At this time, the result is almost final.
To feel the implant in the lower part of the breast and at times on the side is normal and inevitable, especially on a slim person who had small breasts before the operation.
With slim patients who have implants with physiological salt solution, small irregularities or undulations can be seen on areas mentioned above.
Implants are not an obstacle to a pregnancy or a mammographic examination.
Implants do not increase the risk of breast cancer.

Apart from the classic but rare complications of any surgical act (anaesthetic accidents, haematoma, infections, and healing problems), very few problems exist concerning implants.
A "capsular contracture" gives an abnormally hard breast and is due to an intolerance of the prosthesis. This rare complication is anticipated by a post-operative drain lasting 24 hours and a daily massage of the implants during the months which follow the operation.
The "serome" which corresponds to liquid stagnating around the implant is rarely dangerous and can be treated by a post-surgery drain and the wear of a support bra.

The silicone gel has been accused, but wrongly so it seems, for increasing the risk of some pathologies usually named "immune related diseases", such as rheumatoid polyarthritis and erythemateous lupus.
A shifting of the implant, rare but unsightly, can justify a re-operation.
Finally, a rupture of an implant, generally due to it's aging is of no risk when it is filled with physiological salt solution.
On the other hand, the silicone gel might be responsible for inflammatory lesions of the breast which could be difficult to treat. However, this complication is becoming very rare as the modern gels are not liquid and do not run.
This is why the necessity to regularly control the implants and to change them if necessary, must be understood and accepted by the patient.

© Dr van der Stegen 2001-2005