Risks of Breast Implants

Risks of Breast Implants

Some of the complications and adverse outcomes of breast implants include:

• Additional surgeries, with or without removal of the device
• Capsular contracture, scar tissue that forms around the implant and squeezes the implant
• Breast pain
• Changes in nipple and breast sensation
• Rupture with deflation of saline-filled implants
• Rupture with or without symptoms (silent rupture) of silicone gel-filled implants

Implant Complications

The following is a list of local complications and adverse outcomes that occur in at least 1 percent of breast implant patients at any time. You may need non-surgical treatments or additional surgeries to treat any of these, and you should discuss any complication and necessary treatment with your doctor. These complications are listed alphabetically, not in order of how often they occur. 

Complication	Description
Asymmetry	The breasts are uneven in appearance in terms of size, shape or breast level.
Breast Pain	Pain in the nipple or breast area
Breast Tissue Atrophy	Thinning and shrinking of the skin
Calcification/Calcium Deposits	Hard lumps under the skin around the implant.  These can be mistaken for cancer during mammography, resulting in additional surgery.
Capsular Contracture	Tightening of the tissue capsule around an implant, resulting in firmness or hardening of the breast and squeezing of the implant if severe.
Chest Wall Deformity	Chest wall or underlying rib cage appears deformed.
Deflation	Leakage of the saltwater (saline) solution from a saline-filled breast implant, often due to a valve leak or a tear or cut in the implant shell (rupture), with partial or complete collapse of the implant.
Delayed Wound Healing	Incision site fails to heal normally or takes longer to heal.
Extrusion	The skin breaks down and the implant appears through the skin.
Hematoma	Collection of blood near the surgical site.   May cause swelling, bruising and pain.  Hematomas usually occur soon after surgery, but can occur any time there is injury to the breast.  The body may absorb small hematomas, but large ones may require medical intervention, such as surgical draining.
Iatrogenic Injury/Damage	Injury or damage to tissue or implant as a result of implant surgery
Infection, including Toxic Shock Syndrome	Occurs when wounds are contaminated with microorganisms, such as bacteria or fungi.  Most infections resulting from surgery appear within a few days to a week, but infection is possible any time after surgery.  If an infection does not respond to antibiotics, the implant may need to be removed
Inflammation/Irritation	Response by the body to an infection or injury.  Demonstrated by redness, swelling, warmth, pain and or/loss of function.
Lymphedema or Lymphadenopathy	Swollen or enlarged lymph nodes
Malposition/Displacement	The implant is not in the correct position in the breast.  This can happen during surgery or afterwards if the implant moves or shifts from its original location.  Shifting can be caused by factors such as gravity, trauma or capsular contracture.
Necrosis	Dead skin or tissue around the breast.  Necrosis can be caused by infection, use of steroids in the surgical breast pocket, smoking, chemotherapy/radiation, and excessive heat or cold therapy.
Nipple/Breast Sensation Changes	An increase or decrease in the feeling in the nipple and/or breast.  Can vary in degree and may be temporary or permanent.  May affect sexual response or breast feeding.
Palpability	The implant can be felt through the skin.
Ptosis	Breast sagging that is usually the result of normal aging, pregnancy or weight loss.
Redness/Bruising	Bleeding at the time of surgery can cause the skin to change color. This is an expected symptom due to surgery, and is likely temporary.
Rupture	A tear or hole in the implant’s outer shell.
Seroma	Collection of fluid around the implant.  May cause swelling, pain and bruising.  The body may absorb small seromas.  Large ones will require a surgical drain.
Skin Rash	A rash on or around the breast.
Unsatisfactory Style/Size	Patient or doctor is not satisfied with the overall look based on the style or size of the implant used.
Visibility	The implant can be seen through the skin.
Wrinkling/Rippling	Wrinkling of the implant that can be felt or seen through the skin.

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