In 2015 I had gummy bear implants placed and had my nipples moved to the center. Does this look like a possible rupture? (photo)

As it had been nearly seven years since your surgery, it would be appropriate to have your implants evaluated by either a high resolution ultrasound or MRI examination. This will answer your question regarding implant rupture/failure. These and other questions can be addressed by your surgeon who would have the benefit of a physical examination or your breasts. .

Hi. It would be extremely difficult to tell based on a picture alone if your implants are leaking, with them being gummy bear silicone gel implants. Even on physical examination it can be extremely hard to tell, and almost never definitive, based on physical exam alone. MRI or ultrasound is typically recommended to further evaluate the status of the implants. I would recommend getting in to see a board certified plastic surgeon, typically and preferably the one that did your original surgery, to examine you and give you options based on a full assessment.
Good luck and take care,
Dr. Howell

Thank you for the question. You should discuss this with your surgeon. Although rupture is possible (an MRI would diagnose this) this could be due to capsular contracture. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Thank you for sharing your question and photographs. I would advocate reaching out to your surgeon for an in-person evaluation and possible radiological testing.

Good morning,
To me it looks like you have developed a capsular contracture, which doesn't necessarily indicate rupture but a rupture is one of the many things that can cause a capsular contracture, so you should definitely get a consultation in person and consider an MRI if the surgeon feels you may have a rupture!

Dear shelbyjc1991,
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

Hello Shelbyjc1991,
Based on the photo, the term for the deformity of the left breast is a "snoopy dog deformity". In this deformity, the breast tissue slides towards the lower aspect of the implant.
The two reasons it could have happened in your case are listed below:Considering the fact that you had a gummy bear implant, it is possible that rotation of the left implant resulted in increased fullness of the upper portion of the breast and nipple displacement. Another possibility is a capsular contracture, which is displacing the implant up and results in deformity.
Based on the photos, it is uncertain that there is a ruptured implant, but if there is a concern of rupture, you should do an ultrasound and/or MRI to evaluate for rupture. Your primary care physician or OB/GYN can provide a referral.
Best,
A.Shteynberg, M.D. F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.

Your pockets may have changed some with time. I would suggest going back to your surgeon and being checked. You might not be able to tell any changes with an actual rupture.