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.

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

Zoran Potparic, MD · Answer

It is very likely that this deformity is the result of soft tissue atrophy and deep scar.. Very likely that it has nothing to do with implant integrity (rupture). If you plan a second breast lift this can be corrected in that procedure. However, the release of deep scar and the fat transfer would correct the current deformity without B lift and can be done with local anesthesia. Hope this helps.

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

Answers (9)

Answer: Vertical indentations

Answer: Vertical indentations

Answer: Deep scar after breast lift

Answer: Deep scar after breast lift

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

Answers (9)

Answer: Vertical indentations

Answer: Vertical indentations

Answer: Deep scar after breast lift

Answer: Deep scar after breast lift

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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.