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Possible Risks and Complications of Breast Augmentation

Articles 28 June 2016

Usually, it is safe to say that Breast Augmentation has much lower risks than general surgery.

The personal consultation and the requested examinations (blood count, breast ultrasound, and anesthesiological consultation) together provide a mutual awareness, recognition of risk factors, and their treatment strategy.

All interventions are carried out in a secure private clinic environment and we work with premium quality lifetime-guarantee breast implants – with full regard to safety.

Temporary Discomfort

  • Pain in the breast: This is reduced to a minimum due to an analgesic that is given before, during and after surgery.
  • Tension sensation: Because tissues need to get used to increased breast volume, it can be considered as a natural complication of surgery, but painkillers are good for that too. Implants under the muscle means more pain, but in the long term it usually gives a more durable and aesthetically pleasing result.
  • Noises from the breast: Until the implants reach their final position, an occasional low bubble sound may occur, especially when changing body position. This is a natural sign of the residue of the tissue-cleaning liquid between the tissues and the implant during the operation. It is absorbed in a few days.
  • Back pain: As the breast muscles need to be spared for a few weeks, the load on the back muscles changes, which, after returning to normal lifestyle, goes away automatically. The tension of the pectoral muscle may cause pain in the back.
  • Edema: Accumulation of lymph fluid between the tissues will eventually disappear, but in the first few days the process can be accelerated by continuous cooling. Later, the regular use of anti-inflammatory drugs and lymphatic drainage massage can help against the edema, that occurs in all of the limbs, the torso and even the face for a short time.
  • Swelling of the abdomen: („Doctor, I became pregnant during surgery?”) This is due to the more active diaphragm usage and the effect of muscle relaxants on the abdominal muscles.

Early or Late Complications

  • Bottoming out: Downward movement of the implant, as if the whole breast was sliding down the chest. Usually occurs on one side.
  • Double bubble: The implant slides below the underline of the breast, creating a double contour.
  • Rippling: Wave-like visibility and tactility of a crumpled implant wall or the surrounding connective tissue.
  • Scarring disorders.
  • Greater asymmetry.
  • Rupture: Cracking of the outer shell of the breast implant.
  • Sterile inflammation: Non-pathogenic inflammation with edema (fever is not common), the body’s own reaction to the implants.
  • Capsular Contracture: An abnormality, when the connective tissue thickens and exerts pressure on the implant. There are several stages.
  • A LCL (anaplastic high cell lymphoma): a very rare type of non-Hodgkin’s lymphoma, which may have a distant relation to breast implants that is very difficult to demonstrate.
  • Late seroma: Excess tissue fluid formation between the implant and the surrounding connective tissues, mostly due to unidentified reasons.

Unfounded Assumptions

  • Autoimmune Disease: As the body identifies cohesive silicone gel implants as „tissue-friendly”, they do not trigger an excessive immune response.
  • Joint problems: There are more articles on the Internet that, without any scientific basis, mention linkage between autoimmune arthritis and breast augmentation – but since the autoimmune relationship does not stand up, one should not take it seriously either.
  • Chronic fatigue: with increased self-confidence after surgery, most people report the opposite.
  • Memory impairment: Plastic surgery does not affect the functioning of the central nervous system.
  • Heavy metal poisoning: Modern breast implants do not contain heavy metal derivatives.
  • Allergy: High-purity medical silicone cannot trigger an allergic reaction.

Unfortunately, the fact has a role in the spreading of unfounded assumptions that some manufacturers have filled in implants with cheaper and inferior quality materials than those with strictly controlled medical purity, which caused many complications (eg. PIP).

However, strict compliance with the highest safety standards can minimize any risk.

(PG, SAV)


Breast Surgery Info

Complex information page with a description of the breast surgery procedures, a unique glossary - an explanation of the most important terms - and essential knowledge on the pre-and post-operative period.


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