you, rather than a generic recommendation
Body Image, Confidence and Making the Right Decision for You
Many women considering breast augmentation describe feeling self-conscious in fitted clothing, swimwear or during exercise, or feeling that their figure does not match how they feel inside. These feelings are valid, and augmentation can genuinely improve comfort and confidence for the right candidate
At the same time, it is worth taking the decision at your own pace. Augmentation changes your appearance, not your circumstances, so it works best when it is something you want for yourself rather than to meet someone else's expectations. A thoughtful consultation, enough time to consider your options, and realistic expectations about what surgery can and cannot do all contribute to satisfaction with the outcome. There is no obligation to proceed after a first consultation, and questions are always welcome at any stage.
Your Consultation
- Medical history, breast examination and measurements.
- Discussion of goals and photographs, with implant options and size sizing.
- Discussion of pregnancy and breastfeeding plans, family history of breast cancer, and mammography or ultrasound screening where age or history calls for it
- A written plan and estimate.
Surgery and Recovery
The operation takes about one to two hours under general anaesthesia, and most patients go home the same day or the next morning.
- First week: soreness and tightness, which are usually controlled with medication. You wear a supportive garment or bra. Light daily activities can resume within a few days, and desk work often at 5 to 7 days.
- Weeks 2–4: swelling settles. Avoid heavy lifting and vigorous upper body exercise.
- Weeks 4–6: return to full exercise as approved by your surgeon.
- Months 3–6: the implants settle into their final position and the breasts soften.
Looking After Yourself During Recovery
How you care for yourself in the weeks after surgery has a real effect on comfort and on the final result
- Wear the recommended support garment or bra as instructed, even when it feels unnecessary, since it helps control swelling and supports healing tissue.
- Sleep on your back, propped up slightly, for the first couple of weeks to reduce swelling and protect the position of the implants.
- Avoid smoking and nicotine products before and after surgery, since they slow wound healing and increase the risk of complications.
- Eat a balanced diet with adequate protein, and stay well hydrated, as good nutrition supports tissue healing.
- Keep your weight reasonably stable in the months after surgery; significant weight gain or loss can change how the breasts and implants look.
- Avoid driving until you are off pain medication and can move comfortably, and avoid soaking incisions in baths, pools or hot tubs until your surgeon confirms they have healed.
- Attend every follow-up visit, even once you feel completely well, so that healing can be checked properly.
Risks and Long-Term Care
Breast augmentation is common and generally safe, but every surgery carries risks: bleeding, infection, changes in nipple or breast sensation, asymmetry, scarring, implant malposition, visible rippling, capsular contracture (a firm scar capsule around the implant), implant leakage or rupture, and the need for further surgery. A rare cancer of the immune system called BIA-ALCL has been associated mainly with textured implants.
Implants are not lifetime devices. Regular breast check-ups and, for silicone implants, imaging as your surgeon advises are important. You will receive an implant card with the manufacturer and batch details, and it is important to keep it. Tell your radiographer about your implants before any mammogram
Long-Term Outlook and Life With Implants
Most women find that their augmented breasts continue to look and feel natural for many years, with the tissue softening further and settling into its final shape over the months after surgery. It helps to know what to expect over time:
- Ageing, pregnancy, breastfeeding and significant weight changes will continue to affect breast shape after augmentation, just as they would naturally. Some women choose a lift or implant exchange years later if they wish to address these changes.
- Keeping your weight fairly stable and continuing to wear well-fitting, supportive bras, especially during exercise, helps maintain the result over time.
- Routine self-awareness of your breasts, alongside age-appropriate screening as advised by your doctor, remains important after augmentation, exactly as it would without implants.
- If you notice a change in shape, new firmness, pain or swelling around an implant at any point in the future, it is worth having it checked rather than waiting for your next scheduled review.
Follow-Up Care After Surgery
Dr. Nerkar schedules follow-up visits in the days and weeks after surgery to check healing, remove any sutures that are not dissolvable, and confirm that the implants are settling symmetrically. After the initial recovery period, periodic review visits and imaging, spaced out over the years, are recommended so that any change can be picked up early. Bringing your implant card to these visits, and to any mammogram, keeps your records complete.
Combining Augmentation With Other Procedures
Some women choose to combine breast augmentation with another procedure in a single planned operation, most commonly a breast lift when there is mild sagging alongside a wish for more volume, or liposuction of the abdomen or flanks when fat is also being harvested for a fat-transfer augmentation. Combining procedures can mean a single recovery period rather than two, but it also means a longer operation and, depending on your health and the amount of correction needed, may sometimes be safer as a staged approach instead. Dr. Nerkar will discuss whether combining procedures is appropriate for you, or whether it is better to space them apart, based on your anatomy, your general health and your goals.
Breast Augmentation Cost in Nashik
The cost depends on the type of implant, the technique, anaesthesia, hospital charges and any additional procedure such as a breast lift. Please be cautious about very cheap quotes: confirm the implant brand and that genuine, authentic implants are used. We give a written estimate after consultation.
Breast Augmentation: Frequently Asked Questions
Will breast implants look natural?
When the size and placement suit your body, most implants look and feel natural, especially with silicone and proper coverage.
Can I breastfeed after breast augmentation?
Most women can. The likelihood depends on the incision and placement, so discuss your plans before surgery.
How long do breast implants last?
Implants are not permanent. Many last 10 to 15 years or longer, but some women need replacement earlier because of complications or a wish for change.
Will there be visible scars?
Scars are placed in the breast fold or around the areola and usually fade to thin lines. Their final appearance varies with individual healing.
When can I return to exercise?
Light walking is encouraged from the first days. Most people return to full upper-body training after around four to six weeks with approval.
Can I have a mammogram with implants?
Yes. Inform the radiology team, who use additional views for women with implants.
Considering breast augmentation? Book a private consultation with Dr. Kiran Nerkar at Aakar Aesthetics, Nashik