The popularity of breast augmentation has more than doubled since , when there were just over , of these procedures. Given these statistics, it is not surprising that in spite of the increasing number of women with breast implants, debate continues to swirl about their safety. Many women are justifiably confused by the conflicting information they hear. Here are the facts about what is known and not known about the risks of breast implants. After a brief history of breast implants in the United States, we will answer the following questions:.
Patients choosing this type of implant should carry out more regular checks with their doctor compared with those on saline solution implants. Information on breast surgery patients were not more likely to smoke than other plastic surgery patients, so the difference in respiratory diseases did not appear to be due to smoking. Breast augmentation. Surgical risks are highest immediately around the time of surgery, but complications can require additional surgery later, which will have similar risks. If you notice warmth and redness in your breast or you run a fever, you might have an infection. If you're considering breast augmentation, talk to a plastic surgeon.
Naked siblings photos. Why opt for breast augmentation?
July 18, Request an Appointment at Mayo Clinic. Free Cosmetic Surgery Guide Click here to receive lifestyle tips direct to your inbox, along with a complimentary digital copy of Cosmetic Plastic Surgery Picture of mature women at a Glance. Close Select Information on breast surgery Hope Lodge. It is normal for your body to create a "capsule" made up of scar tissue around your new breast implant. Your feedback Was this page helpful? You can walk around and move normally with the drains in place. The goal of breast cancer surgery is to remove cancer cells from your breast. For many women this can take some time. This content does not have an English version.
The surgeon places silicone, saline, or alternative composite breast implants under the chest muscles or breast tissue.
- An implant is a sac filled with either sterile salt water saline or a material called silicone.
- After your operation 2.
- Breast augmentation, sometimes referred to as a "boob job" by patients, involves using breast implants or fat transfer to enhance your breasts.
- Surgery for breast cancer treatment 2.
Should I get breast implants? Should they be saline or silicone? Which style? How much monitoring is needed after surgery? Food and Drug Administration offers the following information to help people making decisions about breast implants.
Breast implants are medical devices implanted under the breast tissue or chest muscle to increase breast size augmentation or to replace breast tissue that has been removed because of cancer or trauma, or that has failed to develop properly because of a severe breast abnormality reconstruction.
The FDA has approved implants for increasing breast size in women, for reconstruction after breast cancer surgery or trauma, and to correct developmental defects. Implants are also approved to correct or improve the result of a previous surgery. The FDA has approved two types of breast implants: saline-filled salt water solution and silicone gel-filled. Both have a silicone outer shell and vary in size, shell thickness, shell surface texture, and shape contour. FDA-approved implants undergo extensive testing before approval to demonstrate reasonable assurance of safety and effectiveness.
Still, there are risks associated with all breast implants , including:. The silicone used for breast implants is different than injectable silicone. Injectable silicone is not FDA-approved for breast augmentation, breast reconstruction, or for any body contouring.
The longer you have breast implants, the greater the chances are that you will develop complications, some of which will require more surgery.
That means everyone with breast implants can face additional surgeries, but no one can predict when. Patients can also request additional surgeries to modify the aesthetic outcome, such as size or shape.
The FDA advises that people look at the Summary of Safety and Effectiveness Data for each implant to learn about the materials used to construct the device, device characteristics and the fillers used.
These summaries have been produced for all approved saline and silicone gel-filled breast implants. They also provide information on how often serious complications occurred. The most serious complications are those that lead to further surgeries, such as ruptures or capsular contracture, or BIA-ALCL diagnosis.
The FDA advises surgeons to give people the full product labeling, including all of the patient information from the manufacturer, for implants.
Ask your surgeon for the most recent version of the labeling, and read it carefully. If you have questions about any of this information, ask your surgeon. Surgeons evaluate the shape, size, surface texture, and placement of the implant and the incision site for each person.
