Breast Implants

Before The Surgery

You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Regular examinations for breast health and to evaluate the condition of your implants are very important.

Breast augmentation is one of the most common procedures in cosmetic plastic surgery, with a total of 355,671 procedures performed in 2008. The procedure is a relatively straightforward, but as you'll find with any surgical procedure, there are specific risks and complications associated with this type of operation.

Capsular Contracture is the most common problem. It can occur if the capsule or scar around the implant begins to tighten, causing the breast to feel hard. Treatment may require either removal of the scar tissue, or perhaps even removal or replacement of the implant.

Excessive Bleeding following the operation may cause some swelling and pain. If it continues, another operation may be needed to control the bleeding and remove the accumulated blood.

Infection around an implant. This is unlikely, but can occur at any time, usually within a week after surgery. It may be necessary to remove the implant for several months until the infection clears, after which a replacement implant can then be inserted.

Nipple Sensitivity. Occasional reports of nipples becoming oversensitive, under sensitive, or even numb. Symptoms generally disappear with time, but may be permanent in some patients.

Breast Feeding. Pregnancy and the associated changes to a woman's body may alter the results of any form of breast surgery. It's very important to discuss any additional risk potential associated with pregnancy or breast-feeding, with your doctor prior to any elective surgery.

Implant Breaks or Leaks. No implant will last forever. Rupture can occur as a result of injury or even from the normal compression and movement of your breast, causing the implant shell to leak. If filled with saline, the solution will be absorbed in the surrounding tissue within a few hours and expelled naturally by the body. If the implant is filled with silicone, the leaking solution will usually remain within the implant shell or escape into the breast implant pocket. This type of leak is difficult to detect and for this reason annual implant assessment visits to your doctor are highly recommended.

Mammography is much more difficult. Be open or candid about your implants prior to undergoing any diagnostic screening. Additional MRI or ultrasound exam may be recommended.