The Real Truth About Breast Augmentation: What Every Woman Should Know Before Surgery
Breast augmentation is one of the most popular cosmetic surgeries worldwide—and for good reason. It’s not just about “bigger breasts.” For many women, it’s about confidence, proportion, and reclaiming a sense of self after pregnancy, weight loss, or simply genetics.
But beyond glossy ads and Instagram before-and-afters, there are truths women wish they knew before surgery. If you’re considering breast augmentation in India, this guide—featuring expert insights from Dr. Sumit Malhotra, Plastic & Cosmetic Surgeon in Lucknow—will help you understand the real story.
What Exactly Is Augmentation, Beyond the Ads?
At its core, breast augmentation is a surgical procedure to enhance breast size and shape. But it’s not one-size-fits-all.
There are two main techniques:
- Implant-Based Augmentation
- Uses silicone or saline implants placed under breast tissue or muscle
- Allows significant size enhancement
- Customizable in terms of shape, projection, and fullness
- Uses silicone or saline implants placed under breast tissue or muscle
- Fat Transfer Augmentation
- Uses your own body fat, usually harvested from thighs, hips, or abdomen
- Provides a subtle, natural enhancement (typically 1 cup size)
- Dual benefit: body contouring + breast enhancement
- Uses your own body fat, usually harvested from thighs, hips, or abdomen

💡 Dr. Malhotra explains: The choice depends on your goals. If you want a dramatic change, implants are more suitable. If you prefer a modest, natural boost, fat transfer may be the way to go.
Implants vs. Fat Transfer — Which Lasts Longer?
One of the biggest decisions is choosing between implants and fat transfer.
- Implants
- Durable, often lasting 10–15 years (sometimes longer)
- Provide predictable shape and size
- Require eventual replacement or monitoring
- Durable, often lasting 10–15 years (sometimes longer)
- Fat Transfer
- Permanent, but only a percentage of transferred fat survives long-term
- May need touch-up procedures for lasting results
- More natural look and feel
- Permanent, but only a percentage of transferred fat survives long-term
👉 Longevity Winner: Implants usually outlast fat transfer in terms of volume stability, though both options can give satisfying, long-term results.
How Long Do Implants Really Last?
Here’s the truth: breast implants are not lifetime devices.
- On average, implants may last 10–15 years, but some women keep them longer without issues.
- Reasons for replacement include rupture, capsular contracture (scar tissue tightening), or personal choice to change size/style.
- Regular check-ups with your surgeon are recommended to monitor implant health.
💡 Tip from Dr. Malhotra: Women should think of implants as a long-term commitment that may need maintenance or replacement over time—not as a once-and-done procedure.
The Hidden Risks No One Talks About
Every surgery carries risks. While breast augmentation is safe in experienced hands, here are lesser-discussed points:
- Capsular Contracture: Scar tissue tightening around the implant, causing firmness or discomfort.
- Implant Rupture or Leakage: Rare, but requires replacement.
- Rippling or Shifting: More likely with saline implants or thin breast tissue.
- Changes in Sensation: Temporary or permanent numbness around nipples or breast skin.
- Breastfeeding Challenges: Possible (more on this below).
- Psychological Adjustment: Some women need time to mentally adapt to their new body image.

👉 Choosing a qualified plastic surgeon like Dr. Sumit Malhotra greatly reduces these risks, thanks to careful technique and patient selection.
How Much Will It Cost You in India Today?
Cost is often the deciding factor, but here’s what women should understand:
The price of breast augmentation in India depends on:
- The type of implants (silicone, saline, anatomical, round)
- Fat transfer vs. implant method
- Surgeon’s expertise and experience
- Hospital or clinic facilities
- Anesthesia and post-operative care
- Additional expenses like compression garments and follow-ups
💡 Caution: Be wary of extremely low-cost offers. Safety, implant quality, and surgeon experience matter far more than a bargain deal.
A consultation with an experienced surgeon will give you a personalized estimate tailored to your needs.
Can Moms Breastfeed After Implants?
This is a question almost every mother asks. The good news: most women can breastfeed after implants.
- Implant Placement Matters: Implants placed under the muscle (submuscular) usually interfere less with milk ducts.
- Incision Location: Periareolar incisions (around the nipple) carry a higher risk of affecting ducts compared to inframammary (under the breast fold) incisions.
- Fat Transfer: Since it doesn’t disrupt milk ducts, breastfeeding ability is usually preserved.
💡 Expert Advice: Dr. Malhotra emphasizes discussing your future breastfeeding plans during consultation so the surgical approach can be customized.
Breast Augmentation in India — Why Women Choose It
Women in India are increasingly choosing augmentation not just for aesthetics, but for confidence and self-expression. The most common reasons include:
- Restoring volume after pregnancy or breastfeeding
- Balancing asymmetrical breasts
- Boosting confidence in clothing and social settings
- Reversing age-related loss of firmness
- Complementing body contouring procedures like liposuction or tummy tuck
FAQs Women Ask Before Surgery
Q. How long is the recovery?
Most women return to desk jobs in 7–10 days. Strenuous activity is restricted for 4–6 weeks.
Q. Will the results look natural?
Yes, with the right implant choice and skilled surgeon, results can be natural-looking and proportional.
Q. Do implants affect mammograms?
Mammograms are still possible, though special techniques are used for accurate imaging.
Meet Dr. Sumit Malhotra – Breast Surgery Expert in Lucknow
If you’re considering breast augmentation in India, choosing the right surgeon is critical.
Dr. Sumit Malhotra is a leading plastic and cosmetic surgeon in Lucknow, specializing in breast surgeries, body contouring, and reconstructive procedures.
- MBBS, M.Ch. in Plastic Surgery
- 20+ years of surgical experience
- Patients across India and abroad seek his expertise
- Known for ethical, transparent, patient-focused care
His approach ensures that every woman achieves results that are safe, natural, and confidence-boosting.
Visit us today: What Women Wish They Knew
Breast augmentation is empowering—but only when approached with the right knowledge and the right surgeon. Women wish they had known that implants don’t last forever, recovery requires patience, and surgeon expertise makes all the difference.
If you’re considering the procedure, take the time to consult with an expert like Dr. Sumit Malhotra in Lucknow, India. With his guidance, you’ll feel confident, informed, and ready to make the choice that’s right for you.