Breast Augmentation: Potential Risks and Complications

Possible Risks and Complications of Breast Augmentation

Leakage: leakage of the implant sometimes happens. It may be because of trauma to the area or just for no reason. This can be fixed by returning to the operating room and replacing the implant.

Asymmetry: Almost everyone’s breasts are different to begin with and Dr. Pousti will do his best to make them as symmetric as possible — we can never guarantee that they will be perfect.

Capsular Contracture: It is a normal process for the body to cover the implant with a thin layer of scar tissue. Occasionally, an excessive amount of scar is formed and it contracts or shrinks around the implant making it feel unacceptably firm. If mild, the breast or breasts are moderately firm. If severe, the breasts can appear distorted and be hard and uncomfortable. This can be treated by a surgery to remove the scar tissue and replace the implants. It may or may not occur again.

Rippling: Being able to feel the implant due to a small amount of breast tissue to begin with OR losing weight after breast augmentation surgery.
Interference with mammography: All implants interfere with mammography but the implants placed under the muscle and therefore interfere less with mammography than implants placed above the muscle. We recommend patients 38 years or older get a baseline mammogram prior to the surgery.

Bleeding: blood loss in this surgery is minimal. It is important after surgery, especially in the first 2 weeks, to avoid exercise and raising your heart rate and blood pressure. Also avoid aspirin, ibuprofen and many other medications that may affect your ability to clot your blood.

Infection: this is very rare but can be taken care of with antibiotics if it occurs.

Rupture/deflation: Breast implants do not last a lifetime. Some breast implants may rupture/deflate in the first few months after surgery and some after several years. Others may take 10 or more years to rupture/deflate.

Loss of nipple/areola sensation: Numbness may occur temporarily or permanently from traumatizing sensory nerves in the breast during the procedure.

Inability to breast feed: this is not exact because some patients cannot breast feed prior to the surgery.

Inability to predict exact cup size: we will discuss your goals and do our best to achieve them.

Need for Revisionary surgery: It is possible that you will need to have one or more re-operations over the course of your life because of local complications from breast implants. Reasons for re-operations could include any of the potential complications above.


Most women choose to have breast implants placed to improve body proportions / self-esteem. Other reasons patients desire breast augmentation are to improve their overall appearance of the breasts, improve breast asymmetry, obtain more volume and fullness that is lost due to pregnancy, breastfeeding, and/or weight loss.

Breast implants improve body contours and proportions, which in turn, allows a women to feel more feminine and confident in their body. Clothing may fit better and women enjoy the shopping experience much more when trying on and purchasing clothing.

With breast augmentation surgery, the risks involved with surgery and the costs of the procedure should be considered. Costs may depend on the severity and complexity of each case. Risks and complications may include but are not limited to possible bleeding, infection, loss of sensation/hypersensitivity, and/or asymmetry.

Breast augmentation does not guarantee permanent results. Implants may need to be replaced or revisionary surgery may be necessary in the future. Factors such as pregnancy, breastfeeding, weight loss/gain, and aging may affect the results of surgery.

Breast augmentation surgery may have both positive and negative affects on a person. In order to achieve the results you want, it is important to communicate your personal goals with your surgeon prior to the procedure. Candidates for the procedure are persons who have a detailed understanding of the procedure, as well as, realistic expectations. It is important for the patient to have a good support system, find and research a Board Certified Plastic Surgeon, prepare their financial means and have good reasoning for why she wants breast augmentation surgery. An ideal patient has completed having children, is at or near their ideal weight, and is in good physical health.

The recovery period is crucial to the healing process and it is important that you follow your doctor’s post-op care instructions to ensure the best result possible.

Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

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