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"Rupture Doctors believe most implants rupture eventually. Trauma&amp;amp;#8212;car accidents, needle biopsies, bad falls&amp;amp;#8212;can cause the break, but aging of the implant is the primary cause. &amp;amp;#8220;The shells simply break down in the body over the years,&amp;amp;#8221; says Dr. Rohrich. According to the FDA, about 10 percent of implants rupture within five years. When a saline implant breaks, the breast deflates and saltwater washes through the body. While potentially embarrassing, it causes no health risks. Silicone ruptures, however, are harder to detect because the silicone oozes out more slowly and, some argue, could make a woman ill. Capsular contracture Occurs when the scar tissue that forms around every implant (called the capsule) constricts and pulls tightly against the implant. It can make the breast hard, misshapen and painful and may happen within months or years after surgery. The problem varies based on implant type and other factors but can occur with 8 to 41 percent of saline implants and 36 to 81 percent of silicone ones. Permanent loss of sensation About 10 to 18 percent of women still have no nipple sensation five years after surgery. Hematoma A collection of blood inside the chest cavity that usually occurs within 24 hours after surgery. The body absorbs small hematomas; large ones may require surgery. Other, minor risks While rare, these problems may require removal or replacement of the implants: Synmastia, in which the implants pull the skin away from the breast bone, is often due to too-large implants. Infection of the pocket or incision. Necrosis, when tissue around the implants dies, can cause permanent scarring or deformity. Wait! Still want breast implants? Ask yourself: Who are the implants for? Many surgeons say that it is not uncommon for a boyfriend or husband to buy his significant other implants as a &amp;amp;#8220;gift.&amp;amp;#8221; Says Dr. Fodor, &amp;amp;#8220;I can&amp;amp;#8217;t tell you how many times I&amp;amp;#8217;ve had to counsel couples in which the man wants her to get implants. A patient&amp;amp;#8217;s motivation for surgery has to be her own&amp;amp;#8212;not because her boyfriend wants her to do it.&amp;amp;#8221; Do you think implants will change your life? &amp;amp;#8220;People try to correct things on the outside to fix something wrong on the inside,&amp;amp;#8221; says Amy Flowers, Ph.D., a psychologist in private practice in Macon, Georgia. &amp;amp;#8220;But if you&amp;amp;#8217;re shy, for example, implants will not change you into a social butterfly.&amp;amp;#8221; Many women do report feeling more confident soon after getting implants, but there&amp;amp;#8217;s no evidence that other people treat them more positively, and they may get some unexpected flack. &amp;amp;#8220;For everyone who says, &amp;amp;#8216;Wow, she looks great,&amp;amp;#8217; another person may snicker and say, &amp;amp;#8216;Those aren&amp;amp;#8217;t real,&amp;amp;#8217;&amp;amp;#8221; says David B. Sarwer, Ph.D., associate professor of psychology at the University of Pennsylvania School of Medicine. Any positive effects may be short-lived. &amp;amp;#8220;Women who undergo plastic surgery usually are happier than they were with the body part that has been changed, but they are not happier with themselves generally, with their lives or even with their social lives,&amp;amp;#8221; says Diana Zuckerman, Ph.D. &amp;amp;#8220;In fact, some evidence suggests women felt worse about themselves in many ways two years after breast augmentation.&amp;amp;#8221; Is your body image realistic? &amp;amp;#8220;If a woman is a 34C and the envy of her friends,&amp;amp;#8221; says Sarwer, &amp;amp;#8220;yet still wants implants, then we worry about body dysmorphia,&amp;amp;#8221; a mental disorder in which a woman&amp;amp;#8217;s view of her body is severely distorted. In these cases, surgery is never the fix. FAQ Do implants cause cancer? There&amp;amp;#8217;s no proof implants affect the risk of breast cancer, but they can make it harder to detect the disease. Can I still breast-feed? One study found that up to 64 percent of women with implants will not be able to produce enough milk to nurse their babies exclusively. But if you can, most experts say it&amp;amp;#8217;s safe to do so. Can a guy tell during sex? Almost all the men Glamour interviewed said they could tell a woman had implants without being told. Some men didn&amp;amp;#8217;t mind the &amp;amp;#8220;fake&amp;amp;#8221; factor. &amp;amp;#8220;My friend let me do a touch test,&amp;amp;#8221; admits Joe, 33. &amp;amp;#8220;They were really tasteful&amp;amp;#8212;not too big&amp;amp;#8212;and felt great.&amp;amp;#8221; But many men found implants to be a turnoff. &amp;amp;#8220;My ex&amp;amp;#8217;s boobs seemed too big for her body, and her skin seemed stretched to a painful point,&amp;amp;#8221; says David, 40. &amp;amp;#8220;They looked like science fiction and were really hard. I didn&amp;amp;#8217;t even enjoy touching them.&amp;amp;#8221;"^^<http://www.w3.org/2001/XMLSchema#string>
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