I had surgery for saline implants a little over 2 years ago. I had capsular contracture about 1 year post-surgery, which my surgeon corrected (extremely painful). My left breast is perfect, but my right breast appears lumpy; and to the touch, I feel lumpy ripples, as if there were air pockets in various places in the implant. Will my right breast have to be redone?
Why Does my Saline Implant Appear (And Feel) Lumpy?
Doctor Answers 6
Reasons for a lumpy breast saline breast implant
Reasons for a lumpy breast saline breast implant:
1) thin skin with visibility of normal wrinkles
2) capsular contracture with "scrunching" of implant causing folds
3) textured surface causing folds and knuckles
4) partial deflation of implant with collapse and folding
5) underfilling of implants
6) flipping of implant
8) heterotopic calcification
Saline Implants Ripple And Fold More Than Silicone
Anytime a patient has saline implants and they feel folds or what may be described as "air pockets", it generally is the folds of the saline implant. Depending on the fill volume of the implant, there may be a few bigger folds or a number of smaller folds, and if you have thin tissues, it is not unusual to feel them over time. I would meet with your surgeon for an examination, but from what you are describing, you are probably feeling the implant imperfections.
Rippling can happen because the sof tissue coverage is too thin. This can sometimes be corrected with silicone implants , under the muscle, or alloderm.
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Rippling More Likely with Saline Implants
I agree that it is difficult to know the reason for your lumpiness from your photo and description. You may still have some element of capsular contracture as well as rippling. I feel that both are more likely to occur with saline implants places above the muscle and least likely to be seen with silicone implants beneath the muscle. I also agree that you should seek a second opinion if you are unsatisfied with your original surgeon's explanation and solution.
Breast implant and lumps
It is difficult to see from your photo. However, given your description, it is possible that you have a recurrent capsular contracture or some scarring of the breast capsule. You should see your PS and consider a revision. If you are unhappy with your options always seek a second opinion.