(713) 659-2700
Bruce K Smith - Houston Plastic surgeon

What are the risks associated with breast augmentation surgery?


Infection is a potential risk associated with breast augmentation surgery. Despite efforts to maintain a sterile environment during the procedure, there is always a possibility of bacteria entering the body and causing an infection. This can manifest as redness, swelling, pain, or discharge around the incision site. In some cases, antibiotics may be prescribed to treat the infection, but in severe cases, additional procedures may be necessary to drain the infection and remove any compromised implants.

It is crucial for patients to follow post-operative care instructions provided by their plastic surgeon to minimize the risk of infection. Proper wound care, including keeping the incision site clean and dry, can help prevent bacteria from entering the body. Additionally, patients should avoid activities that may increase the likelihood of infection, such as swimming in pools or hot tubs, until they are healed. If any signs of infection develop, it is important to seek medical attention promptly to prevent any complications.

Capsular Contracture

Capsular contracture is a potential complication that can occur after breast augmentation surgery. It involves the formation of scar tissue around the breast implant, leading to the hardening of the breast and sometimes causing discomfort or changes in appearance. This complication can range in severity, with some cases requiring surgical intervention to correct.

Factors contributing to the development of capsular contracture include bacterial contamination, bleeding around the implant, or a genetic predisposition to significant scarring. Although there is no definitive way to prevent capsular contracture, certain surgical techniques and post-operative care measures can help minimize the risk. It is essential for patients to follow their surgeon’s instructions carefully and attend regular follow-up appointments to monitor the healing process and address any concerns promptly.

Changes in Nipple Sensation

Bruce K Smith MD board certified plastic surgeon asserts that Changes in Nipple Sensation can occur following a breast augmentation procedure. Patients may experience temporary or permanent alterations in nipple sensitivity, which can range from heightened sensitivity to numbness. These changes are typically a result of nerve damage during surgery and may vary in intensity from person to person.

It is important for patients to be aware of the possibility of Changes in Nipple Sensation before undergoing breast augmentation. While most individuals regain normal sensation over time, some may continue to experience altered sensitivity long term. Consulting with a qualified plastic surgeon like Bruce K Smith MD will help patients understand the risk factors associated with Changes in Nipple Sensation and make an informed decision about their procedure.

Implant Rupture or Leakage

Implant rupture or leakage is a concern that some individuals may face following breast augmentation surgery. This issue can occur due to various factors, such as trauma, natural wear and tear, or a manufacturing defect in the implant material. When a rupture or leakage happens, it can lead to a deflated appearance of the breast, causing asymmetry and a change in shape.

In case of saline implant rupture, the body safely absorbs the saline solution without causing harm. However, silicone implant ruptures may require surgery to remove the leaked silicone material and replace the implant. Regular monitoring of breast implants through routine check-ups with a healthcare provider can help in early detection of any issues, allowing for timely intervention if needed.

Scar Tissue Formation

One of the potential complications that can arise after breast augmentation surgery is the formation of scar tissue around the implants, known as capsular contracture. This occurs when the body’s natural response to the implant triggers excessive scar tissue formation, causing the capsule to tighten and potentially distort the shape of the breast. While some degree of scar tissue formation is normal and expected during the healing process, severe cases of capsular contracture can lead to discomfort, changes in the appearance of the breast, and may necessitate revision surgery.

Capsular contracture is graded on a scale from Baker Grade I to IV, with Grade IV being the most severe. Patients experiencing symptoms such as increased firmness, pain, or visible distortion of the breast should consult with their plastic surgeon for evaluation and potential treatment options. Techniques such as implant massage, medication, or surgical intervention may be recommended to address capsular contracture and improve the overall outcome of breast augmentation surgery.
• Capsular contracture is a potential complication of breast augmentation surgery
• Excessive scar tissue formation can cause the capsule to tighten around the implant
• Severe cases of capsular contracture may require revision surgery
• Symptoms of capsular contracture include increased firmness, pain, and visible distortion
• Treatment options for capsular contracture may include implant massage, medication, or surgical intervention


Asymmetry after breast augmentation is a common concern for patients seeking a symmetric outcome. The discrepancy in size, shape, or position of the breasts may occur due to various factors such as natural breast asymmetry, surgical technique, or post-operative healing. Achieving perfect symmetry is challenging as no two breasts are exactly alike.

Addressing breast asymmetry may require additional surgical procedures to achieve a balanced appearance. Techniques such as adjusting implant size, repositioning implants, or performing a breast lift on one side can help improve symmetry. It is crucial for patients to communicate openly with their plastic surgeon about their concerns and expectations regarding breast asymmetry to achieve the desired results.

Pain and Discomfort

For some patients undergoing breast augmentation surgery, pain and discomfort can be experienced during the initial recovery period. This is a common side effect of the procedure and is typically managed with prescribed pain medications. It is important to follow post-operative care instructions provided by your surgeon to help alleviate discomfort and promote proper healing.

