Breast Implant Displacement! Help Please! (Photo)

Good evening Drs. I feel very stressed and sad ;I had breast silicone implant 4 years ago ;everything was so perfect until yesterday.I woke up with my right breast completely different ;I think the implant got displaced , my breast changed and it feels hard ; i also feel the implant down compared to how it used to be. Please tell me why this happened ? what should be done ? how to fix this ? if surgery is a must where will the scars be ? Can this happen often even if I fix the problem now ? thnx

Doctor Answers 15

Concern of Breast Implant Displacement

It may be best to speak to your plastic surgeon about your concern. One of the most common problems is breast #capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. 

Every woman has a breast capsule around their implant and this is a normal phenomenon. Nicotine users, such as smokers, have up to a 30x increased risk of capsular contracture.  As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. 

I suggest beginning with an in-person #evaluation with your original surgeon, or, with a board certified plastic surgeon. It is best select a plastic surgeon who is #board-certified and has a great deal of experience with breast #augmentation and the incision type, #implant placement, and implant type. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast augmentation.


Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Breast Implant Displacement! Help Please!


I appreciate your question.

Please follow up with your Operating MD so he/she can examine you to rule out capsular contracture and send you for imaging if needed.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

Surgery

Hello dear, thanks for your pictures and description. I suggest you to go to your doctor again, your implant has to be changed, you may have a capsule there, that has to be fixed, good luck

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.5 out of 5 stars 397 reviews

Change

I would suggest going back to your surgeon, or finding a board certified plastic surgeon and ask to be evaluated. You may have developed a capsule, especially if you have had a recent infection. Yes, it can be improved.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

Sudden change in implant

Although your photograph shows some asymmetry, without seeing what you look like the week before it's hard to tell what's going on. Capsular contracture can cause visible distortion and usually a palpable firmness to the field of breast. When the feel and look of the breasts change overnigh,t as you describe, this is usually attributed to fluid of some type. An ultrasound can sort this out. I recommend you go back and see your plastic surgeon.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 54 reviews

Breast implant displacement

Sudden changes of shape are very rarely caused by capsular contracture, that doesn't appear overnight. Since there is no particular increase in volume, fluid collections can also be ruled out. If you have anatomical implants, rotation is the most likely cause for the change in shape. If your implants are round instead, it may be possible that your right implant flipped upside down. This can only be assessed in person of course, but sometimes it is possible to return a round implant to the previous position by gentle external manipulation, without having to do a surgical revision.

Ciro Adamo, PhD, MD
Italy Plastic Surgeon
5.0 out of 5 stars 18 reviews

Implant displacement

It looks like your implant is laterally displaced and higher. It may mean that you have a capsular contracture.  Best to be evaluated in person.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Displacement

Thank you for your question and sorry for your problem.  The good news is that it can be corrected so see your surgeon or another expert in the area

Dr Corbin

 

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 61 reviews

Sudden Change in Implant Shape.....

It looks like you have a Capsular Contracture of your Right breast implant.   However, this isn't something which usually occurs overnight.   It happens gradually.   What happens, is the scar tissue layer around the implant that we call a capsule begins to thicken and tighten around the implant.  This tends to make the implants look round, feel more firm and move up.   This in some cases can be made somewhat better by massage and a prescription medication, but often is only totally corrected by surgery.  I usually perform this surgery through the same scar in the crease under the breast through which the original breast implant was inserted.   

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 114 reviews

Breast Implant Displacement! Help Please!

Over the internet guess is lateral displacement, capsular contracture with double bubble effect. Seek in person opinions from boarded PSs in CA.. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.