Risks of Breast Surgery

Rippling or wrinkling of the breast implant

This can occur with textured implants because they are designed to adhere to breast tissue.  As the implant settles into place, the breast tissue it has adhered to is pulled down which then pulls on the skin.  There is no way to prevent this, and the only way to correct it is to remove the implant and replace it with a smooth one.

“Flipping” of teardrop implant

Teardrop (contoured) implants run the risk of rotating within the breast.  If this happens with a round implant, it’s not a big deal because it won’t change the shape of the breast, but if it happens with a teardrop, then surgery is required to reposition it.


One of the risks of breast augmentation surgery is a rupture of the implant.  Breast implants can rupture for a variety of reasons. Falls, car accidents and sports-related injuries are the most common.  Any trauma to the breast can potentially pierce or burst the implant.

Other causes include overfilling or under-filling of saline implants.  Overfilling can cause the implant to burst, while under-filling can cause folds and creases which weaken the shell.  Implants are not designed to last forever, and the mere passage of time can cause them to rupture.

The only treatment for a ruptured breast implant is surgery, as the implant must be either removed or replaced.

Interference with Mammogram

Breast implants can interfere with mammogram results, and in rare cases, can be ruptured by the mammogram machine.  For this reason, it is important to find a technician who has experience dealing with women with implants.


Symmastia is probably the rarest complication of breast augmentation. I have to tell you, after seeing some pictures, I think it may also be the worst complication!

Symmastia is known as “breadloafing” and “uniboob” and occurs when the surgeon attempts to put the implants close together to increase cleavage and inadvertently releases too much tissue in the cleavage area. This causes the implants to touch and create one really yucky looking boob.

It seems to be a complication that comes down to surgeon error and can only be corrected through further surgery (hopefully not by the same surgeon who screwed it up in the first place!).


Hematoma is basically excessive bruising after surgery.  It can create a lump that can be painful.  Hematoma will usually clear over time but may need to be drained.

Bottoming out

Bottoming out occurs when the implant settles too far down and the nipple appears to be on the top of the breast.  This happens most often to women who are very thin and don’t have much breast tissue.  Surgery is required to correct this.

The “Ick” Factor

When I was perusing the thousands of before and after pictures online, I decided the biggest risk to having my boobs done is that I just wouldn’t like them.  Even a lot of the “success” pictures looked a bit wonky to me.

It seems to me there is a good chance you will wake up with a pair of boobs you don’t like any better than the ones you had.

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