Breasts Getting Smaller, Softer Years After Augmentation?

Had a breast augmentation almost 3 years ago and was very happy with them. But a couple months ago, both breasts started getting smaller and softer. I haven't lost any weight, had kids or anything like that that I would expect to affect my breasts. What could be causing this? Will I need a revision?

Doctor Answers 6

See your surgeon for possible rupture

It may be possible that your implants have developed a rupture and they've started to deflate. I suggest you see your surgeon for a physical examination to determine if this is the case. If it is, then surgery to replace or remove them would be necessary. However, ruptures generally occur only in one side, or at different times, so it would be unusual (but not impossible).  

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Breast augmentation and breast changes

Hi, your implants may have a small leak, although this would be unusual in both breasts at the same time. Your breasts themselves may be changing, which does happen with time as our skin loses its elasticity and the breast tissue becomes more fatty. I would advise you to see your plastic surgeon for an evaluation and a possible MRI. If you do have ruptured implants, you will likely be covered under a warranty by the manufacturer. Good luck, /nsn.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 13 reviews

Smaller Softer Breasts after Augmentation

There are several possible reasons for your breasts becoming smaller and softer 3 years after your augmentation. The most plausible would be a slow leak (if saline), although it would be curious for both sides to undergo this process simultaneously. You should definitely see your surgeon who can assist you in determining the cause of this.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Softening of implants may be relaxing tissues.

This can occur from hormonal changes or weight changes but the puzzling part is that you report that all is stable. Most likely this is normal aging of the breast and soft tissue envelope surrounding your implant. You did not specify if you have saline or silicone. Perhaps you could have a slow leak buit that would be unusual on both sides. You should discuss you findings with your surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Breast implants changing or is it me?

If you are experiencing a symmetrical change, it is most likely just your own tissue changing with aging. If it is one side and not the other, it may be a change in your implant on that side. See your plastic surgeon for a check-up.

If you are unhappy with your current status, you might need new implants and or a lift to achieve a suitable change.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Smaller, softer breasts years after augmentation

Unlike man-made structures, people change with time and augmented breasts are no exception.

With time the skin will stretch, the breasts will sag and some of the breast gland tissue will go away (atrophy). That is the primary reason why you should put the smallest implant size in that you may be happy with -- not the largest since the larger the implant, the faster this will happen.

But, another possibility may be that your implants have leaked and are losing volume.

I would advise you to see your Plastic surgeon and have him/her advise you on what is going on.

Good Luck.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 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.