One year post benelli and implant, flat breast and firm scarring. Could my implant be leaking?

You have the typical appearance of a Benelli lift which can result in wide scars, large areola and a flattened appearance.  Although a circumareolar lift is useful in mild cases of nipple malposition, for most patients, a vertical breast lift with a vertical scar is a better trade off to avoid some of the issues that you have. It is impossible to say whether your implant is leaking, but if the implants are firm (capsular contracture), then that would be a concern. You need an in person evaluation.

Thank you for your question and photos.  I am sorry to hear about your issues.  From what I can see, you have the typical problems associated with a Benelli-type lift- flat breasts, wide areolas, and widened scars.  This operation is difficult to perform properly without these stigmata.  These findings would not imply that your implant is leaking/ruptured.  However, if you develop a capsule contracture (firm, hard, painful, displaced breast), it may indicate an underlying leak, but this can happen in intact implants (usual scenario).  The rippling is due to poor tissue coverage over that portion of the implant.  Perhaps it is related to changes of breast feeding.  The procedure to correct your problem will be difficult to perform due to the very wide scars.  You very well may need to remove the implants and perform a standard breast lift.  Removing the implants would take the tension of the areola and allow the surgeon to excise all of the scar tissue and move the nipple into a better position more easily.  You could then have the implants placed again at 3-6 months.  Best to follow up with your surgeon or get a second opinion if you are dissatisfied with their response.  Best wishes.

Sorry you are having problems. Some on the issues may be related to your breast feeding. However, I agree with you that your breast looks flat. Flatting of the breast is a hallmark of the benelli lift. Also stretching of the areola and widening of scars often happens, though breast feeding would contribute to this also. This is why I avoid the benelli lift. In my hands the verticle or lollipop lift gives a much better breast shape and secure areola size and usually better quality scars. However you  do have to except the verticle scar under the nipple. Discuss all with a plastic surgeon. Good luck.