|
|
|
Breast Augmentation in Beverly Hills- Risks & Potential Complication
|
| |
What Are the Potential Risks and Complications of Breast Augmentation with Breast Implants in Beverly Hills and Los a?
Inherent Surgical Risks of Breast Implant Surgery (Saline & Silicone) Include:
Bleeding
While this is unusual, it is possible to experience a bleeding episode following surgery. If this occurs, emergency treatment to drain |
|
|
| |
 |
|
| |
|
|
| |
accumulated blood, or a blood transfusion, may be required. You can reduce this risk by not taking any aspirin or anti-inflammatory medications for ten days before or after surgery. Non-prescription “herbs” and dietary supplements can also increase the risk of bleeding. The risk of major bleeding, or blood collection, is only about three percent. Most women lose about two test tubes of blood during surgery. Any blood clots that form must be removed in a later surgical procedure.
Infection
The risk of wound infection is less than two percent. Most patients receive intravenous antibiotics during surgery and antibiotic medication after surgery, which minimizes this risk. If infections do not respond to antibiotics, the implant may have to be removed, and another one inserted after the infection has healed. . After the infection is treated, a new breast implant can usually be reinserted. It is extremely rare that an infection would occur around an implant from a bacterial infection elsewhere in the body, However, prophylactic antibiotics may be considered for subsequent dental or other surgical procedures. In extremely rare instances, life-threatening infections, including toxic shock syndrome have been noted after breast implant surgery. Individuals with an active infection in their body or weakened immune system should not undergo breast augmentation.
Seroma
Sometimes blood in the depth of the breast tissue can accumulate and form a blood collection, called a Hematoma. Seroma is a fluid that arises from the breakdown of accumulated blood or Hematoma. Seroma and Hematoma can accumulate in the breasts, especially following trauma or vigorous exercise. Additional treatment may be necessary to drain the accumulation of fluid around the breast implants.
Pain
All implant patients will experience a degree of pain, as is true of any major surgery. The pain is slightly more pronounced when implants are placed under the muscle. Also, women who have not yet experienced childbirth will probably have a higher degree of pain. Most women report that the pain is greatest in the first 48 hours within surgery. Your cosmetic surgeon will prepare you to address the pain, with a prescription for it prior to your surgery. Prolonged or chronic pain could occur as a result of capsular contraction, nerve entrapment or injury, or even without any specific reason. Removal of implants may not alleviate chronic pain.
|
|
| |
Scarring
The location of a scar depends upon which incision technique is used by your cosmetic surgeon. Patients experience scarring differently – some are more delicate than others, and certain ethnic groups are more prone to scarring. Scars will fade with time, but will always be visible to a degree. Most women accept this as the trade-off for having a fuller and prettier breast.
Skin Discoloration/ Swelling
Some bruising and swelling normally occurs after Breast Augmentation. The skin in or near the surgical site can appear either lighter or darker than surrounding skin. Although uncommon, swelling and skin discoloration may persist for long periods of time and, in rare situations, may be permanent.
Sutures
Most surgical techniques use deep sutures. You may notice these sutures after your surgery.Sutures may spontaneously poke through the skin, become visible or produce irritation that requires suture removal.
|
|
 |
|
| |
Delayed Healing
Wound disruption or delayed wound healing is possible. Some areas of the breast skin or nipple region may not heal normally and may take a long time to heal. Areas of skin or nipple tissue may die. This may require frequent dressing changes or further surgery to remove the non-healed tissue. Individuals who have decreased blood supply to breast tissue from past surgery or radiation therapy may be at increased risk for wound healing and poor surgical outcome. Smokers have a greater risk of skin loss and wound healing complications
Skin Wrinkling and Rippling
All saline-filled breast implants ripple. Your ability to palpate or even see these skin wrinkles or ripples increased with having very thin skin, very little breast tissue, and when implants are placed over the muscle or in the subglandular pocket. Ripples may be more pronounced in patients who have saline-filled implants with textured surfaces and those who choose extremely large implants. It may be possible to feel the implant fill valve. Some patients may find palpable valve and wrinkles cosmetically undesirable. Palpable valve, wrinkling and/or folds may be confused with palpable tumors and questionable cases must be investigated. The most common treatment of this is to change from saline to silicone implant which ripples much less.
Alteration in Nipple Sensation
After surgery women can experience reduction in nipple or breast sensation as a result of temporary swelling. After swelling subsides there can be an increase or decrease in nipple sensation. FDA studies of 2000 showed loss of nipple sensation in 8-10% of women at three years and 10% at five years. Hypersensitivity of nipple sensation was reported in five to nine % of women at three3 years and 10% at five years.
In my own practice, approximately five percent of patients lose all feelings in one nipple, 10% lose some feeling, and 85% lose no feelings in their nipples. This has been true however the implants have been inserted.
Implant Displacement and Tissue Stretching
Displacement, rotation, or migration of a breast implant may occur from its initial placement and can be accompanied by discomfort and/or distortion in breast shape (visible rippling of the skin). Unusual techniques of implant placement may increase the risk of displacement or migration. Additional surgery may be necessary to attempt to correct this problem. It may not be possible to resolve this problem once it has occurred.
Asymmetry
As is true in nature, no two breasts are identical, even after Breast Augmentation. Some women may require a corrective second surgery if the difference is significant; however it is usually not any more noticeable than when breasts are a somewhat different size in their natural state.
Symastia
Symastia is when both breasts join each other in a single pocket due to the loss of the cleavage fold. This can happen when the diameter of the two implants is greater than that of the chest, or by excessive thinning out of the skin, or by technical errors during surgery. Fortunately, Symastia occurs very rarely. Unfortunately, its repair is difficult, requiring exchange of implants for smaller ones, and recreation of the cleavage fold with the aid of internal sutures.
Bottoming Out
Bottoming Out is when the majority of the breast tissue slides below the level of the nipple, making it appear that the nipple is sitting too high on the breast. This can occur in two ways. One cause is due to extreme laxity of the breast tissue when the breast substance itself slides down over the implant and sags below the nipple position. The other circumstance is when the implant migrates inferiorly below the level of the nipple, and even at times below the level of the under-breast fold. This occurs as a result of inadequate support of the implant, either by having it placed over the muscle or by having very loss and inelastic breast tissue. To correct this requires a breast lift procedure and the re-establishment of the under-breast fold. |
 |
| |
| |
| |
In the following sections Dr. Younai reviews your treatment options for breast augmentation , including pros and cons, potential risks and complications, recovery course, pre and post operative instructions, and esthetic outcomes. There are also many before-and-after pictures, high resolution images of Liposuction available in our photo gallery. |
Dr. Younai is a board certified plastic surgeon who receives patients at the California Center for Plastic Surgery from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, Bakersfield, and Oxnard. |
|
|
