Breast Augmentation

Dream Big
Look Your Best

Breasts are considered to be most attractive part of a female body.

Breast Augmentation

It's a major step for most women, and often a positive one. Studies have shown that breast implants can help boost self-esteem, body image and confidence.

Breasts are considered to be most attractive part of a female body. If the breast and body ratio of a women is balanced it gives a confident profile and makes you look attractive. Thus breasts play an important role in making a female more attractive. If the breasts are relatively smaller in ratio to the body, that can make you conscious and also reduces your confidence. Thus the size of the breasts can be increased with the help of surgery and the procedure is called as Breast Augmentation.

Breast augmentation also called as Augmentation Mammoplasty is a surgical process of increasing the size of your breast using Breast implants or fat transfer. Anyone can achieve desired breast shape with the help of this procedure. It also can restore breast volume which is lost either during weight loss or after pregnancy. Augmentation mammaplasty can also treat the natural asymmetry of breast size.

Breast Augmentation can

Improve the balance of breast and hip contour.
Give fullness to your breast.
Also enhance the volume of your breast.
Treat Breast size asymmetry.
Boost your self-confidence and image.

Breast Augmentation cannot correct severely drooping breasts. Therefore, it can be done with Breast lift procedure for desired results, which can further be done along with Breast Augmentation.

Breast Augmentation

Get a Quote Now

Discussions during a Breast Augmentation consultation should include

The reason why you want to opt for this surgery and your desired outcomes.
Previous medical treatments, medical conditions and drug allergies
Current medications and supplements
Tobacco, alcohol and drug use
Any previous surgeries

A candidate opting for Breast Augmentation should fill up these criteria for better results

You should be physically healthy and preferably should not smoke.
Your body growth should be complete.
You should be confident and positive about your body to achieve the improvement following the procedure.
You should be motivated enough to undergo the procedure.
You should have realistic expectations
You should not have any major chronic illness or medical conditions.
You should really know well about what surgery you are planning to undergo.

Breast Augmentation should be done to enhance your self-confidence and self-image.

Dr Amit Agarwal's focus during Breast Augmentation consultation

Measure and examine your breast, any lumps.
Discuss the options for your surgery
Discuss with you about your choice of implant-type of implant.
Discuss about the correct size of implant required by you
Discuss about shape, surface and projection of implant required by you.
Take photographs.
Choice of incision for breast augmentation.
Any pre-existing health conditions and evaluation of your general health.
Tell you about the procedure and related outcomes.
Risk and complications related to outcome of surgery.
Any family history of breast cancer.

Questions to be asked with Dr Amit Agarwal about Breast Augmentation

Are you a good candidate for the procedure?
What should you do to get best results?
What are the risks and complications related to the surgery?
How long will be your recovery period?
What kind of implants will suit you and will be used?
What will be the size and weight of implants?
What will be the effect of surgery after pregnancy?
What would you do if you are dissatisfied with my implants and want to remove them?

Autologous Breast Augmentation with Fat Grafting

Fat grafting to the breast is kind of an alternative to artificial breast implants. Fat does not have its own blood supply to keep it alive, it relies on the blood supply already in the breast to survive. If you have inhibition of implants being used in your body, fat grafting can be done for you but it can be done in only few selected cases. If a lady has grade 1 ptosis (sagging breasts), fat grafting to the breast is ideal, because a looser pocket allows for a greater percentage of fat surviving, compared to a tight breast or ptosis stage 2 or higher. Since fat does not have its own blood supply to keep it alive as discussed above, so a limited amount of fat can be injected. At most, an A-cup breast will increase to a B-cup. With breast implants, there is no such limitation.

Fat grafting provide a totally natural feel as the breast are enhanced using patient's own fat. When used to augment healthy breasts, the procedure has a good track record, with few complications or need for re-operation as compared to implant-based augmentation.

Dr Amit Agarwal harvestsfat by liposuction from the patient's body and it can only be done from the regions higher in fat deposits like abdomen or lateral thigh region. The fat is then processed and transferred to the different quadrants of the breast. Additionally, the only incisions are the 4-millimeter incisions used to remove (liposuction) and re-inject the fat. The limitations of fat grafting to the breast are-

Gynaecomastia

The amount offat takeupin the breast is quite variable in every patient. The fat transferred to the breast gets reabsorbed by the body upto 30 to 40 to percent. That is why, we at Kayakriti center always overfill the breast. You will feel the desired result achieved immediately after surgery but sometimes with time 20 to 30 percent of projection is lost due to reabsorption of fat. So,sometimes this procedure often requires stages, so it takes minimum of 2-3 sittings to achieve the desired result.
If the patient is skinny, the procedure becomes nearly impossible as there won't be any extra fat which can be transferred.
This procedure does not yield good result in patients with tight skin envelope and with moderate to high grade ptosis.
Fat grafting may interfere with breast-screening examinations. The volume of fat required to enlarge the breast makes the technique prone to calcification which will be visible on a mammogram. These changes will be present over a woman's lifetime.

