I'm concerned my silicone implant Ruptured?

Question

I am 2 years post op from a silicone under muscle breast augmentation from an A cup to a D cup. My right breast continued to remain higher set and more constricted than my left.Today, my boyfriend grabbed the right breast pretty hard to where my breast now feels and looks significantly less constricted. I'm concerned the silicone implant may have ruptured. I still feel the implant in there, but my breast is a little tender and more...squishy for lack of a better word. Should I be concerned?

Luis Macias, MD, FACS · Answer

Dear Cuban 86,It sounds like your boyfriend may have performed a "closed capsulotomy" which means that he likely ruptured the capsule of scar tissue that forms around the implant.  Many years ago it was common practice to "fix" capsular contracture in this fashion, it would temporarily soften the capsular contracture, however it was abandoned because of the risk of rupturing the implant and high recurrence rate.   The best way to tell if the implant is ruptured is with an MRI. Hope this helps and good luck.

Raffy Karamanoukian, MD, FACS · Answer

An examination, followed by any necessary diagnostic examinations, may help diagnose whether the implants have ruptured. I perform many implant exchanges and early detection is key. Raffy Karamanoukian MD FACSLos Angeles Plastic Surgeon

Ryan Neinstein, MD, FRCSC · Answer

The new silicone implants are built to last, that being said they are man made devices so I suggest seeing your surgeon and maybe having an MRI just to be sure for peace of mind

Shaun Parson, MD · Answer

Thanks so much for your question. It sounds as if the scar tissue capsule around the actual implant may now be ruptured. That is a very common story for what you just discribed. The implant may or may not also be ruptured. I would recommend that you see a plastic surgeon. They might be able to tell by a physical exam or they may need to order a specific X-ray to evaluate things. Hope his helps. Good luck.

John D. Smoot, MD · Answer

It would be very unlikely that your implant is ruptured because these implants are very strong.  If the breast softness has occurred after your boyfriend squeezed your breast, you most likely ruptured the capsule around your implant which can make your breast feel softer but the only way to determine if they are broken is an MRI. I would watch your breast for changes over the next 6 months to see if it changes. The most likely change would be a capsular contracture meaning the breast gets firmer.

Michael S. Hopkins, MD (retired) · Answer

A physical exam and possibly an MRI are used to determine if an implant is ruptured.  Your surgeon is in the best position to help you figure out what is going on.Your story sounds like scar tissue around your implant may have ruptured.  In the "old days", it was common practice for surgeons to squeeze a breast that was hard due to scar tissue in order to rupture the scar and make the breast softer.  Unfortunately, this sometimes caused bleeding that could make the breast hard once again.  So, it is best to get it checked.  Good luck.

I'm concerned my silicone implant Ruptured?

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