How to avoid the top 6 risks of breast enlargement surgery

Written by Mr Vummiti Krishnan, Consultant Breast Surgeon at Pall Mall Cosmetics.  

All surgery in general carries common risks with some that can and some that cannot be avoided. Breast surgery can carry risks of its own. Often there are preventative measures to help with these ill-effects, so here are the top 6 potential risks and and treatments to avoid them, courtesy of Mr Krishnan, Breast Surgeon at Pall Mall Cosmetics.

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1.) Bleeding after breast augmentation

Bleeding is a common early risk for surgery in general. In breast enlargement, if bleeding were to happen, it would happen in a closed cavity. This has a detrimental effect on the whole operation. The patient must be taken back to theatre and a further surgical procedure completed to remove the collection of blood and control of the source of the bleed. The chance of bleeding is higher if the implant is put under the muscle and therefore some risk can be avoided by considering breast implants over the muscle instead.

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2.) Hardening of the breast tissue after augmentation surgery

This risk is otherwise referred to as “capsular contracture” and can occur at a later date, i.e. years later following surgery. A capsule is formed around the implant that has been inserted as the body forms a protective layer.

In some cases, the capsule may shrink, forming a contraction around the implant, often for no apparent reason. There have been a number of ways to try to address this difficult problem. In severe cases, the only way to avoid this is a surgical intervention to remove the capsule, which is the most effective way. The breast surgeon may advise for an implant exchange to minimise future risk of re-occurrence.

Mr Krishnan Breast Augmentation blog avoiding surgical risks

3.) Breast implant rupture after augmentation surgery

There is a risk of the breast implant rupturing following breast augmentation surgery. There is no proven link between this and more serious complications, such as tumours, but there would be a considerable amount of pain and discomfort, as well as an odd and uneven appearance to the breast shape itself.

It can be hard to tell if your implant has ruptured. If you’re uncertain then your doctor will be able to properly diagnose it with a thorough MRI scan to detect such an occurrence. Once detected, your breast surgeon will often recommend removal of the implant, and in most cases you are able to have a replacement during the same procedure, depending on the extent of any damage that the rupture has caused.

One of the most effective ways in which you can help prevent a rupture is remembering that often breast implants aren’t for a life and therefore a routine MRI scan may be a wise choice if you feel there are any changes to your breasts. You should always note that implants have a lifespan of around 10+ years before a removal and replacement procedure is advised.

Mr Krishnan Breast Augmentation tips to avoid surgical risks

4.) Scarring after breast augmentation surgery

As with any surgical procedure that requires an incision there is always the risk of scarring. Scarring on the breasts after augmentation / enlargement surgery can, in some cases, be thicker and therefore more obvious.

There are many ways that are recommended to help treat and prevent excessive scarring. One fundamental tip to prevent this is not to irritate the area any more than is necessary – don’t scratch or tamper with the area that could scar, even if it is slightly irritating after surgery. Another quite simple way in which you can help scars to heal a little quicker, is to cover the area with an ointment that will keep water out, such as Vaseline. This will allow the collagen to form without further restriction.

Mr Krishnan Breast Augmnetation tips to avoid risks from surgery blog

5.) Losing nipple sensation after augmentation surgery

Due to the way in which the nipple is involved in breast enlargement surgery, it can lead to sensation being lost to an extent, or even entirely. This is due to the possible severing of nerve endings during the surgery, that may cause some nerve pain following the surgery.

Nerves require time to repair so the best tip is to just be being patient and maintain a healthy lifestyle. After three months, any possible nerve pain should subside – if it doesn’t then further consultation should be sought out with the breast surgeon. It will always be a risk that numbness and absence of sensation could indeed be permanent around the nipple.

Mr Vummiti Krishnan at Pall Mall Cosmetics in Manchester, Liverpool and Newton-le-Willows

How do I find the best breast augmentation surgeon in the North West?

It’s important to be confident in your hospital and surgeon, before you agree to any breast augmentation surgery. Consult the Care Quality Commission (CQC) website, to ensure your chosen provider meets regulatory standards to a high level.

You can also look for a surgeon who is recognised by the British Associations for Plastic Surgeons such as ‘BAAPS’ and ‘BAPRAS’ – important if you want an experienced surgeon who can offer the gold standard of patient care here in the UK.

Speak to your surgeon about any worries you may have about the risks of this procedure, they are in the best position to offer assurances and calm nerves. Ultimately, as a breast surgeon my goal is to offer you the best treatment, in a safe environment.

* You can read more about our Breast Augmentation surgery by clicking here.

“The team at Pall Mall Cosmetics are dedicated, caring and have a clear vision that the patients and their needs are their no 1 priority. The care and attention I received before, during and after surgery from all staff was second to none. The surgical team are very highly experienced and left me in no doubt that I would be happy with the outcome of my procedures.”

susan. m

Meet Mr Vummiti Krishnan at Pall Mall Cosmetics

Mr Krishnan is one of our expert Breast Surgeons here at Pall Mall Cosmetics. With his experience in the NHS as a Consultant Oncoplastic & Reconstructive Breast Surgeon, you can be assured of his expertise with breast augmentation, reduction or uplift procedures.

At Pall Mall Cosmetics, prices for breast augmentation with Mr Krishnan start from £3,495 with free consultations until you are completely happy.

To get a free of charge, no obligation consultation for cosmetic and reconstructive breast surgery with Mr Krishnan, simply call Helen & Sara in our cosmetic team on 03300 58 44 55 or email

Or view Mr Vummiti Krishnan’s surgical profile – click here.