Breast augmentation is generally a very safe procedure — serious complications are rare.
That said, it’s crucial to understand the potential risks, which can be divided into two categories:
- Complications related to the surgical procedure
- Complications related to the implants themselves
Complications Related to the Surgery
1. Changes in Nipple or Areola Sensitivity
A temporary change in sensitivity is common in the first few months after surgery.
In most cases, sensation gradually returns to normal over time.
2. Hematoma (Internal Bleeding)
This refers to the accumulation of blood around the implant, usually within the first few hours after surgery.
While rare, it can be quickly and effectively treated if the patient returns to the operating room during the same hospital stay.
3. Infection
Infections after breast augmentation are extremely rare, especially in cosmetic cases.
When they do occur:
- They are typically treated with antibiotics
- In rare cases, temporary implant removal may be necessary for 1–2 months before safe re-implantation
Complications Related to the Implants
1. Rippling or “Waves” Under the Skin
Because implants are flexible, the shell can sometimes develop wrinkles or folds, which may:
- Be felt to the touch
- Become visible under thin skin in certain positions
This is more likely in very slim patients or with less cohesive gels.
To reduce this risk, we:
- Use denser, high-quality implants
- Place implants behind the muscle for added tissue coverage
2. Capsular Contracture (“Shells”)
When the body detects a foreign object like an implant, it naturally forms a protective capsule around it.
In most cases, this capsule is thin and soft, but in some cases, it becomes abnormally thick and hard, resulting in a condition called capsular contracture (or “shell”).
- It may distort the breast shape or cause discomfort
- Many cases are linked to implant rupture or leaking silicone
3. Implant Rupture
Breast implants are durable but not permanent.
Over time, the implant shell may lose its integrity due to:
- Aging and wear
- Micro-tears or porosity
- Rare traumatic injury or puncture
Depending on the filler, rupture leads to different outcomes:
- Saline implants: Rapid deflation, clearly noticeable
- Silicone gel implants: Gel remains inside the capsule; the rupture may be silent (no symptoms)
In both cases, rupture requires surgical replacement of the implant.
4. Implant Rotation
This occurs most often with anatomical (teardrop-shaped) implants, especially if they have a textured surface.
If the implant rotates, it can cause:
- Breast shape distortion
- Need for revision surgery
Polyurethane-coated anatomical implants are the only type known to prevent rotation, as they bond more securely to surrounding tissue.
Final Note
While these complications are rare, they underscore the importance of:
- Choosing high-quality implants
- Working with a qualified, experienced surgeon
Having regular follow-up appointments