-Changes in nipple or breast sensation
-Wrong or faulty position of the implant
-Implant leakage or rupture
-The formation of tight scar tissue around the implant (capsular contracture)
-Fluid accumulation (seroma)
-Wrinkling of the skin over the implant
-Possibility of revision surgery
These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.
.Despite our best efforts ovr the last 50 or so years breast implants main complication (a nuisance more than a true risk) is "capsular conracture" which is a reaction of your body to your implant that results in a thighter envelopping layer , lining up the pocket around th implant and making it feell firmer >It may even affect its shape and sometimes become uncomfortable .While some improvements have appeared over the years we have not been able to eliminate this risk completely remaining at 3 to 5%.Seriou complicatrions are very rare for the right patient and technique and also with properly trained plastic surgeon ..
Immediately after surgery, the most common complication is bleeding. Perhaps a small vessel which was controlled at the time of surgery would reopen and begin to bleed after you get home. What you would notice is a dramatic swelling of the affected breast. Even the nipple may turn blue, and pain increases. This complication is usually not dangerous, but if left untreated, it would not heal properly, so surgical intervention is usually required. This is a simple opening of the affected breast, removing the implant for a moment while the vessel is controlled, then replacement of the implant, and closing the incision. This complication will happen to about one patient in 60. While many surgeons offer correction of a hematoma (blood around the implant) without additional charge, there is usually a cost involved with the use of an operating room, or for an anesthesiologist or nurse anesthetist to put you to sleep for the procedure. These costs are usually outside the control of your surgeon.
Infection is a rare complication after breast augmentation. Most surgeons use antibiotics during and for a short period after the surgery as a preventative. Also, many surgeons place a disinfectant solution around the sterile implant at the time of surgery to further minimize this risk. Although extremely rare, if a significant infection were to occur around the implant, oral antibiotics may have a hard time eliminating the infection, and it may require that the implant be removed. Then the infection is cleared, and several weeks later, the implant would be placed again. I stress that such a complication is rare. I have been in practice for 37 years, and have seen a significant infection after augmentation surgery only once.
Placement of breast implants may stretch or damage sensory nerves to the nipples or areolae causing numbness. Usually the sensation returns, but occasionally, longer lasting numbness of the tissues can persist. This complication is also quite uncommon. To a degree, this risk is greater the larger the implant that is placed, since larger implants put more stress on the nerves. Most surgeons are careful to watch out for those nerves, and minimize this risk.
This risk of implant rupture has largely gone away these days with the advent of highly cohesive gel which doesn't leak out, even if an implant becomes ruptured. Have your doctor demonstrate for you the characteristics of the gel in the implants you are going to have placed. I often show patients a gel implant that has been cut in half. Holding it upside down, nothing leaks out! Modern implants are also very strong, and the risk of rupturing an implant during even contact sports or having a mammogram are extremely small. Of course, if you choose a saline filled implant, there is a greater possibility that such an implant could eventually fail, in which case the breast would simply deflate overnight as the saline leaks out and is absorbed. This is not a medical emergency, but it IS a cosmetic emergency!
I hope this information has been helpful. I wish you All the Best!
Dr. Edward S. Kole