Vibrating "Bourdonnement" 3 Years After Breast Augmentation Surgery

Your implant sliding against the stretched moist tissues causes a friction rub (sound) that can be felt as well as occasionally heard. This is termed "bourdonnement" and was definitively described in the plastic surgery literature: "Bourdonnement and other benign temporary breast implant sounds", Annals of Plastic Surgery, Vol 43 p589, 1999.

When this occurs this long after surgery, the sound is not related to the incompletely-healed and still-inflamed tissues. It may well indicate some new source of inflammation, possibly related to a moderate trauma to the breast tissues, perhaps secondary to bacterial contamination such as from dental work (controversial, but still a real occurrence). The inflammation that causes this sound has nothing to do with "bottoming-out" but could indeed be due to a severely overzealous breast manipulation!

You are either very good at research or have some medical background, since a friction rub heard on chest auscultation with a stethescope can be associated with a pulmonary embolus from DVT. Bourdonnement alone without any other symptoms (leg pain, swelling, shortness of breath) is NOT worrisome.  

Ibuprofen or Celebrex (prescription) anti-inflammatory medications are a good starting point. If you begin to notice firmness or soreness in the "noisy" breast, this could be an early sign of capsular contracture. See your surgeon for evaluation and consideration of a course of Accolate or Singulair and Vitamin E. Best wishes!

I have never heard of this before. However, it sounds sufficiently serious that I would not ignore the symptoms. It could be a sign of a more serious underlying disorder such as the transmitted pulse of atrial fibrillation or premature ventricular contractions. This may require cardiac evaluation. Discuss your findings with your plastic surgeon, internist, gynecologist and cardiologist.

You must be a music aficionado - this is an unfamiliar term in the realm of breast surgery- but your description is interesting. I have read that sub-muscular implants can move across prominent ribs and create noises from within the breast - but I've never met a patient that reports this. If you breasts looks and feel terrific, there is probably not an issue.