What can go wrong after breast augmentation?
Breast augmentation is one of the most commonly performed cosmetic surgical procedures in the United States. The complication rate is not trivial, and some complications require significant medical intervention.
The most common complications
- Capsular contracture. The body’s scar tissue tightens around the implant, causing pain and distortion. Published rates: 5–15% (Headon, Watts, & Murphy, PRS Global Open, 2023). Grades III and IV typically require surgical intervention.
- Infection. Occurs in approximately 1–3% of cases. Infections around an implant often require removal of the implant to resolve.
- Hematoma. Occurs in approximately 1–3% of cases. The most common reason for unplanned return to the OR.
- Implant rupture or deflation. Saline deflation is visible immediately. Silicone rupture may be silent. Both require surgical replacement.
- Changes in nipple sensation. Permanent loss occurs in an estimated 1–5% of cases.
- Implant malposition. Implants can shift, requiring revision surgery.
The cost problem
A capsulectomy with implant exchange: $5,000–$15,000+. An infection requiring implant removal, IV antibiotics, and delayed reimplantation: $20,000+. Your health insurance almost certainly classifies all of this as arising from an elective procedure.
Aesthetisure covers capsular contracture for 12 months following primary breast augmentation, longer than the standard 45-day window.
Sources: ASPS; Headon, Watts, & Murphy, “Complications of Breast Augmentation,” PRS Global Open, 2023.