Breast Augmentation risks & complications
An honest look at what can go wrong with breast augmentation, how often, and how to protect yourself.
Every procedure carries risk. Most complications from breast augmentation are uncommon, minor, and resolve with conservative management — but informed consent means understanding the full picture before you decide.
Documented risks for breast augmentation
Capsular contracture
10–15% lifetime, more common with sub-glandular placement and bleeding
Grade III/IV requires surgical capsulectomy
Implant rupture
Silicone: 10–15% by year 10. Saline: visible deflation
Rippling and palpability
More common in thin patients or subglandular placement
BIA-ALCL (lymphoma) — textured implants
Rare but documented. Allergan textured implants recalled. Smooth implants not associated.
Discuss en bloc capsulectomy if symptomatic
Breast Implant Illness (BII)
Self-reported syndrome; en bloc removal helps many but evidence is heterogeneous
Loss of nipple sensation
10–15%; most resolve over months
Asymmetry requiring revision
5–10%
How to reduce your personal risk
- Choose a board-certified, fellowship-trained surgeon.
- Stop nicotine in any form for at least 4 weeks pre/post-op.
- Disclose every medication and supplement to your surgical team.
- Follow pre-op fasting and post-op activity restrictions exactly.
- Keep follow-up appointments — early detection means easy fixes.
By the numbers
298,000
annual US augmentations
ASPS 2024
10–15 yrs
typical implant lifespan before exchange
$5,000
average surgeon fee (excludes implants and OR)
ASPS 2024
This page is general education, not medical advice. Risk estimates vary by patient factors, surgeon experience, and technique — discuss your specifics with a qualified surgeon.