I can now feel a crunching sensation at the base of both breasts. Impart border. Do I need another lift now?

What you are feeling is almost certainly the edge of the implant. In almost every case of breast augmentation, the implant edge can be felt. It is a normal result when placing an implant under a relatively small breast.  Sometime this happens more noticeably in thin patients with large implants. (I would definitely consider 550 cc to be a large implant). In most cases, the "crunching" you feel is of no consequence whatsoever. However, if it really bothers you, some fat grafting along the area of palpability can be helpful. Speak to your plastic surgeon about it.I hope this helps! Dr. Robert Shenker MD FRCSC

Dear Belle416,

Thank you for your clinical post, but without photographs and
a thorough physical examination it is difficult to say exactly what the
aesthetic outcome is at this point and what the specific anatomy of the
concerns you have represents. However,
in most cases this crunching feeling you feel at the base is actually the
folded or rippled edges of your cohesive or saline gel implant. Both cohesive and saline gel implants can
almost always invariably be felt and palpated in the lower pole of the
breast. This is particularly true with
large implants and with your implants being over 500 g or cc’s and they would
certainly classify as being large. In
general, the question of a lift or not to have a lift depends upon the position
of the breast and how long has lapsed since your primary surgery. Breast lift surgery is generally not
performed until at least 6-12 months following an augment and you would need
time for the soft tissues to settle to truly ascertain the true final resting
position of your implants in relation to the breast gland and the rest of your
shoulder chest wall region.

My advice would be to stay in close touch with your operative
breast surgeon to seek their advice and over time decide if subsequent surgery
in the form of a breast lift is required.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto