Detached Over-the-muscle Silicone Implant?

asked 3 years ago by LuckyMom in Finland
Latest answer by Steven Wallach, MD
Question viewed 1,189 times
Tags: silicone implant

I had small silicone implants 6 years ago and I’ve been very satisfied. After breastfeeding, losing breast-tissue, sleeping on my stomach, my left implant seems to have been "detached". It is now more noticeable and mobile than the right one. I have been told that implants rarely re-attach and that my only option is having it replaced. What is the procedure like? Is there a waiting period after the removal of the implants? Where is the "new pocket" made? I would appreciate all information on the subject!

8 answers to Detached Over-the-muscle Silicone Implant?

Detached implants

I am not sure what detached means. If the pocket is overly large then a capsulorrhaphy can be performed. If the implant needs to be placed in a different pocket plane that can be assessed. It is best to go for a consult.

Steven Wallach, MD
Manhattan Plastic Surgeon

Revision of breast implants should give you good result.

Hi. Hard to tell exactly what's wrong without examining you, but I am pretty sure that a revision with breast implants will make you much better. It's all done in one stage, and the recovery is usually easy.

George J. Beraka, MD
Manhattan Plastic Surgeon

Detachted Unlikely

Sorry to say but after the implants are well encapsulated, withing 6 months of surgery, they aren't going anywhere. The likely circumstance, because you had a subglandular augmentation, is you now have a "double-bubble" deformity. As the breasts age and undergo trauma, pregnancy, childbirth, weight change, they will sag as the tissues lose elasticity. When this happens with an underlying implant the implant will remain in its location but the breast will fall. This creates the... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Removing and replacing breast implants

Textured implants, while more common in Europe, are not popular in the USA. From the sounds of your original question and the follow-up comment, it sounds as if a fluid collection casued your textured implant to separate from the surrounding tissues. The options for removal and replacement are several but come down to putting the implant in a new pocket. Clearly whatever you change on your lieft breast will need to be repeated on your right for symmetry. These options... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Detached?

Your question is unclear. Perhaps we are confused by your terminology because it is not how we normally describe implants. Implants are not "attached" and, therefore, cannot be "detached." They are free floating in a pocket or capsule which forms after the implant is placed. If you have capsular contracture, which is a condition with increased scar tissue around the implant, your breast implant can appear and feel misplaced or shifted. Perhaps this is what you are describing. ... more

David Shafer, MD
New York Plastic Surgeon

You may be describing a textured implant

Hello Lucky Mom, You may be describing something we see after pregnancy. The breasts enlarge and the pocket around the implant changes. In the case of a textured implant, we sometimes see the firm juncture between implant and breast become pulled apart. This leads to some serous fluid that accumulates around the implant and patients sometimes see a bulge or a lump of fluid. If that is the case, it may be beneficial to replace the implants as long as you are not planning another pregnancy.... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

I don't understand the question, but...

The implants are not "attached" and therefore can't become detached. It is also unlikely that the implant has changed (assuming that it isn't deflated). That said, it is likely that you have a capsular contracture, a condition of thickening and tightening of the scar tissue around the implant. This can make siginficant changes in the breast size, shape, and feel. There is still the possibility that the implant has ruptured, and this needs also to be evaluated. You need to... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Best to have a consultation

Hi there- I'm not sure what you mean by "detached", as this is not a term we use in the US to describe problems with implants. Do you mean ruptured? In any case, it sounds like your implants probably do need to be replaced (it sounds like you are experiencing capsular contracture, where the scar tissue around the implant has become firm and "contracted", making the implant more noticeable as an implant). It is very difficult to give you responsible recommendations or answers to your... more