Ask your surgeon questions about his or her experience in performing breast implant surgeries, the surgical procedure, and the ways the implant might affect your life. For example, discuss whether surgeries resulted in a larger than expected amount of scar tissue. Also, discuss your expectations. These discussions help the surgeon make operative decisions that achieve the desired appearance, including decisions about incision location and size, as well as implant size, material, texture, and placement.
Many people have additional operations to change implant size. To achieve the best results after the first procedure, careful planning and reasonable expectations are necessary. People who have breast implants may have an increased risk of developing this cancer in the fluid or scar tissue surrounding the implant.
Breast implants have either smooth or textured surfaces shells. Some women with implants may have experienced health problems such as connective tissue diseases such as lupus and rheumatoid arthritis , trouble breastfeeding, or reproductive problems.
There is currently insufficient evidence to support an association between breast implants and those diagnoses. The symptoms and what causes them are poorly understood, and there is currently insufficient evidence to support an association between breast implants and symptoms referred to as BII. But researchers are investigating these symptoms to better understand their origins. If you notice any unusual signs or symptoms, report them promptly to your surgeon or health care provider.
Health care providers and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:. When you make your appointment, inform the mammography facility that you have breast implants, so enough time is scheduled for your mammogram. Your surgeon or health care provider may also recommend other tests, such as ultrasound or magnetic resonance imaging MRI. The FDA recommends that people with silicone implants get regular screenings to detect silent ruptures.
The FDA has a web page on breast implants with resources that include:. Email Address.
You'll usually be advised not to lift or carry anything heavy until your wounds have fully healed. Living as a Breast Cancer Survivor Learn more about living as a breast cancer survivor including information about next steps, answers to many questions, and tips on follow up care. Breast augmentation is done to increase the size of your breasts. You may have wound drains in place following surgery, although not all surgeons use them. You may need to fill prescriptions for pain medicine before surgery. Mayo Clinic's approach.
Information on breast surgery. What breast augmentation surgery can do
The exact number of nodes in each level will vary from person to person. If you have invasive breast cancer, your treatment team will want to check if any of the lymph nodes under the arm contain cancer cells. An FNA uses a fine needle and syringe to take a sample of cells to be looked at under a microscope. A core biopsy uses a hollow needle to take a sample of tissue for analysis under a microscope. This will be done at the same time as your breast surgery and is known as an axillary clearance.
Even if the tests before surgery show no evidence of the lymph nodes containing cancer cells, you will usually still need to have a sample of the lymph nodes removed to confirm this. This is known as axillary sampling. Sentinel lymph node biopsy is widely used for axillary sampling. It identifies whether the sentinel lymph node the first lymph node that the cancer cells are most likely to spread to is clear of cancer cells.
There may be more than one sentinel lymph node. Sentinel lymph node biopsy is usually carried out at the same time as your cancer surgery but may be done before. A small amount of radioactive material radioisotope and a dye is injected into the area around the cancer to identify the sentinel lymph node.
Once removed, the sentinel node is examined under a microscope to see if it contains any cancer cells. As the dye leaves your body, you may notice your urine is a bluish-green colour for one or two days after the procedure. The skin around the biopsy site may also be stained a blue-green colour. Some people may have a reaction to the dye but this is rare and is easily treated if necessary.
If the sentinel node does not contain cancer cells, this means the other nodes are clear too, so no more will need to be removed. If the results show there are cancer cells in the sentinel node, depending on how much is found you may be recommended to have:.
This can help with planning any further treatment to the underarm after chemotherapy. If you have DCIS you will only need a sentinel lymph node biopsy if you are having a mastectomy, or if there is a high chance you have some invasive breast cancer.
If you have one or two sentinel nodes with macrometastases, you may or may not need further treatment to your axilla. Your doctors may talk about going into a clinical trial that is comparing treating versus not treating the axilla. If you have three or more sentinel nodes with macrometastases, you will need further treatment to the axilla. Some hospitals are set up to assess the lymph nodes during breast surgery.
The removed nodes will be looked at by a pathologist, who will tell the surgeon the result during the operation. If the sentinel node s contains cancer cells, the surgeon may then remove more lymph nodes. Having lymph nodes assessed during surgery avoids a second operation. The following information might help you to prepare.
