One of my Breasts is Harder Than the Other - Why?

Hardness of breast implants after breast augmentation is usually due to excess scar tissue which has developed around the implants-known as capsular contracture.  The scar tissue forms a shell or capsule that can squeeze or contract the implant, occasionally causing pain and discomfort.  This complication occurs in about 10% of all patients who get breast augmentation. This condition usually develops within the first year after surgery but can occur at any time.  If it is detected early on, there are some medications that can help minimize the firmness, however, if it is established, you may need surgery to remove the excess scar tissue and replace the implant.

Please consult with a board certified plastic surgeon for more information on the management and treatment of capsular contracture.

Best wishes,

Dr. Bruno

It’s not unusual for patients who undergo breast lift or
breast reduction surgery to develop areas of fat necrosis. This occurs when
globules of breast tissue lose their blood supply and undergo necrosis. This
results in the small lumps and bumps that you describe.

These lesions are often the source of significant
anxiety and for this reason are rigorously investigated. It’s not unusual for
patients to undergo ultrasound and mammography to evaluate these lumps.

In the vast majority of patients who have fat necrosis,
resolution occurs without surgery. These lesions induce an inflammatory
response which results in their dissolution. In some cases massage may be helpful but even with this maneuver the majority will take 3
to 6 months to resolve. 

It is possible that you are developing capsular contracture. This is characterized my thickening of scar tissue around the implant and can cause pain and a firmer appearance of the affected breast. Please see your surgeon as soon as you can for proper diagnosis. Best of luck. 

Sudden changes in the breast could herald a capsular contracture, hematoma or even seroma. Recent concerns about the latter raised by the FDA suggest a possible evaluation for ALCL. See your doctor.

Sounds like you have a capsular contracture.  If your breast is hard and not painful then no treatment is recommended other than observation.  It is best to visit your plastic surgeon to get a good examination.

Dr. ES