Complications with breast augmentation procedures
While plastic surgery is extremely safe these days, we should never forget that it is surgery after all and things can go wrong – not because your surgeon was incompetent but simply because the human body is so complex and unpredictable. Breast augmentation procedure – the most popular worldwide – can also have some complications and Dr. Vasdev Rai of Dallas, Texas highlights them.
Capsular Contracture: When a foreign object is placed in the body, whether it is an implant, pacemaker, or artificial joint, the body forms a lining around it called a capsule. This is to be expected and is normal. However, after the procedure the capsule can shrink substantially, putting pressure on the implant. This is referred to as capsular contracture, and it can make the implant feel hard because of the pressure being put on it, it can also distort the shape of the breast. Although there is no way to determine whether or not a capsule contracture will occur, there are ways to correct it through corrective procedures like closed capsulotomy, open capsulotomy, and open capsulectomy.
Hematoma: Hematoma is a collection of blood around the surgical site; seromas are accumulations of fluid around the implant. While your body can absorb smaller hematomas and seromas, larger ones may need to be surgically drained to allow proper healing.
Necrosis: Necrosis is the death of tissue around the implant. A sign of this occurring is the wound/incision opening up. Necrosis can require surgical repair of the area and/ or removal of the implant so that scarring does not occur.
Infection: As with any surgery, infection can occur in this procedure. Infections usually make themselves known a few days or a few weeks after the surgery, and can be treated with antibiotics. However, if the infection does not respond to antibiotics, the implant may have to be removed so the infection can be treated and healed; the implant can be replaced in another procedure once the infection has cleared.
Other Complications: Other, more aesthetic complications, that can arise are “bottoming out” and “symmastia.” Bottoming out occurs when the implant descends too low in the chest, placing the nipple too high. Symmastia occurs when there is an over dissection of tissues in the cleavage area. Symmastia gives the impression of the breasts touching each other in the center.
When choosing to have your breast augmentation procedure performed by a surgeon, you have many choices as to where you would like to have the incision made, and whether you would like to have the implants placed subglandular where the implant is placed in front of the muscle, or submuscular, where the implant is placed behind the muscle.
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