Key Takeaways
- The American Society of Plastic Surgeons lists risks including unfavorable scarring, bleeding, infection, poor healing, sensation changes, and capsular contracture.
- Capsular contracture, where scar tissue hardens around the implant, can range from mild firmness to significant distortion and may require corrective surgery.
- Rippling or wrinkling, visible through the skin, occurs primarily with saline implants and can be reduced by appropriate overfilling of the implant.
- Most scars fade over time to become barely noticeable, though patients with a genetic predisposition to raised scarring may experience more visible results.
- Selecting an experienced board-certified surgeon and following post-operative instructions closely significantly reduces the likelihood of experiencing complications.
Breast augmentation, or the surgical increase of the size of the breasts, is one of the most common plastic surgeries in the world, with hundreds of thousands of procedures performed every year. Like any surgical procedure, it comes with associated risk of complications (though those complications are lessened by selecting a Board Certified Surgeon). Here, well discuss some of the risks of the procedure.
The American Society of Plastic Surgeons lists the following possible risks:
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Unfavorable scarring
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Bleeding (hematoma)
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Infection
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Poor healing of incisions
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Changes in nipple or breast sensation, may be temporary or permanent
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Capsular contracture, which is the formation of firm scar tissue around the implant
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Implant leakage or rupture
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Wrinkling of the skin over the implant
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Anesthesia risks
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Fluid accumulation
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Blood clots
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Pain, which may persist
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Deep vein thrombosis, cardiac and pulmonary complications
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Possibility of revisional surgery
In most patients, the scars from the incisions will fade over time to the point that they arent even noticeable, but some patients do have a genetic predisposition to developing red, raised scars when they have cuts. And as for revisional surgery, the most common cause of that is that the patient wants to change their implant size. Working with a surgeon who listens to your desires when it comes to implant size will lessen that risk considerably.
Capsular contracture is a risk that the tissue around the breast implant will become hard due to scarring inside the body. Contracture can range from mild to severe, and in severe cases can require the removal of the implant and scar tissue and the placing of a new implant. This is not common, though research has shown that the rate of capsular contracture might be higher with the use of textured implants. Not allowing the implant to touch the patients skin before insertion has also been shown to decrease the rate of occurrence. Your surgeon will also give you massages to perform on the breasts after surgery to decrease the risk. Changes in nipple sensation after augmentation is also very rare.
Wrinkling of the implant, also known as rippling, is where you can see the edges of the implant when you look at the breast. This generally only occurs with saline implants (as silicone implants dont wrinkle). Overfilling the implant can help prevent rippling and wrinkling from occurring.
As you can see, having a surgeon who listens to you and has plenty of experience in performing the procedure greatly reduces the likelihood that youll experience any complications. There are risks associated with any surgical procedure, but doing your homework and selecting a knowledgeable, Board Certified surgeon will allow you to rest assured that youre having the safest procedure possible.
If you would like to schedule a free breast augmentation consultation in Northern Virginia, please call our offices at (703) 574-2588!
Frequently Asked Questions
What are the most common risks of breast augmentation surgery?
The ASPS lists the main risks as unfavorable scarring, hematoma, infection, poor healing, changes in nipple or breast sensation, capsular contracture, implant leakage or rupture, skin wrinkling, anesthesia risks, fluid accumulation, blood clots, persistent pain, and the possibility of needing revision surgery in the future.
How serious is capsular contracture and how is it treated?
Capsular contracture ranges from mild, where the breast simply feels slightly firm, to severe, where the breast feels hard, looks distorted, and may cause pain. In mild cases it may be managed with massage. In severe cases it requires surgery to remove the scar tissue and replace the implant.
Why might some patients need revision breast augmentation surgery?
The most common reason for revision surgery is a patient wanting to change their implant size after seeing their initial results. Less common reasons include implant rupture, capsular contracture, implant shifting, or asymmetry. Choosing a surgeon who listens carefully to your size preferences can significantly reduce the likelihood of wanting a revision.
Will I have visible scars after breast augmentation?
Most scars fade significantly over time and become very difficult to see once fully healed. However, patients with a genetic predisposition to keloid or raised scar formation may develop more noticeable scars. Your surgeon will discuss your scar history and place incisions in the most discreet locations possible.
How can I minimize the risks of breast augmentation?
The most effective way to reduce risk is to choose a board-certified plastic surgeon with extensive experience in breast augmentation, to be transparent about your full medical history, to follow all pre- and post-operative instructions carefully, and to avoid behaviors like smoking that impair healing and increase complication rates.