Vertical indentations 3 years post op. Should I be worried about the integrity of this implant? (Photo)

Question

I had a lift and under muscle silicone implants in 2020. From the beginning there have been adhesion/dent on the outside bottom where it seems they have a deep “tug” on them so I plan to get them redone I hope later this year. Recently they’ve developed vertical indentations. Is this normal? Should I be worried about the integrity of the implant? One is more pronounced than the other but has a small dimple that’s new also.

Camille Cash, MD · Answer

The contour shown in the submitted photos is not typical and should be assessed by your surgeon.  A revision is likely necessary for improvement.  Your surgeon may recommend additional tests to check on the integrity of the implants.

Bora Ok, MD · Answer

Hi from Istanbul. This issue can often arise from scar tissue adhering to the implant in lift surgeries. However, in such a case, I believe it's necessary to have a breast MRI following a physical examination. If an MRI isn't possible, at the very least, an ultrasound should be performed to assess the situation. Hope this helps, best of luck to you.

Robert M. Wald, Jr., MD · Answer

Indentations are not common but can occur following a breast augmentation and a breast lift. Scar tissue contracture can make these depressions worse. It would be rare, at 3 years, that your implants are ruptured.

Carlos Marciales, MD · Answer

Hello, no that’s not normal, I recommend to do your surgery revision as soon as you can, the implant's could be broken, or maybe could be capsule contracture, you need to solve this soon.

Daniel Barrett, MD · Answer

Dear GW1976,
I understand your concern. There is a chance that this is caused by scar tissue under the incision. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Vertical indentations 3 years post op. Should I be worried about the integrity of this implant? (Photo)

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Answer: Hello

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Answer: Vertical indentations

Answer: Vertical indentations

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Vertical indentations 3 years post op. Should I be worried about the integrity of this implant? (Photo)

Answers (9)

Answer: Hello

Answer: Hello

Answer: Vertical indentations

Answer: Vertical indentations

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.