There are several surgical techniques for breast reduction, however all of them result in some type of visible scar on the breast mound itself. The risks of the operation involve potential loss of the nipple, skin or breast tissue. Nonhealing wounds and repeat surgical procedures are not uncommon with any one of those type of complications. Substandard care can occur under those circumstances if the patient selection was inappropriate for the specific operative procedure. The larger the reduction the more potential risks.
Smoking also increases the risk of complications.
They are now only used in controlled studies. The use of saline implants with the silicone shell continues. However the saline implants do not yield the same cosmetic result as the gel implant. Wrinkling of saline implants is very common. At the present time there is no scientific evidence to support a causal relationship between connective tissue disorders and silicone breast implants.