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Breast Augmentation

To ensure that you are provided with all the necessary information in order to make a decision whether or not to have breast augmentation surgery, here is a breakdown of some of the potential issues associated with the procedure, as outlined in the “Breast Implant Information Booklet” issued by the Australian Government.


According to the handbook, local complications can include capsular formation and contracture, which are the gradual changes that occur from your body's reaction to an implant. This process occurs when the body forms a fibrous capsule around the implant, which is comprised of scar tissue.


Complications that can arise from the contraction of this fibrous capsule are extreme hardening of the breast, pain, extreme sensitivity to touch, wrinkling or distortion of the breast and movement or displacement of the breast implant. The contraction of the fibrous capsule is the most common side effect associated with breast augmentation surgery, and can occur immediately or a long time after the procedure is completed.


If severe contraction occurs, you may have to undergo further surgery to remove or alter the position of the implant. Other issues that can arise from the contraction of the fibrous capsule include increased gel diffusion or implant rupture. These occur when the implant is pushed through the fibrous life insurance capsule of scar tissue surrounding the implant, however this is very rare. Calcification can also occur within the fibrous capsule, which could potentially hinder the effectiveness of a mammogram.


The reasons for contracture cannot be contributed to a single cause, however it is believed that infection, swelling, bleeding, lack of drainage in incisions, implant size, the quality of the implant and your body's reaction to the implant all determine the degree to which contraction is likely for first aid to occur. If you suffer from contraction after your breast augmentation surgery procedure, there are several procedures which can correct this issue.


These procedures include an “open capsulotomy”; “capsulectomy” and a closed capsulotomy”. The first procedure relieves contracture by releasing pressure, the second through implant removal and the third by external manipulation. Closed capsulotomies are however no longer recommended, as cases of silicon rupture have been reported.