Breast Augmentation (cont.)
In this Article
What are risks and complications of breast augmentation?
Although infection is rare (1-3%) it can be a very distressing problem. Signs of infection are fever, redness, swelling, and discomfort. If the infection does not respond rapidly to antibiotic treatment, the implant must be removed and the implant can be replaced three (3) months after the wound is completely healed.
If bleeding occurs into the implant pocket after surgery, the implant must be surgically removed, the bleeding controlled, the wound washed out, and the implant replaced. Signs of bleeding include marked swelling, increasing pain, and bruising.
3. Capsule contracture
Hardening of the breast with distortion and sometime pain may require surgical incision of the fibrous scar capsule around the implant (capsulotomy) or partial or total removal of the scar capsule (capsulectomy). The implant can be immediately placed back in the new packet. About 30-35% of patients have recurrent capsule contracture.
Other means of treating the contracture is replacement of a smooth implant with a textured one or placing the implant in a new pocket either under the breast or under the muscle.
If capsule contracture occurs multiple times, the patient may decide to remove the implants permanently.
Sometimes the implant will slip out of the position in which it was initially placed and appear too high, too low, or to one side. Most of the time this requires surgical repair.
5. Problems with Mammography
The implant will block some areas of the breast from being visualized on mammography. This is usually less if the implant is placed under the muscle.
Because breast implants might affect the clarity of the mammogram, patients who have multiple close family members with breast cancer probably should not have breast implants.
6. Autoimmune Disease
With all the confusion in the newspaper, magazines and on the T.V. or radio, there has been a fear that silicone implants may cause autoimmune disease. At this time there is no scientific evidence that silicone causes autoimmune disease.
There is no evidence that silicone implants cause cancer.
Implants that have been in a patient for many years may cause calcifications in the scar capsule around the implant. These calcifications can almost always be distinguished from the calcifications which may indicate breast cancer.
An implant may leak from weakness in the patch or valve area, a hole from incomplete inflation, or other factors. The more modern saline implants have been estimated to leak in 1-5% of cases.