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What Causes Implants to Change Shape and Get Bulges 2 Years Post-Op? (photo)

asked 5 months ago by amh1361
Latest answer by Darryl J. Blinski, MD
Question viewed 180 times
Tags: asymmetry, 2 years post-op, A to D cup, bulge, causes, over muscle, shape

i had my implant surgery 1yr9mos ago,i went from A to a D, the implants are Mentor smooth moderate profile saline and are over the muscle(even though i wanted them under)I absolutely loved them. i may not have had much but definitely had some of my own breast tissue,but now feels like nothing is between the implant and skin, assymetry is getting worse, my left breast is significantly firmer than the other and has a visible "ridge" down the top then goes flat then big bulge

6 answers to What Causes Implants to Change Shape and Get Bulges 2 Years Post-Op? (photo)

+1

What Causes Implants to Change Shape and Get Bulges 2 Years Post-Op? (photo)

Based only upon the posted photos you appear as a capsular fibrosis and ripple effect. Seek in person evaluations.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast Implants Changing Shape

You may have very thin breast tissue so the implants are more noticeable. You may also be developing a capsular contracture.
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+1

Implants and ridging

Being that they are under the gland, there is noticeable rippling. The tissues look a bit thin and you may benefit from having the under the muscle. You may also have a capsular contracture on the tight side.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

You have minimal breast tissue to cover the implants

You main issue is the lack of soft tissue to cover the implants. The placement of the saline implants above the muscle and mild capsular contracture has made the situation worse. Your options are to replace implants with silicone gel implants, add fat to increase soft tissue and place the implants under the muscle.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Capsular contracture

As Dr. Pousti indicates, you are likely developing capsular contracture or hardening. As the capsule thickens and shrinks in this process the breast feels harder and the ripples become more evident. In addition to the treatments Dr. Pousti mentions, one other option to consider is fat grafting over the implant. This can be effective if the capsular contracture is still relatively mild and effectively will thicken the tissues over the implants and help conceal the rippling. Even if not... more
Jeffrey Hartog, MD

Orlando Plastic Surgeon
+1

Changes of Breasts after Breast Augmentation?

Thank you for the question and pictures. I'm sorry to hear about your dissatisfaction after breast augmentation surgery. Although difficult to make a diagnosis based on history and pictures alone, I think you may be dealing with encapsulation (capsular contracture) of the left breast implant. this process may explain the firmness of this breast as well as the worsening asymmetry. Both implants appear to have significant rippling present. You will benefit... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

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