Breast Augmentation with Implants

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct, or create the physical form of the breast.

There are mainly two types of breast implants available which can be used accordingly.

Silicone Breast Implants - They are the most commonly used implants all over the world. These implants are filled with silicone gel. The gel present inside these implants feels like the natural breast tissue so are more natural. They are less likely to wrinkle or rupture. If the implant ruptures, the gel may remain inside the implant shell or may escape in the breast implant pocket butthe silicone filler do not migrate to the other areas of the body eliminating the occurrence of filler leakage "silicone gel bleed". The pro of using these fifth generation silicone implants over its earlier versions is that they generally do not collapse even after leaking because of being filled with semisolid silicone gel. These silicone implants are FDA approved for augmentation in women of age 22 or more. These new generation of silicone implants reported relatively lower rates of capsular contracture and of device-shell rupture, and relatively greater rates of "medical safety" and "technical efficacy" than those of early-generation breast implants.

Saline Breast Implants - These implants are filled with sterile salt watercovered with a silicone shell. These implants provide a uniform shape, feel and are firm. FDA-approved saline implants for augmentation in women age 18 or older.It requires less-invasive surgical technique, by inserting an empty, rolled-up breast implant through a smaller surgical incision and then fill it with saline solution through a one way valve. The surgical incision scars would be smaller and shorter than the surgical scars typical of the pre-filled, silicone-gel implant surgical technique. Saline implants are more likely to wrinkle, fold, rupture or decrease in size over time. The implant is also sometimes noticeable to the eye and touch seen more in women with less breast tissue. In women with good breast tissuesaline breast implants can give an aesthetic result much like that produced by silicone breast implants-an appearance of proportionate breast size, smooth contour, and realistic consistency.

Polyurethane Implants - are silicone gel implant with a coating of polyurethane in the shell of the implant. This coating reduces the degree of capsular contracture by causing an inflammatory reaction which impedes the formation of a capsule of fibrous collagen tissue around the coated device. But still the medical use of polyurethane-coated breast implants is not approved in USA due to the potential health risk posed by 2,4-toluenediamine (TDA), a carcinogenic by-product of the chemical breakdown of the polyurethane foam coating of the breast implant. Though the chances are very rare, polyurethane-coated breast implants remain in plastic surgery practice in Europe and in South America mostly. Dr Amit Agarwal does not use polyurethane implants.

How to choose a correct size of implant

It is very important to choose the correct size implant for breast augmentation. A number of factors determine the best implant size for you can be your desired size, basic characteristics of your breast, chest wall and tissues.

The basic measurement unit for a breast implant is Cubic Centimetre which can be seen on any Implant packaging. They come in a wide range of sizes such, from 80CC and can range up to 800CC.There are different tests that be performed for choosing the correct implant for your augmentation. There are two tests that can be done at home as well for checking the size of the implant.

1. RICE TEST: This test is generally the most popular test for checking the implant size. This can be done at home. The method to perform the test is with
- uncooked rice or instant mashed potatoes
- nylon stocking or plastic bag
- a sports bra (preferrable).

If you are using a nylon stocking, cut it around 12 inches length excluding the foot part and tie a knot in the endof the leg part. Pour uncooked rice measuring the amount you prefer in the stocking. You can measure the amount with the food scale or a measuring cup. If you are using a food scale, all you need to know is that 1 ounce of rice is equivalent to 30 cc/ gram. For example, 5 ounces of rice is roughly the same size and weight as a 150 cc implant.If you're using a measuring cup (which you will need if using instant mashed potatoes), use the following as a guideline:

- 1/8 cup rice = 30 cc/gm
- 1/4 cup rice = 59 cc/gm
- 1/3 cup rice = 78 cc/gm
- 1/2 cup rice = 118 cc/gm
- 2/3 cup rice = 156 cc/gm
- 3/4 cup rice = 177 cc/gm
- 1 cup rice = 236 cc/gm

Fill them and stop when you feel that it's the right implant size for you. Make 2 cups to fit in each bra cup. Keep them in your bra and try it with every dress, t shirt and other outfit to check the right size fit for you. If you feel it's not the right size, measure it again from the beginning and then try it again.

2. WATER TEST: Water test is almost same as rice test but instead of nylon stocking and rice you use water in a plastic back and try it in the same way as the Rice Test.

These tests can give you a good idea of how you would look after the augmentation procedure and what's best is, you can perform them yourself. The other procedure for size test is your sizing session with Dr Amit Agarwal in which you can use real implants during the consultation with your surgeon.

