Breast Implant surgery is safe, but has risks

Farbod Esmailian, MD answers: What are the risks of breast implants?

Thinking about a breast augmentation...would like some info. about possible risks associated with breast implants and breast implant surgery. Can implants really "poison" you if they leak? Thx

Farbod Esmailian, MD
12 months ago

This is real surgery and should not be taken lightly. Breast augmentation is a safe procedure as evidenced by its nationwide popularity. However, one needs to be very careful when choosing their surgeon.

Make sure first of all that you are seeing a board certified plastic surgeon. There are a lot of doctors out there performing breast augmenatation and that is where you can get into serious problems.

As with any surgery, there is risk of bleeding and infection, which fortunately are very rare. The most commmon complication is capsular contracture which is when there is hardening of the scar around the implant. Nationwide the rate is around 7-8%. This should be a lot lower which attentiont to particular detail.

Good luck.

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A: Breast implants are not poisonous or dangerous

Michael A. Jazayeri, MD
4 months ago

There are two types of breast implants currently in the market: saline and silicone. 

The outer covering of ALL breast implants will eventually fail, causing a break in the implant.  If you have chosen saline (salt water) implants, the body will simply absorb the saline, causing a change in the shape and size of the implant.

With silicone implants, the exposed silicone gel will not be absorbed and will remain there until removed by surgery.  Therefore, some patients may have a failed silicone implant and not be aware of it (silent leak).  Silicone, by itself, is NOT dangerous or poisonous.  Silicone is present in many other things, and we are constantly exposed to it. 

Previously, before any studies were performed, the assumption was made that silicone gel will cause auto-immune disorders (arthritis, lupus, etc.).  However, numerous large studies, comparing tens of thousands of patients have failed to show any association between silicone and auto-immune disorders.

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