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Page 418 Brochu et al. Art Int Surg 2024;4:411-26 https://dx.doi.org/10.20517/ais.2024.61

• Bleeding
• Changes in nipple or breast sensation
• Fluid accumulation (seroma)
• Formation of tight scar tissue around the implant (capsular contracture)
• Hematoma
• Implant leakage or rupture
• Infection
• Persistent pain
• Poor scarring
• Possibility of revision surgery
• Wrinkling of the skin over the implant
• Wrong or faulty position of the implant

The list of complications provided by ChatGPT is similarly comprehensive to the one provided by the
ASPS, and it explains each possible complication in a concise and easily comprehended manner. Both lists
include complications not listed by the other source, such as breastfeeding challenges (listed by ChatGPT)
and BIA-aLCL (listed by ASPS). The ASPS article discusses screening recommendations and how
pregnancy, weight loss, and menopause may influence breast augmentation, which ChatGPT does not
mention. ChatGPT puts more emphasis on following up with your surgeon.

How long of a recovery period can I expect, and what kind of help will I need during my recovery?
This response begins with a statement about how recovery time can vary from person to person based on a
variety of factors. It then divides the postoperative time frame into 6 sections: immediate postoperative
period (first few days), first week, first two weeks, two to four weeks, four to six weeks, and six weeks
onward. The details of these sections are very similar to the corresponding section in the liposuction sample
and include the time frame for swelling and bruising reduction, pain medication and surgical bra usage, and
resuming increasingly strenuous activities. It also discusses how full recovery can take several months, and
how scarring can be managed. The next section, “assistance during recovery”, is nearly identical to the
sample liposuction section.

In comparison to a blog on breast augmentation recovery by the ASPS, the ChatGPT response has a less
detailed summary of the recovery process. It includes the main points addressed by the ASPS. It also uses a
similar time breakdown, but includes a time period of 6 weeks onward, providing additional information on
full recovery and exercising. The ASPS blog had no information on assistance that may be required during
the recovery period.

How can I expect my breast implants to look over time?
The response begins with a statement about how breast implants change over time due to various factors
and how it is important to understand that they may require maintenance or replacement. Then it lists
general considerations that affect their appearance over time with a bullet point or two of explanation. The
general considerations are aging and changes in breast tissue, pregnancy and breastfeeding, weight
fluctuations, capsular contracture, implant rupture or leakage, natural settling and drop, changes in nipple
and breast position, and implant revision or removal. The conclusion is a couple of paragraphs emphasizing
that breast implants do not last indefinitely and that maintenance and follow-up with a plastic surgeon are
imperative for the longevity of the implants.