How to choose a correct shape, texture and profile of implant

Surface of implant- Textured OR smooth surface implant?

Dr. Amit Agarwal mostly offers smooth walled implants to his patients. The smooth implants have the advantage of minimal wrinkling. Smooth breast implants are even and soft, enabling them to move freely within the breast pocket. This creates a more natural movement. However, they do have less ability to adhere to the tissues in the chest for proper placement. Textured implants have a rough surface, which enables them to securely attach to surrounding tissue. This ensures they're less likely to move around. Although this may decrease the risk of a tight scar capsule, textured breast implants can still wrinkle. In 2011, the FDA had identified a possible association between textured implants and the development of anaplastic large-cell lymphoma in 0.28percent of the implanted women.

Shape of implant- Round OR tear drop shaped implant?

Gynaecomastia

Dr Amit Agarwal mostly offers round implants to his patients but choice of the shape of implant depends on the desired overall breast shape by the patient. The most popular implant shape is the standard round shape. Round breast implants give the appearance of more fullness at the top of the breast. If you want to correct sagging, and want a fuller look, round implants are for you. Round implants will cost less than teardrop shaped implants. Round implants come with both smooth and textured surfaces. Teardrop shape implants have a more natural look, bottom is fuller than the top of the breasts. As the name suggests, this gives the breasts a more tear-dropped shape. They are growing in popularity but have limited use. Unlike the round implant, the tear drop implant cannot be rotated or moved because it would create an unusual appearance. These implants also require longer incisions and come only with textured surfaces to prevent rotation. They may be ideal for women who want to enhance the lower portion of the breast or women needing breast reconstruction.

Projection of implant- High, medium OR low profile Implant?

American Society of Plastic Surgeons defines a breast implant's profile as "how much an implant projects forward from the chest wall when standing. Implants of the same size (cc volume) that have different widths will produce different levels of projection. Implants with a smaller base width provide greater projection as compared to implants with a wider base width."The implant profilebascially depends on the look you're going for and on the width of the chest

High - High profile implants are the most full and round,and gives the upper portion of the breast extra volume, similar to the look of a push-up bra, making them appear less natural on some patients. This type is ideal for patients with a narrow chest wall. They may separate breasts further and leave a smaller amount of cleavage

Moderate - If you're looking for a profile between low and high, you'll want moderate. It looks the most natural and is great for women with smaller or narrower chests. A medium profile implant tends to have less fullness at the top, but more towards the bottom. The medium profile may allow for more cleavage, but will generally have a more subtle overall appearance

Low - Ideal for women with wider chests, they are relatively flat in appearance, with minimal projection.

Gynaecomastia

Preparations to be done for Breast Augmentation

You should be physically healthy.
You should stop smoking if you are a smoker before at least two weeks prior to the surgery.
Get the tests done prescribed by Dr Amit Agarwal.
Avoid taking anti-inflammatory drugs and herbal supplements as they aggravate bleeding.
Admission will be done on the same day at the center.
Written consent form will be signed explaining the procedure after the admission.
Compression garment measurement should be given for post-surgical use
Meeting with the anaesthetist for Pre-Anaesthesia Check-up (PAC) before the surgery. All pre surgical work up investigations should be shown to the operating surgeon and the anaesthetist, and we will evaluate your fitness for the surgery. You will be given date for the surgery only after you are declared fit for the procedure.
Nil per oral for minimum of 5-6 hours before the planned procedure.

Breast implant is a surgical procedure so you should always have an attendant who can accompany you after the surgery for at least 24 hours and drive or take you home after the procedure.

Breast Augmentation Surgical Procedure

A Breast Augmentation surgical procedure includes following steps:

First step is to put you to sleep with general anaesthesia by our very competent intensivist and anaesthetist.
In the second step, an incision is made in the unnoticeable areas of your breast region depending on your incision options given by Dr Amit Agarwal. The choice of incision can be-along the inframammary fold under the breast or in the armpit. The choice may also vary with the type of implant or the desired degree of enlargement.

A pocket is created at the desiredlevel of implant insertion-
- under the pectoral chest muscle
- Or directly behind the breast tissue, over the pectoral muscle
- Or under the muscle fascia below the breast tissue
After the pocket is formed,implants are inserted in one these pockets chosen by the Dr Amit Agarwal and you during consultation.
After the implants are properly placed in these pockets with full sterile technique, the incisions are closed with layered sutures and skin adhesives

Recovery after the surgery

After the surgery, dressings are applied to the surgical area, and you are made to wear a compression garment to reduce swelling and to support your Breasts. In the recovery period of Breast Augmentation. You will be under closed monitoring for 4-5 hours and will be discharged once you are stable to go home which is usually within 24 hours.

