Making an Informed Decision

by WiredBerries Editors — January 31, 2008

Breast augmentation continues to increase in popularity, despite safety concerns. To make an informed decision, women need to be aware of their options and the associated risks. There are two primary types of implant: saline-filled and silicone gel-filled. Potential risks include:

• Capsular contracture -- A tightening and squeezing of the scar tissue that naturally forms around the implant. This contracture may result in hardening of the breast tissue, rippling of the skin, and changes in breast shape. It also may cause pain, which, if severe, can require surgery to remove the scar tissue or replace the implant.
• Rupture -- Saline-filled breast implants leak only salt water when they rupture, the health effects of leaking silicone gel-filled implants remain controversial.
• Nerve damage -- Some women experience a loss or increase in sensation in their nipples and breast tissue. These symptoms may disappear eventually, but can be permanent in some cases.
• Inability to breast feed -- It is unclear at this time whether insufficient milk production to breast-feed is due to damaged nerves or to other reasons.
• Additional surgeries - It is likely that follow-up surgery will be necessary. Reasons for reoperations include any of the potential complications, such as capsular contracture, wrinkling, asymmetry, rupture, or implant malposition.
• Interfere with diagnosis - Implants can hide breast tissue and, as a result, hide lesions as well.

Many women are very pleased with their enhanced appearance and have few problems. The best way to decide is to do considerable research on the benefits, risks, and surgical team. Then go with what feels right to you.