Breast Augmentation Risks

While every surgery carries some risk, breast augmentation normally poses minimal risk for patients who are properly selected and prepared. Most women who visit Kaufman Plastic Surgery experience no complications. But take a moment to read through the risks below to familiarize yourself with the possibilities.

We look forward to reviewing all this information and much more with you when we meet. Why not request your consultation at our Sacramento practice now?

Specific Risks of Breast Augmentation

Risks associated with breast augmentation, also called augmentation mammaplasty, include:

Implant Leak or Rupture
Like other medical devices, breast implants can fail, meaning they can break or leak. When a saline-filled implant deflates, the body will harmlessly absorb the sterile salt water. When a silicone gel implant ruptures, usually the gel stays inside the implant shell, but extrusion is possible. Rupture can occur as a result of an injury, during mammography or through no apparent cause. It’s also possible to damage an implant at the time of surgery. Damaged implants cannot be repaired; they require replacement or removal. Breast implants can also simply wear out; they should not be expected to last a lifetime.

Capsular Contracture
Scar tissue, which forms internally around the breast implant, can tighten and make the breast firm and possibly painful. Excessive firmness of the breast can happen soon after surgery or years later. The incidence of capsular contracture is not predictable, though your odds of experiencing it increase with time. Capsular contracture is thought to be more common with implant placement in front of the chest muscle. Treatment may require surgery, such as implant replacement or implant removal. Capsular contracture may recur after surgical procedures to treat it have taken place. Read more on capsular contracture in our articles section.

Skin Wrinkling and Rippling

Visible and palpable wrinkling of implants can occur, some of which is normal and to be expected. However, it may be more pronounced in patients who have saline implants or thin breast tissue. It may even be possible to feel the implant fill valve of a saline implant, which patients tend to dislike.

Change in Nipple and Skin Sensation

Some change in nipple sensation can be possible right after surgery but, after several months, the vast majority of patients do experience normal sensation again. However, it is possible that partial or complete loss of nipple and skin sensation may be permanent.

Implant Displacement

It is possible that a breast implant may become displaced from its initial position. This can be accompanied by discomfort and/or distortion in breast shape. Additional surgery may be necessary to correct this problem.

Infections are unusual after breast augmentation, but they are possible. Certain kinds of infections can be difficult to diagnose, and it’s also more difficult to treat an infection near breast implants. If an infection does not respond to antibiotics the breast implant may need to be removed–with an implant typically being reinserted later. It’s rare, however, that an infection would occur around an implant from a bacterial infection elsewhere in the body.

Revision for Size

Though it is possible you may not be content with your new size, Dr. Kaufman has complete confidence in his methods for determining which implant size and style is best to create your desired outcome. In fact, 99 percent of his patients are happy with their new size after surgery. Read about implant sizing at Kaufman Plastic Surgery.


One condition that can occur after augmentation mammaplasty is asymmetry. Most often it is slight – similar to normal asymmetry prior to surgery – but it could also appear more marked after surgery, due to the healing process or a host of other factors. In this case, patients occasionally choose to return to the operating room for revision.

Additional Breast Implant Advisory Information

You’ll need to care for your breasts over time with your implants in mind. Here are a few factors to consider when planning breast augmentation:

Breast Cancer

Current medical information does not demonstrate an increased risk of breast cancer in women who have breast implant surgery for either cosmetic or reconstructive purposes. Regardless, all women should perform periodic breast self-examinations, have mammography according to American Cancer Society guidelines and seek professional care should they notice a breast lump. Care must be exercised during breast biopsy to avoid damage to the implant.


Breast implants may make mammography more challenging and may hamper the detection of breast cancer. Ultrasound, specialized mammography and MRI studies may be useful to evaluate breast lumps and the condition of implants. Patients may wish to undergo a preoperative mammogram and another after implantation, to establish a baseline view of their breasts.

Long-Term Results

Subsequent alterations in breast shape may occur as the result of aging, weight loss or gain, pregnancy or other circumstances not related to augmentation mammaplasty. Most women experience some measure of sagginess over time.

Choosing Cosmetic Surgery in Sacramento

It may seem that there’s a lot to consider before choosing breast augmentation and that’s very true. However, it’s also true that the procedure is safer than ever the majority of women who move forward with breast augmentation surgery, love their results. Read breast augmentation studies and articles we’ve gathered for you to learn more about the risks and rewards.

We’ll be here for you from the moment you walk through our door. Give us a call at (916) 983-9895 and plan a visit to 2220 East Bidwell Street in quiet Folsom.