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Yes, in particularly thin individuals, especially with subglandular placement ("over the muscle). However, it is best that you seek medical advice.
There is only a valve on saline implants and this can definitely be palpable in thin patients. It doesn't always stay directly under the nipple.
While it is always possible that you MAY be feeling your implant valve if you are very thin withittle breast tissue, in the interest of safety, I would urge you to be examined by a breast professional. Better safe than sorry. Dr. Peter A Aldea
The valve of a saline breast implant with an anteriorly place valve can become palpable and can be confused with a small mass. I have seen this on 4-5 occasions and is most common in women who have very little breast tissue pre-op and have had their implants placed between the breast and muscle.
I agree with my colleagues that the implants are not likely a cause of your shoulder problem. However, a pectoralis muscle that is bound up by a capsular contracture can give you the sensation of tightness and pulling.
Slow leaks are possible but unlikely to be bilateral. We know that with time the ribs are remodeled by the constant pressure of the implant on the chest wall whch may account for loss of projection that you are observing.
Recently, there has been a lot of chatter about fungal (or mold) infections in saline-filled breast implants. In fact, I have had a few patients contact me with concerns regarding this. The fundamental question: Should you be worried about having a fungal infection or mold in your saline breast...
