Breast Implant
Description:To change the shape and/or enlarge the breasts, or repair the breasts after surgery or trauma.
Potential Risk of Negligence: There are general risks associated with surgery and a general anaesthetic: Early complications, although rare include bleeding into the breast tissue producing a swollen painful breast, and the development of a haematoma. The treatment involves further anaesthetic to drain the blood and stop further bleeding. Infection is another rare complication (usually from the dormant germs lying in the breast ducts) and can cause part of the wound to break down, prolonging the healing process and worsening the quality of the final scars. Usually the implant will need to be removed and a course of antibiotics commenced. The implant is usually then reimplanted after a few months. Rarely nipple and skin sensation may be reduced or even lost after surgery.
Later complications include a visible or palpable implant, seen through the skin. The implant may rupture and need to be removed. The most common risk with breast implants is capsular contracture, although the risk is low (some 5-6% of all cases), usually starting around a year or much longer after surgery. When any foreign material is inserted in the body it makes a protective coating around it which in most women forms a thin membrane that remains undetectable externally. In some women the reaction is greater and a thicker capsule is created that becomes contracted and noticeable when looking at the chest. This can cause pain and the implant feeling hard. Treatment is needed and may result in the implants being removed. Most women have a degree of asymmetry (different sized breasts) and breast augmentation may exaggerate this difference. The size and shape of the breast will also change with time. It is not always possible to create a cleavage with breast implants. A scar is inevitable (under the breast, around the nipple or in the armpit) and the appearance will vary between individuals. The scars will settle over several months, and may take up to a year to fade to your natural skin colour. Smoking will make the scars more visible. Implant surgery does not interfere with the breast anatomy and breast feeding should not be affected, and there is no evidence that silicone is found in breast milk.
Implants may need to be replaced after 10-15 years, although implants may stay in longer without any problems.
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