Breast augmentation is one of the most requested procedures in plastic surgery, but like any surgical procedure, it presents potential risks and complications.
In this article I will explain to you clearly and directly:
- What are the most common complications and how to prevent them?
- how to recognize the warning signs
- and above all: what can you do to experience the surgery with serenity and awareness?
The main risks of breast augmentation
Breast augmentation surgery, when performed by a plastic surgery specialist and in a certified environment, is a safe procedure. However, it is important to know: all possible complications, even the less frequent ones, to face the intervention with greater awareness and serenity.
In recent years, however, somewhat misleading advertising has emerged, claiming "anesthesia-free breast augmentation," "painless surgery," or even "no scalpel required." Social media and more or less unsophisticated influencers have played a significant role in presenting surgical procedures as almost a game. These claims are often part of unethical advertising that risks trivializing a serious procedure.
Why undergo inpatient surgery in a clinic?
In my practice, I prefer patients to remain in the clinic for at least the first few hours after surgery. Patients typically stay the first night in the clinic, under the direct supervision of experienced physicians. This allows me to closely monitor the initial progress and ensure ongoing specialist care. Hospitalization, though brief, allows for prompt intervention in the event of any postoperative adverse events.
Risks exist, but today—thanks to modern techniques, authorized operating rooms, and cutting-edge materials—they are increasingly reduced. Here are the most common:
Post-operative bleeding
This is an early complication that, although rare, can occur within the first 12-24 hours. Therefore, it is essential to remain under observation. Rest in the hours following surgery helps prevent it. Frequent check-ups by medical staff are essential. Complete rest in the first few hours promotes a quicker recovery.
Capsular contracture
The formation of a periprosthetic capsule is the body's physiological response to the presence of the prosthesis. In some cases, however, the capsule may thicken, distorting the aesthetic result and causing discomfort. In these cases, a second operation may be necessary.
To prevent this complication, I have taken some precautions in my practice:
- Use of atraumatic radiofrequency scalpels.
- “No touch” technique with Keller Funnel, which avoids direct contact with the prosthesis.
- Antibiotic therapy and antiseptic irrigation during surgery.
Prosthesis breakage
A rare event, even rarer today thanks to the use of prostheses in cohesive silicone gel, which in the event of a rupture remains confined within the pocket. Replacement is not urgent, and any prosthetic replacement can be planned more calmly.
Moreover, the most important manufacturing companies offer guarantees and insurance coverage in case of breakage.
Prosthesis infection
Extremely rare but possible. It may require removal of the prosthesis. To prevent it:
- Strict compliance with sterility protocols.
- Administration of systemic antibiotics.
- Use of Keller Funnel to reduce the risk of contamination.
ALCL (Anaplastic Large Cell Lymphoma)
This is a rare form of lymphoma associated primarily with some macrotextured implants (now withdrawn from the market). It is a very rare complication and can often be resolved by removing the implant and draining the serum.
It is important to get information from official sources such as:
- Ministry of Health
- SICPRE (Italian Society of Plastic Surgery)
- AICPE (Italian Association of Aesthetic Plastic Surgery)
Seromas (fluid accumulation)
Serum may accumulate around the implant, especially with early movement or intense activity. It often reabsorbs spontaneously, but in some cases requires drainage or implant removal. This condition can occur spontaneously or following direct trauma.
Hypertrophic scars or keloids
Some patients may develop visible scars, reddened, or raised. It's more common in genetically predisposed individuals. In my practice, I always use cosmetic suturing techniques and offer post-operative treatments (silicone patches, creams, laser) to prevent or improve them.
Asymmetries and failure to achieve results
There are many reasons behind breast augmentation that obviously push patients to undergo this procedure. It's therefore reasonable to expect very high expectations. However, it's important to avoid the easy mistake of expecting unattainable results. It's therefore important for the patient and surgeon to discuss the true goals of the procedure and what they can expect. It's important to remember that surgery can help you achieve your dreams, but surgical miracles don't exist!
Prevention and safety: how to reduce risks
✅ Intervention in certified operating room
✅ Use of quality breast implants
✅ Avoid low-cost or foreign interventions that do not guarantee careful follow-up
✅ Trust doctors who specialize in plastic surgery
✅ Monitoring post-operative and compliance with the instructions provided by your surgeon
✅ Continuous assistance in the following weeks and respect for outpatient appointments
Why choose me?
My name is Dr. Pierluigi Gigliofiorito, and I specialize in aesthetic plastic surgery. I operate in certified facilities in Milan and Caserta, and I always offer personalized consultations with an empathetic and transparent approach.
In conclusion
Breast augmentation is a safe procedure, but like any surgical procedure, it requires attention, experience, and proper information. My approach is always personalized, and each patient is carefully monitored throughout all phases: pre-operative, surgical, and post-operative.
Faq
Yes, breast augmentation is currently considered a safe procedure, especially when performed by a specialist plastic surgeon in a certified clinic. Risks are rare, but they should be recognized and carefully managed. Dedicate quality time to pre-operative discussions with your doctor and address any concerns you may have before booking the procedure.
Yes, but it's rare. Modern cohesive gel implants are designed to be durable. Even if they rupture, the gel remains contained, and replacement surgery can be scheduled with ease.
You may experience a temporary decrease in sensation in the nipple or other areas of the breast. In most cases, the sensation returns spontaneously within a few months.
Rotation can occur, especially with anatomical implants. If the rotation is significant, corrective surgery may be necessary. Round implants do not present this type of aesthetic problem.
Carefully follow all your surgeon's instructions: wear a compression garment, limit your exertion in the first few days, take the prescribed medications, and attend all post-operative check-ups.
Book an appointment with Dr. Pierluigi Gigliofiorito in Milan, Rome, or Caserta.
👉 [Contact me on WhatsApp at 345/2138775 or write to me via email: info@gigliofiorito.com]
The information on this site is for informational purposes only and does not replace a doctor's opinion during a visit. Each treatment is individually assessed based on each individual case. Results may vary from patient to patient. No content is intended to be promotional or to encourage the performance of medical procedures.