The sutures will be mostly within the breast crease or in the armpit which will be dissolvable and do not require to be taken off.
Mild Pain for around a weekfor which pain killers will be given by Dr Amit Agarwal.
Soreness and mild swelling might last for a week.
You will be made to walk 6 hours post-surgery or the very following day, depending on your will and wish.
You can start exercising after three weeks post-surgery.
Pressure garment is a must wear for the next 3 months without gap or fail for almost 24 hours a day.
You can return to work depending on your will power and the type of work required between 3-6days.
You can return to your normal lifestyle after a week of surgery.

After two weeks you will be confident with your new uplifted profile. You should always follow a healthy lifestyle to maintain your profile and confidence.

Dr Amit Agarwal will give you specific instructions for:

How to take care of the surgical site
About the medications and how to maintain the general health.
About your follow ups.

Risks & complications

The complications and aftermaths of the surgery vary from person to person and her physical well-being. Like every surgery, Breast Augmentation Surgery also involves some risks and complications which will be discussed during consultation with Dr Amit Agarwal which include:

Rare Risks related to general anaesthesia-General Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of seeing any complication is less than 0.1 percent in a healthy individual. We at Kayakriti Plastic Surgery and Dental Centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth.
Infectionof the wound site leading to delayed wound healing or very rarely infection of the implant.
Poor scars in people prone for hypertrophic scar formation.
There can be persistent swelling and bruising in the surgical area which reduces with time.
Bleeding or haematoma formation after the surgery which might require drainage
Fluid accumulation or Seroma formation can occuras areaction of the body to the implant which subsides over time.
Sometimes change in nipple sensation is noticed.
Capsular contracture or formation of tight scar tissue around the implantwhich can result in firmness or hardness of breast and can squeeze the implant if very severe.
Implant leakage or rupture - It is seen more with saline implants than silicone implants.If a saline implant leaks, the solutionwill be absorbed and will be expelled by the body naturally. If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant may or may not collapse.
Risk of developing cancer/lymphoma after Breast Augmentation - The Food and Drug Administration (FDA) in USA has identified a possible association between breast implants and the development of anaplastic large cell lymphoma (ALCL), an uncommon cancer of the immune system. The condition is now known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). The FDA believes that women with silicone breast implants that have textured surfaces or polyurethane outer shell have a very low but approximately 0.28 percent risk of developing BIA-ALCL. However, that doesn't mean that these implants cause BIA-ALCL. Further research is needed to understand the relationship between the condition and breast implants. ALCL can develop in any part of the body, most commonly the lymph nodes and skin. Research suggests that BIA-ALCL is usually found next to the breast implant within the surrounding scar tissue, not the breast itself. Treatment involves surgical removal of the implants and the cancer. Sometimes chemotherapy and radiation therapy are needed. When caught early, BIA-ALCL is usually curable.Based on the currently available data, the type of implant fill (silicone or saline) does not appear to be a risk factor for BIA-ALCL, but this has not been evaluated in a large, well-designed, epidemiologic study.

Do's and Don'ts of breast augmentation surgery

You should always trust your doctor for the size and weight suggested by him for the implant and do not force him for more.
Avoid any trauma to the breast region
You should inform us for any family history of breast cancer or complication.
You should follow the post-operative instruction given by us.
You should always wear the pressure garment as it reduces swelling and improves your contour.
You should consult us immediately if you have any complication after surgery.

Frequently Asked Questions

Am I a suitable candidate for Breast Augmentation?

If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.

How long does the swelling and pain persists?

Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.

After how long can I start my daily exercise and routines?

You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.

Do I have to wear the pressure garment round the clock after the surgery?

Yes, you have to wear it round the clock unless we suggest you to remove it.

Will these implants effect breast feeding?

This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.

Can I have these implants removedor changed in future?

Yes, you can get these removed or changed with Dr Amit Agarwal's opinion and consultation.

After how long can I be sexually active after the surgery?

You can be sexually active after 3 weeks to 1 month of the procedure and with a little precaution with your breasts.

Will my breast remain firm for the rest of my life?

Gravity effects will be there but that is a very slowprocess. You may experience little sagging after pregnancy or gradually with the age.

What are the possible risks and complications after the surgery?

There may be some risks or complications involved after the surgery like infection, change in breast or nipple sensation which will be discussed with Dr Amit Agarwal before the surgery and will be taken care of it.

Breast Augmentation Images

Indivisual results may vary from person to person.
These pictures are shown for the purpose of education only.

Breast Augmentation

Get a Quote Now

Shaping dreams through

Know your surgeon better

Dr Amit Agarwal

Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.

MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)

Three pillars of kayakriti

Privacy

We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.

Trust

Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.

Safety

When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.