Can my Breast Implant Break During Sex

Question

i had my breast implants almost 3 weeks ago and already had sex I'm nervous that maybe one of them popped I have saline the left one seems more swollwen then the right one

Jerome Edelstein, MD · Answer

I don't think you should be too concerned about having ruptured your implant. Implant shells are very durable and it would take much more than having sex to cause a rupture. In addition, you would notice a rapid decrease in size if your breast implant ruptured within a day or so. However, this doesn't sound like it happened to you. The swelling may just be that the tissues were traumatized a bit, since you're still pretty early in your recovery.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  I generally recommend waiting until all the swelling is down before engaging in sexual activity.  So typically two weeks would be fine. However, I would not recommend a lot breast manipulation as part of your sexual activities until you are closer to six weeks.  If you felt something pop and you are concerned, then I would visit with your plastic surgeon for a post-op follow-up visit.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! Altitude and pressure have no effect on breast implants, whether saline or silicone. It is safe to travel by air within pressurized cabins or even scuba dive without concern. No further precautions should be taken during these activities. Certainly, discuss any concerns with your surgeon prior. In the same manner, blunt force will unlikely cause rupture. Repeated trauma from the folding io the implant over time is known to be associated with rupture. Obviously, penetrating trauma from sharp objects will also result in rupture. Both saline and silicone implants are very durable and daily activities will likely not cause any increased risk to the integrity of the implant. Hope that thus helps. Best wishes!

Ronald Schuster, MD · Answer

I'm sure you didn't break the implant. They are tough. The swelling you got probably has to do with traumatizing the tissues around the implant just 3 weeks after your surgery. Apply ice, take some Ibuprofen nad be a bit more gentle for a few more weeks!

David Finkle, MD · Answer

The incidence of breast implant rupture or leakage is very low. The two major implant companies in the United States have lifetime warranties that cover implant rupture from ANY CAUSE.  That means you will obtain a free implant from the company to replace the old broken one, also the companies offer financial assistance to offset the fees for the operating room and supplies.  I also provide a warranty for my breast implant patients if a rupture occurs on an implant I placed, we do not charge a professional fee to replace the implant.

	If a silicone implant breaks it can be difficult to diagnose.  If a saline implant breaks, it is very easy to diagnose.  The implant will go completely flat within 24 hours.  It is always one sided, I have never seen both implants deflate at the same time, so it becomes very obvious.  You will have one augmented breast and one sad and flat breast. It is not an emergency to have the broken implant replaced, let your PS know and then plan an exchange procedure.

	Breast implants are very durable and will withstand quite a bit of trauma without breaking. I do not restrict any activity, long term, on any of my implant patients, you are free to exercise, sky dive, scuba dive, kick box, etc.  You did not get the implants to restrict your activity, you got them to enjoy your life!  Immediately after surgery you should restrict your activity until all of the swelling and soreness has abated.  This does vary from person to person, contact your PS for your activity restrictions.

Bivik Shah, MD · Answer

If you rupture your saline implant, it is fairly easy to tell. That side would go completely flat and look like before you had your augmentation. More likely you simply caused more swelling on that side. Continue to wear your surgical bra and follow up with your Plastic Surgeon. Good luck!

Scott E. Newman, MD, FACS · Answer

Jackie...A few things- the implants themselves are made to be quite durable- they're designed to be OK during sports, car accidents and, of course, sex.  They're designed not simply to look good but to be 'used'.  It would be unlikely that an implant would break at this point from normal forces...although I guess anything's possible.  Part of the normal routine of inserting saline implants involves putting some saline in the implant to help remove any air and also to test the integrity of the implant...so I assume that your surgeon did this to confirm that the implant he inserted was OK.  In all fairness, the one thing that isn't really tested this way is the integrity of the valve through which the implant is filled...this is also the most common source of saline implant leaking.

	At this point swelling is normal and sex this early (assuming your breasts were part of that) could certainly have caused an increase in swelling- a change that may not be even on both sides.  Going just by the information you posted I'd say that it's more a swelling issue than anything.  If you're concerned about leaking/rupture then you should have your doctor take a peek.  I hope this helps.  Good Luck!  Scott Newman, MD FACS

Peter E. Johnson, MD · Answer

You may bruise the breast tissue, cause tenderness and perhaps some swelling, however you will not break a breast implant during sex.

	Best of luck,

	peterejohnsonmd

James Tang, MD · Answer

Although conceivable, it is highly unlikely to cause rupture of your breast implants during sex, assuming no sharp objects were used around your breasts. A rupture of saline implants would cause an immediate deflation that is easily detected. Rough treatment of your breasts during sex could cause one side to swell, perhaps due to some bleeding. If that is the case, you need to consult your plastic surgeon and have him/her examine you. I usually recommend all normal activities at three weeks after breast augmentation, which includes normal sex.

Tom J. Pousti, MD · Answer

Highly unlikely. Increased swelling may be related to the sexual activity–you may want to take it easy for a while. Rupture of the implants would require significant force, unlikely to be sustained during sexual activity. If there is a leak you will notice a decrease in size/increase in rippling that will occur slowly (or occasionlly rapidly). See your physician for direct examination if you remain concerned.

Best wishes.

Best wishes.

Can my Breast Implant Break During Sex

Answers (13)

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