Correction of Breast Implant Complications

What are some reasons for Breast Implant Re-operation?

As stated above, it is likely that you will need to have additional surgeries (reoperations). Reasons for reoperations could include any of the potential complications of breast augmentation, such as capsular contracture, wrinkling, asymmetry, rupture/deflation, implant malposition, implant size/type change, etc.

In the Mentor Core Study, the reoperation rate was 15% for primary breast augmentations (15 out of every 100 patients) during the first three years after surgery. In this group, the main reasons for reoperation were as follows:

• Severe Capsular Contracture
• Patient Request for Style/Size Change
• Hematoma/Seroma
• Scarring/Hypertrophic Scarring
• Biopsy
• Asymmetry
• Ptosis (sagging)
• Infection
• Delayed Wound Healing
• Implant Malposition
• Wrinkling/rippling
• Breast Pain
• Extrusion of Intact Implant
• Necrosis
• Suspected Rupture

Thus, the most common reasons for breast implant revisions are – changing implant size, improving the natural feel and appearance of the breasts, and correcting capsular contracture. Southern California cosmetic surgeon Dr. Agha’s systematic approach has minimized these revisions in his own practice, while improving patient outcomes and satisfaction ratings. He feels that the real focus should be in prevention of these problems as much as possible. However, breast implants are like any other man-made implantable medical device (such as heart valves and artificial joints). Realistically some patients will require revisions or reoperations.

27 year old female exchanged her saline implants with Silicone implants and correction of right nipple asymmetry by Dr. Agha. Post-operative picture was taken at one year.