The Institute of Medicine (IOM) has made its independent examination of past and enduring scientific research of silicone breast implant safety. The major findings from the IOM report:
 Local complications are the main safety issue with breast implants for the reason that they are recurrent enough to be a concern.
 Local complications build up over the lifetime of the implant, and they have not been well studied.
Information on local complications is crucial for women deciding whether or not they want breast implants.
As almost expected it is likely that you will require having one or more reoperations throughout the course of your life owing to local complications from breast implants.
Reasons for reoperations could involve the potential local complications like capsular contracture, wrinkling, asymmetry, rupture/deflation, implant malposition, etc.
The type of surgical procedure performed during the reoperation depends on the local complication concerned. More than one procedure may be performed in a single reoperation.
Types of surgical procedures that may be performed:
implant removal with or without replacement;
capsule procedure (e.g., removal or surgical release of the capsule);
scar or wound revision (e.g., surgical removal of excess scar tissue);
drainage of a hematoma (e.g., inserting a needle or tube through the skin to drain the collection of blood);
repositioning of the implant (e.g., surgically opening the incision and moving the implant);
biopsy/cyst removal (e.g., inserting a needle through the skin or cutting through the skin to remove a lump).
Numerous reoperations to either get better the appearance of the breasts, to take away ruptured/deflated implants, or both may result in an unsatisfactory cosmetic outcome.
A study by Gabriel, et al. showed that 24% of women with breast implants had complications resulting in a reoperation within the first five years after implantation (silicone and saline implants were studied together). 7 According to this study, about 1 in 3 women getting breast implants for reconstruction needed a reoperation within five years, and about 1 in 8 women getting breast implants for augmentation needed a reoperation within five years.
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