Additionally, some individuals may also experience tightness and pressure in the chest area following breast augmentation surgery. This sensation is normal as the body adjusts to the presence of the implants. Patients are advised to rest and avoid strenuous activities during the early stages of recovery to minimize discomfort and allow the body to heal properly. Understanding that pain and discomfort are temporary effects of the procedure can help patients navigate through the recovery process with patience and reassurance.

Allergic Reactions

Allergic reactions are a potential risk associated with breast augmentation surgery. Despite the rare occurrence, it’s crucial to be aware of the possibility of developing an allergic reaction to the materials used in breast implants. Silicone and saline implants contain various components that could trigger an allergic response in some individuals. Symptoms of an allergic reaction may include redness, swelling, itching, and even difficulty breathing, which necessitate prompt medical attention.

In some cases, patients may only experience a mild allergic reaction that can be managed with medication. However, severe allergic reactions can be life-threatening and require immediate intervention. It’s essential for patients to discuss any known allergies with their plastic surgeon prior to surgery and follow post-operative care instructions diligently to minimize the risk of allergic complications.

Anesthesia Risks

Bruce K Smith MD board certified plastic surgeon Anaesthesia is an essential component of any surgical procedure, including breast augmentation surgery. While rare, risks associated with anaesthesia do exist and must be considered. These risks may include allergic reactions to anaesthetic medications, respiratory issues, and potential complications related to the administration of anaesthesia. It is crucial for patients to disclose their medical history and any previous experiences with anaesthesia to their healthcare provider to ensure a safe procedure.

Additionally, other factors such as smoking, obesity, and certain medical conditions can increase the risks associated with anaesthesia. Patients should follow pre-operative instructions provided by their healthcare team carefully to reduce the likelihood of complications. Close monitoring during and after surgery is crucial to detect any adverse reactions promptly. Patients should communicate openly with their healthcare providers about any concerns or questions regarding anaesthesia risks to ensure a positive surgical experience.

Revision Surgery

In some cases, individuals who have undergone breast augmentation may require revision surgery to address complications or achieve desired outcomes. Revision surgery involves correcting issues such as implant malposition, asymmetry, or capsular contracture. These procedures aim to improve the aesthetic appearance of the breasts and ensure patient satisfaction. It is essential for individuals considering revision surgery to consult with a board-certified plastic surgeon to discuss their concerns and goals.

Bruce K Smith MD, a board-certified plastic surgeon, emphasizes the importance of thorough evaluation and clear communication between the patient and the physician before proceeding with revision surgery. Understanding the reasons for seeking revision surgery and realistic expectations are key factors in achieving successful outcomes. Dr. Smith utilizes his expertise to tailor each procedure to meet the unique needs and goals of the patient, ensuring a safe and effective surgical experience.

What is revision surgery?

Revision surgery is a procedure performed to correct or improve the results of a previous surgery, such as breast augmentation or revision rhinoplasty.

What are some common reasons for revision surgery after breast augmentation?

Common reasons for revision surgery after breast augmentation include infection, capsular contracture, changes in nipple sensation, implant rupture or leakage, scar tissue formation, asymmetry, pain and discomfort, allergic reactions, and anesthesia risks.

How do I know if I need revision surgery after my initial procedure?

If you are experiencing any issues or complications with your breast implants, such as pain, swelling, asymmetry, or changes in nipple sensation, it is important to consult with a board certified plastic surgeon like Dr. Bruce Smith to determine if revision surgery is necessary.

What are the risks associated with revision surgery?

Risks associated with revision surgery may include infection, anesthesia risks, allergic reactions, and the possibility of additional scarring. It is important to discuss these risks with your plastic surgeon before undergoing any additional procedures.

How can I find a board certified plastic surgeon to perform my revision surgery?

You can research board certified plastic surgeons in your area, read patient reviews, and schedule consultations to find a qualified surgeon like Dr. Bruce Smith who specializes in revision surgery. It is important to choose a surgeon who has experience and expertise in the specific procedure you are considering.

How long is the recovery process after revision surgery?

The recovery process after revision surgery will vary depending on the specific procedure performed and individual healing factors. Your plastic surgeon will provide you with specific post-operative instructions and guidelines to help ensure a smooth recovery process.

    Schedule Your Consultation Today

    Photo Gallery Specials

      Schedule a Consultation with Dr. Smith in Houston TX

      Bruce K. Smith, M.D.

      1315 St. Joseph Pkwy
      Houston, Texas 77002

      (713) 659-2700

      Office Hours

      Monday - Friday 9 am - 5 pm
      Saturday by appointment only

      Connect with Dr. Smith

      If you are a visitor with a disability, please contact us if you need assistance.
      © 2024 Plastic Surgeon Bruce K. Smith, M.D. | Houston Texas. All Rights Reserved. | Patient Billing Rights in Texas | About Us Across The Web