If there is not enough soft tissue cover over the...

Robin Yuan, MD answers: Saline breast implants - Palpable nodule on breast normal 9 weeks post-op?

I'm 9 weeks post-op after my saline breast implants. I noticed a nodule like projection on the lower pole of one breast which felt exactly like pressing on the resilient scalloped edges of sides of the implant shell, as early as 2 weeks post-op.

My PS told me my skin was much thinner along this area. When I wear a sheer bra, this lump is noticeable and palpable. When touched, it's extremely weird like touching a breast with 'cysts' except that these lumps can be pressed and bounce back.

Is this a common occurence? Is it normal to have palpable linear nodule-like projection arising from the rippling effects of saline implants? Will it get worse? If yes, what are remedial options?

Saline breast implants - Palpable nodule on breast normal 9 weeks post-op?
Robin T.W. Yuan, MD
18 months ago
By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

If there is not enough soft tissue cover over the implant, you may be able to palpate folds or knuckles of the implant's bag. Sometimes these are also visible. If an implant is unfilled, your surgeon may be able to add more saline although this may not solve the problem completely. Down-sizing is another possibility so that the size of the implant lies within the dimensions of your normal breast tissue, although this might be unsatisfactory due to the smaller final size. This situation may worsen over time since the constant pressure of the fold/knuckle may cause gradual, progressive atrophy of the overlying tissue. Most patients will accept this imperfection until it is quite obvious, painful, or causing excessive thinning.

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