Before your operation you will have a pre-assessment. This is to check your overall health and go through your planned surgery. The assessment may involve a number of tests including a chest x-ray, an electrocardiogram ECG and blood tests. The time taken to do these may delay your surgery for a short while. The nurse will explain the procedure that you will be having. This is a good opportunity to ask any questions and make sure you understand everything.
If you smoke, you may be asked to try to cut down or stop smoking to help your recovery from the anaesthetic and surgery. Your hospital team should provide you with information about your admission and hospital stay as well as what to take with you. You will usually be given a telephone number at your pre-assessment appointment that you can call if you have any questions about preparing for surgery, or are unclear about any instructions you have been given such as stopping eating and drinking.
The length of your hospital stay will depend on what type of surgery you have, how you recover and the support available at home. Some people who've had breast surgery without reconstruction are discharged from hospital within 23 hours. This means you may have your surgery as a day case or stay overnight, being discharged within 23 hours of admission. You will usually be admitted to the hospital on the morning of your operation or occasionally the day before.
A doctor from the surgical team will talk to you about your operation and discuss what has been planned. This confirms that you understand the benefits and risks of your surgery, and what you are agreeing to. Your anaesthetist will also usually visit you on the ward before your surgery. Once you are fully anaesthetised you will be taken into the theatre. To hear from us, enter your email address below.
Skip to main content. Home Information and support Facing breast cancer Going through breast cancer treatment. The multidisciplinary team MDT After surgery. Going into hospital and pre-assessment 1. Surgery for breast cancer treatment Surgery is the first treatment for most people with breast cancer.
Your specialist team will explain why they think a particular operation is best for you. You may also have some or all of the lymph nodes removed with the breast tissue. Breast-conserving surgery: lumpectomy or wide local excision A lumpectomy or wide local excision is surgery to remove breast cancer along with a margin border of normal, healthy breast tissue. Quadrantectomy A far less common operation is a quadrantectomy, where around a quarter of the breast is removed.
The breast tissue removed during surgery will be tested to check the margin around the cancer. Negative clear margins mean no cancer cells were seen at the outer edge of the tissue removed. Positive margins mean the cancer cells are very close to or reach the edge of the tissue. The unaffected breast Some women who are having a mastectomy wonder whether they should have their unaffected breast removed as well. Some people will be offered a choice between breast-conserving surgery and a mastectomy.
Talk to someone You may find it helpful to talk through your options with your breast care nurse. You can walk around and move normally with the drains in place. These drains will stay in for up to a few weeks depending on the type of surgery and will then be removed by a member of the specialist team.
Some people are able to go home with their drains in and either return each day to have them checked and the content measured, or in some hospitals patients or their carers will be taught how to do this. Read about looking after your drains and wounds when you leave hospital. Back to top. There are different types and strengths of pain relief available and they can be given as tablets, suppositories waxy pellets placed into your rectum back passage or injections.
What you are given will vary according to your needs. Some people find changing position and using pillows to support the wound can help reduce pain or discomfort.
Sometimes pain relief may be given through a device called a PCA patient controlled analgesia. This is a pump designed to give pain relief straight into your vein when you press a button.
It is usually removed a day or two after surgery. This is commonly used if you are having breast reconstruction. Many people experience pain, numbness and a burning sensation as a result of temporary damage to the minor nerves under the arm and scar area. Swelling soon after the operation is also common and will usually settle over time. Your treatment team may call this swelling oedema.
The swelling may affect your breast, chest wall, shoulder and arm. If the swelling is uncomfortable and feels heavy, wearing a supportive bra day and night can help.
After surgery some people may develop a collection of fluid called a seroma. Seromas can also occur in the abdominal area if tissue has been taken from here for reconstruction. Sometimes a seroma will refill after it has been aspirated so it may need to be aspirated several times before it goes away completely. This is usually a painless procedure as the area is likely to be numb. If the seroma restricts your arm movement and prevents you doing your arm exercises, speak to your breast care nurse or surgeon for advice.
