Firmer on Top?

I got 275 cohesive gel unders 9 months ago. I slightly bo on my right, now my left feels firmer, but only on the top half, bottom and sides are soft. When I hug someone or lay down, my rt squishes right down, and my left feels firmer, I notice the implant whereas the right I don't. It moves freely, so I'm not sure if it's cc or my muscle. It sometimes feels like the muscle is "gripping" the implant. I wasn't told to massage, but I do move it around to make sure it moves.

Doctor Answers (5)

Cohesive Implants and One Breast Harder than the Other

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    If one breast is harder than the other after implants were placed 9 months prior, the plastic surgeon should perform an exam to determine if there is capsular contracture.  Kenneth Hughes, MD breast implants Los Angeles, CA


Los Angeles Plastic Surgeon
5.0 out of 5 stars 245 reviews

Breast Firmness After Augmentation Can Have Several Causes

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Firmness after breast augmentation can have several causes.  As you may already know, saline implants tend to feel firmer and less natural than silicone implants.  Textured implants tend to feel firmer also because the shell of the implant is usually thicker.  Early cohesive gel implants also tended to be firmer than regular silicone implants, but newer models feel very natural.  Lack of breast tissue or subglandular placement of implants can make the implants more palpable and the breast feel firmer.  Capsular contracture or abnormal scarring around the implant is another cause of breast firmness in the late postoperative period.   When asymmetry is involed, malposition of the implant on one side versus another can also contribute to the breasts feeling different.  While breast massage is often recommended postoperatively, studies have been unable to consistently show any benefit.  I would suggest you discuss this concern with your surgeon and have another examination to discuss which of these issues may be contributing to the firmness you are describing. Good Luck!

George Bitar, MD
Fairfax Plastic Surgeon
4.5 out of 5 stars 29 reviews

Implant firmness

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Without an exam, it is difficult to say what is going on. Could it be a capsular contracture?  perhaps?  Follow closely with your surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

One Breast Implant Firmer than the Other?

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Thank you for the question.
For the most precise advice, you will be best off seeking follow-up with your plastic surgeon. Having said that,  one of our concerns when a patient reports any change in firmness… is the possibility of early encapsulation of breast implants. Again, your plastic surgeon will be in the best position to make this diagnosis and recommend treatment if this is found to be the case.

On the other hand, it is not uncommon for patients to report that one breast implant “behaves” differently than the other;  this may be related to a difference in breast implant  positioning on one side versus the other ( for example, breast implants relationship to overlying pectoralis muscle).

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 806 reviews

Breast implants getting firm

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Interesting question. You may have capsular contracture. Capsular contracture happens when scar tissue around a breast implant thickens, distorting the breast shape and making it more firm. The implant often appears to be too high. This can happen soon after surgery or years later. 

Capsular contracture does not necessarily require treatment. If there is minimal distortion, many choose not to do anything. If the breast becomes significantly misshapen, surgery can improve the situation by removing scar tissue to soften the breast.

Definitely follow up with your plastic surgeon to get this checked out.

Best wishes, 

Michael Vennemeyer, MD

Michael Vennemeyer, MD
Southlake Plastic Surgeon
5.0 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.