I've had saline implants for almost five years. Is the texture of my right breast normal? (Photo)

Question

I've had saline implants for almost 5 years now, but after I had my son 2 years ago, I noticed my the texture of my right breast became lumpy on top of the implant. * I did not breast feed* Is this normal?

Leila Kasrai, MD, FRCSC · Answer

It is common for the breasts to change with pregnancy and childbirth. However, to be on the safe side, it would be a good idea to get your breasts checked by your doctor.

David Parizh, DO · Answer

If it feels hard and firm this may be a capsular contracture. When your scar tissue is tense and hardens around the implant. Did you have them under the muscle? Over? These all play a role in answering your questions. Hope that gets your started.

Brian K. Reedy, MD · Answer

Thanks for your question. Whether you breastfeed or not, you can lose density and breast tissue with having a child. I think that your tissues have loosened and you are noticing rippling of the implant. I would suggest switching to a more cohesive gel implant to minimize that. Good luck!

Martin Jugenburg, MD · Answer

hello, thank you for your question. Any new noticed changes of the breast tissue should be further looked at by your doctor. Its difficult to say just by the photos, however it can be completely normal since over time the breast tissue may decrease especially after children. You should still have an expert examine you to rule out other concerning possibilities.

Jonathan Heistein, MD · Answer

Hi.  From the picture, it looks like the implant doesn’t have too much breast tissue covering it, so you can see and feel it more than you did before pregnancy.  Anytime there are any changes in the way your breasts look and feel, I would always suggest that you have your doctor do an in person exam to make sure that nothing else is going on. Additionally, even if it is just a cosmetic issue, your doctor can tell you if there are ways to fix it.

Gerald Minniti, MD, FACS · Answer

Those irregularities in your skin is not the implant, it's your tissue. Even though you did not breast feed, pregnancy and delivery can cause permanent changes to the tissues of your body. If that is the only thing bothering you about your breasts then there is nothing to do. If you do not like the shape or position of your breast mound or nipple, then a breast lift would correct everything. (Please keep in mind that you did not provide photos of your breasts in the upright position so no assessment could actually be made with regard to any other potential issues.)

Daniel Barrett, MD · Answer

Dear monanina1,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

It is important for you to explore changes to your breasts with your breast health provider to rule out any concerns.  Sometimes rippling or wrinkling can be seen on the breast from implants but It's always best to check with your doctor.

Connie Hiers, MD, FACS · Answer

Although n examination is needed to be certain, it appears that you had some initial breast swelling which has now subsided and left you with some loose skin.  You have two different breasts which may not do the exact same thing with pregnancy.

I've had saline implants for almost five years. Is the texture of my right breast normal? (Photo)

Answers (9)

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