Breast Implant Dropped After 14 Years, Could There Be A Leak?

In the picture attached, it appears that your breast and areola have dropped off of the implant.  This happens to some patients following aging, weight loss or pregnancy.  You likely would benefit from a breast lift to improve the appearance of your breasts.  A deflated saline implant usually results in a loss of upper breast fullness and a smaller overall size than the opposite side.  A ruptured silicone gel implant would be detected on an MRI scan, but would not necessarily change the appearance of the breast.  You should see a plastic surgeon to help you understand your best options.

The contour of your breast appears as if the breast tissue has "dropped" by sliding downward over your implant.  The implant often sits up higher on your chest and overtime your breast tissue can relax and settle downward, hence, the lower position.  I hope this helps.

It osund slike your implants were placed without releasing the muscle.  This can give the look of a breat falling over the implant.  AS for one breast looking less like it did before, could possible mean a deflation.