Breast Augmentation: Understanding Risks
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Every year, many thousands of women undergo successful breast augmentation surgery; however, anyone considering
surgery should be aware of both the benefits and risks.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed
decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and
your plastic surgeon, or with a staff member in your surgeon's office.
Some of the potential complications that may be discussed with you include reactions to anesthesia, blood
accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside
with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may
result from breast augmentation surgery, although they usually are temporary.
When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The
capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular
contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast's
appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or
replace the implant.
Breast implants are not lifetime devices and cannot be expected to last forever. If a saline-filled implant breaks,
its contents are harmlessly absorbed by the body within hours. A definite change in the size of the breast is
clearly noticed. Rupture can occur as a result of trauma to the chest, but more commonly it occurs spontaneously
with no apparent cause. Surgery will be required to replace the implant, if desired.
If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important
for you to select a radiology technician who is experienced in taking x-rays of augmented breasts. Additional views
of your breasts will be required. Your plastic surgeon, in some instances, may recommend other types of examinations
such as ultrasound or magnetic resonance imaging. It is possible that the presence of breast implants could delay or
hinder the early detection of breast cancer.
Some women with breast implants have reported problems including certain connective tissue and immune-related
diseases. Women without implants also have these disorders, so the key question is whether breast implants increase
the risk of developing the conditions. Several large studies have been completed that provide reassurance that women
with breast implants do not have a significantly increased risk for these diseases.
The 2200-member American Society for Aesthetic Plastic Surgery (ASAPS) is the
only plastic surgery organization devoted entirely to the advancement of
cosmetic surgery. ASAPS is recognized throughout the world as the authoritative
source for cosmetic surgery education. U.S. members are certified by the
American Board of Plastic Surgery. Canadian members are certified in plastic
surgery by the Royal College of Physicians and Surgeons of Canada. Toll-free
referral line: 888.ASAPS.11 (272.7711). Web site: www.surgery.org
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