I have Mentor Saline HP Smooth Round 380 cc Implants filled to 450. They were placed by INF approach and placed dual plane. I can palpate a ridge, approximately the size of a quarter to the right of my nipple on my right breast and it's smooth in the center. I have already had several consultations with PS's and I have been told that I have bottomed out and have lateral displacement as well so I need revision surgery but was just wondering if this is normal?
I Feel Saline Implant Valve
Doctor Answers 12
Breast Implant valve and Malposition
Thank you for the question.
Yes it is possible in the rare patient to feel the implant valve associated with saline breast implants.
Also, as you describe, one of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
Revisionary surgery may be useful and often involves the use of internal sutures ( capsulorraphy) or opening a breast implant pockets (capsulotomy) as the patient specific circumstances warrant.
I hope this helps.
Implant Valve and Malposition
You raise two questions. Yes you may be feeling the implant valve particularly if you have thin skin. This is inconsequential. The other problem is lateral displacement and bottoming out. Revisional surgery with placement of internal sutures called a capsulorrhaphy or another procedure using a neo capsule may be beneficial. You should discuss these options with your plastic surgeons. A gel implant may give a better feel and be better if you have thinning skin.
Saline breast implant palpability: Convert to Silicone
Implant palpability is the most common difference in saline breast implants as compared to silicone breast implants. The deformity you are feeling may represent the breast implant valve. This could be alleviated with a change of breast implants from saline to silicone. please refer to a board certified plastic surgeon for this problem.
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Saline implant valve can be palpable.
In thin individuals with overfilled saline implants, the valve can sometimes be felt. As for the bottoming out and lateral displacement, it sounds as though your overall tissues are not supporting the implants very well. Consider the use of a dermal matrix (Strattice) to provide an "internal bra" for longer term support. If your muscle has window-shaded and the overlying breast tissue is quite thin, the Strattice can also help camouflage the implant valve. Switching to gel implants will also eliminate the valve issue. Best of luck.
I Feel Saline Implant Valve
Feeling the anterior valve is the norm in slender individuals. As for re operation you posted no photos so can not advise.
Saline Breast Implant Valve Palpability
It is possible you are feeling the valve of the saline implant or you may be feeling scar tissue that has attached to the valve. Either way, your remaining breast tissue must be fairly thin to be able to palpate it. There is no harm to the implant or your breast because it can be felt. Given that you may be considering revisional surgery for implant repositioning, it may be wise to consider changing to silicone implants. Silicone implants are not manufactured with valves in them since they are prefilled. Given that you can feel the saline implant valve, it is likely you may be able to feel some implant rippling as well or will so in the future if further breast tissue thinning occurs.
Saline implants have exactly waht you describe a valve that is the size of a quarter where you will feel it below the nipple or to the side. Silicone implants do not have this.
Thin soft tissue coverage
It sounds like the tissue coverage you have is thin. Your implants are likely too large for that coverage. A change to gel might solve the problem to an extent as well as downsizing your implants. You need to be evaluated to ascertain your options.
John Di Saia MD
Feeling a valve on a saline implant
This can happen with saline implants in certain cases. You may consider converting to silicone implants which do not have valves. Your tissue also may have thinned out which is contributing to the valve's prominence. A board certified plastic surgeon can outline a surgical plan for your revision.
Feeling an implant valve after augmentation
The valve on a saline breast implant is on the back side, and even if the implant has turned over it should be very difficult to feel the valve. Your breast must have thinned over the overfilled saline implant. A silicone gel implant will be a better choice if you choose a revision.
Best of luck,