My implant has moved and I can feel it. Should I be concerned?

Question

I had a subglandular procedure done 6/2021. I had a relatively easy recovery with no problems or concerns. My breasts dropped and fluffed quickly, and I waited a good 8 weeks until getting back to real workouts. the last few days I noticed I can fee my left implant right below my collar bone in my chest. My breast shape hasn’t changed but I’m concerned about the movement. I’ve moved since my surgery / no longer near my surgeon. Should I call him, look for someone else, or not be concerNed?

Ted Eisenberg, DO, FACOS, FAACS · Answer

Always best to check with your surgeon. If they can't be reached check with a local surgeon. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  I would recommend seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you.

Christopher Pannucci, MD, MS · Answer

Hi nkohnfelder25,
For submuscular implants, there is an easy-to-open plane deep to the muscle, and it would be possible (but not expected) for the implant to move upwards with pressure. For subglandular implants, where the breast tissue above the implant pocket is not dissected, it would be unlikely for the space toward the collarbone to open up on its own.
Many women who have a vertical raise of the implant have capsular contracture--an abnormal amount of scar that forms around the implant, causing a vertical displacement and a sphere configuration. This would also be unexpected and abnormal.
An implant at the collarbone level is not normal, and I'd suggest being looked at.
I would suggest starting by calling your surgeon. Most likely, he/she would schedule a virtual visit, or ask you to see a plastic surgeon close to your new location for a physical check. 
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Daniel Barrett, MD · Answer

Dear nkohnfelder25,
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

James Knoetgen, III, MD · Answer

If you have breast implants, and you can feel that one has moved or shifted, it's essential to seek medical evaluation and advice. While it's not uncommon for breast implants to settle or shift slightly within the breast pocket during the healing process, significant or noticeable movement could indicate a problem that needs attention.

Here are some steps you can consider taking:

1.) Contact your plastic surgeon: Reach out to the plastic surgeon who performed your breast augmentation or the surgeon who is currently responsible for your care. They will be able to assess your situation, examine the implant, and provide guidance on the appropriate next steps.

2.) Avoid excessive manipulation: Refrain from pressing, pushing, or manipulating the implant yourself, as this could potentially worsen the situation or cause discomfort.

3.) Be prepared to describe your symptoms: When you contact your plastic surgeon, be ready to explain any changes in the appearance or feel of your breasts, as well as any discomfort or pain you may be experiencing.

4.) Follow your surgeon's recommendations: Your plastic surgeon will determine whether the implant needs to be repositioned or if further treatment is necessary. They may recommend imaging studies, such as an ultrasound or MRI, to assess the implant's position and integrity.

It's important to remember that only a qualified medical professional can provide specific advice and treatment tailored to your individual situation. If you suspect that your breast implant has moved, it's crucial to seek prompt medical evaluation to ensure your safety and the optimal outcome of your breast augmentation.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

Camille Cash, MD · Answer

More information is needed to determine what may be occurring.  If you are unable to visit with your surgeon you can contact another board certified plastic surgeon near you for an evaluation.

Connie Hiers, MD, FACS · Answer

Since you did not show photos, you need to be examined. Please call your surgeon first and discuss this with him/her.

Douglas J. Raskin, MD (retired) · Answer

Greetings,

I would encourage you call/return to your original plastic surgeon to discuss your changing implant position.  Since you have moved, you could ask for a referral to a plastic surgeon in your home area.

There is no substitute for a re-examination and candid discussion regarding treatment options and potential benefits/risks, if these are indicated.  Pre-operative photographs could provide some insight into the nature of your present issue. Best Regards,

Jeffrey E. DeWeese, MD, FACS - Account Suspended · Answer

I would suggest you take photos of the problem and ask your surgeon if it is okay to send them to him via email. He is the best one to advise you as to whether this is normal or not.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your history, it sounds as if the breast implant pocket may extend superiorly, allowing the implant to "drift" upward with compression.By itself, it is not harmful. Some individuals opt for surgical closure of the superior aspect of the implant pocket to prevent this phenomenon from occurring. If concerned, visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

My implant has moved and I can feel it. Should I be concerned?

Answers (10)

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