Very difficult to answer your question without a physical examination and a mammogram, ultrasound or MRI.
If there has been a change in the appearance and feel of your implants you should seek consultation with a local plastic surgeon to decide how to proceed.

Published on Jul 11, 2012

Is it saline or silicone? Is it under or over the muscle? How long since surgery and how many surgeries have you had? Cannot answer with so little info, but my guess is that you probably have capsular contracture.

Published on Jul 11, 2012

Definitely call your surgeon and get in for a follow-up appointment. Without a photo or the ability to palpate the area, it is too difficult to diagnose. Follow up with your doctor. Best of luck.

Published on Jul 11, 2012

You would need to see the doctor to have an exam to determine what is going on. But if you have saline and they were leaking, they would be getting flat and losing volume.

Published on Jul 11, 2012

No. I would probably say that you are experiencing capsular contracture on that side. This can be corrected in most cases.

Published on Jul 11, 2012

hello and thank you for this question. I would recommend to follow up with her treating plastic surgery for an examination regarding this. It may be that you have develop some capsular contracture which may OR may not indicate a leaking implant.best of luck.

Published on Jul 11, 2012

Any time you have changes to the appearance of your breasts it is prudent to have an exam to find out if there is a leakage, capsular contracture or another source that is causing the changes to happen. I would recommend seeing your surgeon that did the surgery or another experienced board certified plastic surgeon.

Published on Jul 11, 2012

What you're describing does not sound like a breast implant leak. In general saline implants deflate and silicone gel implants are undetectable without MRI or ultrasound. When an implant is 'sticking out and hard' that usually means capsular contracture. You should visit your surgeon or a surgeon certified by the ABPS if you are not near your surgeon.

Published on Jul 11, 2012

This could be a rupture but it depends if it is saline or silicone. It sounds more like a fold or ripple. You should see your surgeon for a consultation

Published on Jul 11, 2012

Great question. Implant issues as you have described can be implant related or pocket related. Pocket related issues include capsular contracture and pocket asymmetries such as an overtly tight pocket. Evaluation of both pocket and implant related possible issues will be necessary to determine what should be done to improve the issue.

Published on Jul 11, 2012

Thank you for your question.
Without a physical examination, online consultants will not be able to give you good accurate advice. I would suggest visiting with your surgeon to receive the best advice. If you have silicone gel breast implants, the only way to know 100% that there is a leak is to have an MRI performed.
I hope this helps.

Published on Jul 11, 2012

Without an examination, it is impossible to tell what may be going on. You may simply have some scar tissue around the device itself. I recommend an examination with a board certified plastic surgeon. They can do an examination and order an imaging study if need be.

Published on Jul 11, 2012

Breast implant changes over time may be related to breast implant rupture in silicone breast implants. In this scenario, the break in the implant shell causes extrusion of silicone which can cause a deformity followed by scarring. Other causes include, anatomical or shaped implants rotating, or capsular contracture or scarring around the implant. Muscle thinning can also lead to implant deformities.

Published on Jul 11, 2012

It sounds like you might be developing scar tissue or a capsular contracture. This will cause a hardening which results in shifting of the implant often with associated pain. Implant leakage can cause a capsule, but you should see a board certified plastic surgeon for an evaluation to be sure.

Published on Jul 11, 2012