Occasionally blood collects in the tissues surrounding the wound causing swelling, discomfort and hardness. This is called a haematoma. The blood will eventually be reabsorbed by the body but this can take a few weeks.
If a very large haematoma develops after your surgery, your surgeon may suggest removing it by drawing the blood off with a needle and syringe. Occasionally, a small operation is needed to remove it.
Contact your breast care nurse or ward if you have any concerns after you have left the hospital. Your arm and shoulder on the operated side may feel stiff and sore for some weeks. Your breast care nurse or physiotherapist will give you some gentle exercises to help you get back the range of movement you had before your surgery. The cord may not be visible but can usually be felt. This cord starts in the armpit and can vary in length.
It may just be in the armpit, or may travel down to the elbow or wrist. Stretching the cord can improve your symptoms and you may need physiotherapy to help with this. You will sometimes be advised to take pain relief before performing the stretches as they may feel uncomfortable.
Cording usually gets better with physiotherapy and exercise. Some people develop cording more than once. This can occur as a result of damage to the lymphatic system because of surgery. Although this type of swelling can usually be controlled it may never completely go away.
It can occur weeks, months or even years after surgery. If you're concerned about your risk of developing lymphoedema, talk to your breast care nurse or specialist. If necessary, they will be able to refer you to a lymphoedema specialist for further advice and treatment. A wound infection can happen any time until the wound is completely healed.
It usually takes about two to three weeks for the skin to heal and around six weeks for any internal stitches to dissolve. Any of the following symptoms could mean you have a wound infection:. Contact your GP, breast care nurse or specialist straight away if you think you may have a wound infection. You may need a course of antibiotics to stop the infection and discomfort. Some people who have had lymph nodes removed may be left with a degree of permanent numbness or altered sensation in their upper arm.
This happens because the nerves under the arm have to be disturbed to reach the lymph nodes that lie behind them. This can lead to a number of symptoms including:. If you have breast reconstruction using a flap of your own tissue you may also feel a change in sensation in the area from where tissue was taken. If you're concerned about these symptoms, tell your specialist or breast care nurse. Although it may not be possible to relieve all of your symptoms, some helpful treatments are available.
Whatever breast surgery you have will leave some type of scar. Looking at and feeling the scar for the first time can be difficult. Some people find it helpful to have someone with them when they first look at their scars, while others want to be by themselves. For many women this can take some time. Getting to know how your scars look and feel will help you notice any possible future changes. Scar tissue is produced naturally by the body during healing. At first your scar will feel uneven to the touch and may feel tight and tender.
Scars are often initially red but will fade and become less obvious over time. Your specialist team should be able to tell you when you can start moisturising your scars. At first you may find it uncomfortable to wear a bra or anything that puts pressure on the affected area. As the scars become less sensitive you should be able to wear a comfortable bra. For more information, see our Breast prostheses, bras and clothes after surgery booklet.
If you have a sentinel node biopsy including the use of blue dye, your breast may be discoloured. This is temporary and usually fades slowly.
The blue dye usually flushes out in your urine, which will make it look a green colour for a few days. You may feel sick after surgery because of the anaesthetic.
Facts About Breast Implants - Our Bodies Ourselves
The surgeon places silicone, saline, or alternative composite breast implants under the chest muscles or breast tissue.
Implants last from 7 to 12 years on average. Reconstructive breast surgery may be done as a part of the treatment for breast cancer. Cosmetic breast surgery is done for esthetic purposes. Breast augmentation is normally cosmetic surgery. In , a study by researchers from the University of Florida found that breast enlargement through cosmetic surgery boosts women's self-esteem and their feelings about their sexuality.
The results were reported in Plastic Surgery Nursing. A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct, or create the physical form of the breast. Saline implants are filled with a sterile saline solution, like salt water.
The solution is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution. This affects the feel, firmness, and shape of the breast. Silicone gel-filled implants consist of a silicone outer shell filled with a silicone gel.
