What Should I Do when my Breast Implants Appear to Be Getting Smaller?

When a question such as this arises, it is of course best to see your doctor for an examination, to rule out rupture or scarring around a breast implant. Some times breasts begin to appear firm and small. This may indicate capsular contracture, or hardening around an implant, particularly if the implants were placed above the muscle. Over time, breast tissue diminishes in a patient with a stable weight. Patients may think their implants are shrinking when in fact it is their own breast tissue. However, as native breast tissue diminishes, implants become more visible. The answer may not be to go larger, since those implants will tend to be more and more visible, more palpable, and have more rippling. The larger a given implant is in the same patient, the more these problems tend to occur. You may want to consider these variables with your doctor, as well as discussing above vs. below the muscle placement. Good luck!

Since it's been about a year after your surgery, your implants would have had settled already. As a result the only reasons your implants would decrease in size would be as a result of weight loss (in which case your natural breast tissue would be decreasing but not your actual implants), hormones, or rupture. Another reasons may be swelling, which could have been extensive and is just now subsiding. Whatever the case, it is important to visit your surgeon to rule out rupture. Best of luck!

The most likely explanation is that the initial swelling associated with surgery has completely resolved and your true size after augmentation is now apparent.  Usually, most swelling in the breasts will resolve by around 6 months.  Another possibility is that your native breast tissue is decreasing in size either due to weight loss, hormonal changes, etc.  This type of change is normal as women age.  Finally, leaking implants can potentially lead to a decrease in size.  However, it is rare that both implants would leak at the same rate and at the same time.  Usually when saline implants deflate, the saline is absorbed by your body rather quickly and eventually the implant is completely flat.  Silicone implants do not "leak" like saline implants and any silicone that does escape the shell of the implant is usually contained within the capsule that forms around your implant.  An ultrasound or MRI may help determine if the implants are leaking.  The best course of action would be to visit with your plastic surgeon.