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COMPLICATIONS OF AUGMENTATION MAMMOPLASTY – dentrocasa magazine, February 2012

Each surgical procedure is burdened by possible generic and specific risks that must be assessed with the patient before each procedure. In cosmetic surgery, augmentation mammoplasty is a procedure with a lot of possible complications. The generic risks are those that characterise the whole surgery and are essentially the formation of haematoma, infections and pathological scars. The specific risks in this case are mainly related to the interactions of the body with the prosthesis.
The main complication is the capsular contracture; the human body recognises the prosthesis as a foreign element but does not have the possibility of eliminating it, therefore it isolates it by creating scar tissue around the implant. This reaction is completely physiological but sometimes takes on uncontrolled proportions with an overabundant production of fibrotic tissue which progressively tightens the prosthesis until it changes the consistency and shape of the breast in the most serious cases. The reasons for this phenomenon are not fully known to date and affect about 5% of patients who become candidates for a surgery to remove the periprosthetic capsule to restore a condition of normality.
Another common complication is the dislocation of the implant or the minimum displacement of the prostheses from their implant site due to the excessive force of the muscular force to which it is subjected. A minimum variation is sufficient to determine a significant modification of the breast symmetry and in the case of anatomic prostheses, the risk of rotation is added with an evident modification of the shape Also in this case, the problem is easily solved with a small re-operation.
A rare complication with the latest-generation breast implants is the rupture of the implant. In this case, the diagnosis is often delayed as this inconvenience rarely produces clinical symptoms but once the magnitude of the damage has been ascertained through an MRI, it is advisable to subject the patient to a replacement of the implant.
Other events are to be included among the predictable effects and not among complications are those such as prosthetic rippling or the visibility of the prosthesis in some areas of the breast in thin patients or when there is poor coverage by the breast tissue or the possible reduction of skin sensitivity.

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