If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant may or may not collapse.
Patients choosing this type of implant should carry out more regular checks with their doctor compared with those on saline solution implants.
An MRI or ultrasound scan can check the condition of the implants. Alternative composite implants may be filled with polypropylene string, soy oil, or some other material. Breast augmentation is a type of surgery, so patients need to think carefully before opting for the procedure. Before surgery, the surgeon should help the patient choose the size of the implant needed. This may be done by putting different sized implants into a bra, to see how they feel.
A general anesthetic is normally used, so that the patient is asleep during surgery. Sometimes local anesthetic is used, and the patient is awake. The choice of incision depends on several factors, including how much enlargement is involved, the patient's anatomy , the type of implant, and surgeon-patient preference.
A submuscular placement goes under the pectoral muscle. Recovery may take longer, and there may be more pain after the operation. A submammary, or subglandular, placement goes behind the breast tissue, over the pectoral muscle. The surgeon closes the incisions with layered sutures, or stitches, in the breast tissue. Stitches, skin adhesives, and surgical tape close the skin and keep it closed.
Surgery will leave some swelling, but this should resolve within two of weeks. The incision lines will also fade. After this, the patient will be able to decide whether the procedure met her expectations. After a general anesthesia, the patient will not be able to drive. They should arrange for a friend to take them home. If the patient has sutures that do not dissolve, or if drainage tubes are placed near the breasts, a follow-up appointment will be necessary to remove them.
The doctor may advise about some post-operative exercises, such as flexing and moving the arms, to relieve pain and discomfort, and also what type of bra to wear. Among patients who undergo breast reconstruction, 46 percent of women with silicone gel implants and 21 percent of those with saline implants had at least one additional operation within 3 years.
Eight percent of women with saline implants and 25 percent of those with silicone implants had surgery to remove the devices. Nearly 50 percent of those having cosmetic breast augmentation experience some kind of complication, for example, pain, hardening, infection, or the need for additional surgery.
Capsular contracture refers to a hardening of the area around the implant. It can distort the shape of the implant, and it can cause pain. The U. Food and Drug Administration FDA have been investigating reports that women with saline and silicone gas-filled breast implants have a higher risk of developing anaplastic large cell lymphoma. In Australia, say the FDA, there have been 46 confirmed cases of this rare type of cancer and 3 fatalities.
The data suggests that the risk of developing this type of cancer ranges from 1 in 1, to 1 in 10, women with breast implants. According to the Australian government, 23 cases were reported between and The Institute of Medicine IOM state that women who have had breast implants are three times as likely as other women to have an inadequate milk supply for nursing.
Regarding the safety of breast milk, the Centers for Disease Control and Prevention CDC have not updated information published in stating that there is "insufficient evidence to justify classifying silicone implants as a contraindication to breastfeeding. However, some infants born to and nursed by women who had implants were found to have higher levels of toxins in their blood compared with siblings born before the implants.
There is some concern that toxins may lead to neurological symptoms in women, possibly leading to problems with thinking and memory. The skin on the breast above the implant can become rippled or wrinkled, especially in very slim women or those who suddenly lose a lot of weight.
If a woman chooses to remove the implants, her breasts may look less attractive than they did before surgery. If the implants rupture, removal surgery can mean a loss of breast tissue. Breast augmentation surgery can be expensive. Women whose implants wear out will also need to consider the cost of replacement.
It is important to choose a surgeon who is licensed and recognized by a competent professional plastic surgery association. The ASPS points out that as awareness of other options grows, fewer women may opt for breast augmentation.
Between and , for example, the number of breast lifts increased by 89 percent , from 52, to 99, Table of contents Why opt for breast augmentation? What are breast implants? What to expect Risks and complications. The procedure involves making an incision and inserting implants. What to know about breast reconstruction surgery. Breast implants can contain silicon, saline, or another compound.
The implants may go under or over the pectoral muscle. As with any surgery, there are risks.