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Breast Implant Risks

 

Breast augmentation as with any operation has risks: those associated with general surgery, and specific complications associated with this procedure.

The most common problem,  capsular contracture. This occurs if the scar or capsule around the implant begins to tighten. In the early days of breast augmentation, this occurred more often and some theorize it was related to talc that use to be used to powder surgical gloves.  Now non talc gloves are used, and this occurs less often. The development of a contracture around an  implant can cause the breast to feel hard. Severe contractures are treated with implant removal or replacement.

 Any surgical procedure also carries a risk excessive bleeding.  This can occur during, or following the procedure.  If it occurs after the procedure it usually just results in increase swelling and pain, which is temporary.  If  bleeding continues, it may be necessary to go back into surgery and stop the bleeding and remove excess blood that has accumulated.

Occasionally an infection  may occur around an implant. This is  most often seen within a week after surgery. In rare cases, the implant may need to be removed for several months until the infection clears. Afterwards a new implant can then be inserted.

Some women report loss of sensation in their nipple, but they may also become overly sensitive. Loss of sensation is more common in breast lift-implant procedures.  The area around incision may also have small patches of numbness, or increase sensitivity. These symptoms usually disappear within time, but may be permanent in some patients.  It usually takes at least a full year to find out what the final sensation will be.

Breast Implant Leakage

Occasionally, breast implants may break or leak.  The saline fill is salt water and will be absorbed by the body without ill effects.

Older implants with silicone gel can leak also. If this occurs, one of two things may occur. If breakage of the implant shell that has a contracture scar around it, then it may not feel like anything has happed.  If the shell breaks and there is not a contracture scar, then leakage into the surrounding tissue results in a sensation that the implant is deflating. The leaking gel may collect in the breast and a new scar may  form around it. In other cases gel can migrate through the lymphatic system to another area of the body.   Breaks may require a second operation and replacement of the leaking implant. If the gel has migrated it may not be possible to remove all of the silicone gel. This silicone gel is the what some say is related to the initiation of connective tissue disorders. Testing for Breast Implant Rupture

Breast Cancer

No link between breast implants and cancer has been found.  However, breast implants can make mammogram screening more difficult, so it is important to find a radiology center that is experienced in screening patients with breast implants. Occasionally alternative or additional techniques may need to be performed to screen for cancer. www.fda.gov

Mammography guidelines for women with implants

Breast Feeding

Breast feeding may be a problem in certain cases.  Peri-areolar procedures seem to carry the most risk related to adequate breast feeding. If a lift (mastopexy) is performed, then the risk of dysfunction related to breast feeding is even greater. (Hurst, N.M., Lactation After Augmentation Mammoplasty, Obstetrics & Gynecology, 1996; 87: 30-34)

Of all the breast implant surgeries performed, a few women have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions.  For the latest research click here.

Capsular Contracture

The most common problem,  capsular contracture. This occurs if the scar or capsule around the implant begins to tighten. In the early days of breast augmentation, this occurred more often and some theorize it was related to talc that use to be used to powder surgical gloves.  Now non talc gloves are used, and this occurs less often. The development of a contracture around an  implant can cause the breast to feel hard. Severe contractures are treated with implant removal or replacement.

 Any surgical procedure also carries a risk excessive bleeding.  This can occur during, or following the procedure.  If it occurs after the procedure it usually just results in increase swelling and pain, which is temporary.  If  bleeding continues, it may be necessary to go back into surgery and stop the bleeding and remove excess blood that has accumulated.

Occasionally an infection  may occur around an implant. This is  most often seen within a week after surgery. In rare cases, the implant may need to be removed for several months until the infection clears. Afterwards a new implant can then be inserted.

Some women report loss of sensation in their nipple, but they may also become overly sensitive. Loss of sensation is more common in breast lift-implant procedures.  The area around incision may also have small patches of numbness, or increase sensitivity. These symptoms usually disappear within time, but may be permanent in some patients.  It usually takes at least a full year to find out what the final sensation will be.

 

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