Plastic & Cosmetic Surgery Blog

Possible Problems and Complications With Breast Augmentation

Posted on April 23, 2019 by

No surgical procedure is without risk. Most complications associated with breast augmentation, however, are minor. Here are some possible problems:

  • Collection of blood under the breast (hematoma). This can be removed.
  • Temporary crusting which forms on the incision.
  • Loss of sensation in the lower portion of the breast. This is fairly common, but in time, sensation usually returns.
  • Decreased or absence of sensation in one or both nipples. This may or may not return.
  • Extraordinary sensitivity when breast incisions are touched. This occurs occasionally, but disappears with time.

With aesthetic surgery, as with other surgical procedures, this sometimes occurs postoperatively. This is generally attributed to the normal response of the body to surgery and anesthesia.

Breast Asymmetry
No patient is identical from side to side. Small differences exist in all patients. In the occasional patient with a major difference, this can be improved with a secondary procedure.

Capsular Contraction
Scar tissue, which forms internally around the breast implant, can tighten and make the breast round, firm, and possibly painful. Excessive firmness of the breasts can occur soon after surgery or years later. Although the occurrence of symptomatic, capsular contracture is not predictable, it generally occurs in less than 20 percent of patients. The incidence of symptomatic, capsular contraction can be expected to increase over time. Capsular contracture may occur on one breast, both breast or not at all. Treatment for capsular contracture may require surgery, implant replacement, or implant removal. To help avoid this complication, we cannot stress enough the importance of MASSAGING AND VITAMIN E.

Implant Rupture
Breast implants, similar to other medical devices, can fail. Implants can break or leak. When a saline-filled implant deflates, its salt water filling will be absorbed by the body. Rupture can occur as a result of injury, from no apparent cause, or during mammography. It is possible to damage an implant at the time of surgery. Damaged or broken implants cannot be repaired. Ruptured or deflated implants require replacement or removal. Breast implants cannot be expected to last forever. Currently, at this writing, the rupture rate for saline implants is less than 10% for ten years. Depending on the manufacturer of your implants, you may have a warranty. The details of the warranty will be explained to you before the surgery.

  • Potential but unlikely complications Infection
  • Poor healing of skin.
  • Loss of a small area of skin or nipple and areola (necrosis).
  • Persistent pain in the breasts. This occurs rarely, and if it does, it usually disappears with time.
  • Hypertrophy or keloid scarring – if this happens it can be treated with cortisone injections or tape or possibly scar revisions.
  • Complications of a severe nature, which could be life threatening

Deep venous thrombosis (blood clots) affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other area, causing severe damage to that organ or even death. This is the reasons we have you stop hormones, wear TED hose, and walk every 3 hours the night of surgery.

Infection Considerations
There is evidence of an increased incidence of MRSA (methicillin-resistant Staphylococcus aureus) and other antibiotic resistant bacteria in our community. In the past, these resistant bacteria were typically found only in hospitals, but they are now found everywhere.

Frequently people can be a carrier of the bacteria without their knowledge. An infection with this bacteria can cause severe damage to the skin and even death. We are diligent in cleaning and sterilizing our facility and try to limit the exposure of outside bacteria from patients into our surgery center. We therefore have implemented the following hygiene steps to help prevent the contamination of our facility and therefore decrease your post-operative infection risk.

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

For breast augmentation in Dallas Texas contact Dr George Toledo.

Learn more about the preoperative guidelines for breast augmentation.

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