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How Can I Definitively Determine That I Have a Slow Leak in my Saline Implant?

asked 9 months ago by jellybean2011 in San Diego
Latest answer by Tom J. Pousti, MD
Question viewed 300 times
Tags: saline implants, leak

I have saline implants. Over the past few months one breast has gotten smaller than the other and I think I have a slow leak. I had an MRI but the radiologist said there wasn't a leak. I didn't think MR imaging would be able to show a saline leak. Are there other tests or imaging that can identify a saline leak? My PS said my implants were intact but I know one breast has definitely gotten smaller. What should I do and what other questions should I ask?

6 answers to How Can I Definitively Determine That I Have a Slow Leak in my Saline Implant?

+2

Saline Implants

Hello Jellybean, Who told you to get an MRI? That was a waist of money and an inappropriate use of resources. Saline implants generally will get smaller with time (usually days, but sometimes weeks) and become very obviously deflated. If your plastic surgeon says they are in tact, I would trust him. If he was the one who ordered the MRI, go to another doctor for a second opinion (which might require two visits, a week or two apart so that he can assess changes... more
Gerald Minniti, MD, FACS

Beverly Hills Plastic Surgeon

drminniti.com

+2

Leaking Saline Implants

Saline breast implants could on occasion have a very slow leak, although once saline implants start to leak they eventually completely deflate. MRI would not be necessary to assess saline implants, but once you have them, it could be helpful in assessing if there is significant volume discrepancy. Your surgeon should be able to tell if you have a partially deflated saline implant, as it has a different feel. Ultimately, the most important factor is whether asymmetry bothers... more
Boris M. Ackerman, MD

Newport Beach Plastic Surgeon
+2

How Can I Definitively Determine That I Have a Slow Leak in my Saline Implant?

Dp photo documentation, other opinions until the doctors see the differences. I have a silicone case right now that the mammogram/ultrasound shows no leak/ But clinically even though the size feel the same I believe there is a leak. I'm recommending the patient obtain a second opinion so I can pre surgery convince the implant company she has a leak/rupture. Best
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Are My Saline Breast Implants Leaking?

Dear jellybean2011, Breast implants, like all mechanical devices, have a very small chance of failing. A saline implant that leaks will usually become very obvious within a few days to weeks, as the affected breast will deflate. Your plastic surgeon should be able to determine whether your saline breast implants are intact by performing an examination. An MRI is usually not necessary, but if you have already had one, looking at the volume of the two breast implants should answer whether... more
Larry Fan, MD

San Francisco Plastic Surgeon
+1

Saline Breast Implant Leakage?

Thank you for the question. Leakage of saline breast implants usually becomes obvious over time; the breast tends to become smaller and breast implants softer and/or demonstrates more rippling. Your plastic surgeon will be able to make the diagnosis upon examination. No radiographic studies are necessary. If the implant appears to be filled, another explanation may be that it has shifted causing the breast to appear smaller visually. I hope this helps. more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Symptomatic Rupture of Saline Implants

When saline implants leak, they generally result in a "flat tire" effect. Occasionally, I have seen slow leaks from around the implant fill valve or from a pinhole defect. Although most saline implants will inevitably deflate, they may not deflate completely. Make sure that you have waited at least three months from your initial operation before you make any rash decisions. Occasionly, swelling can subside more quickly in one breast than the other. However, if you are very sure... more
Kevin Brenner, MD

Los Angeles Plastic Surgeon

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