What could cause me to feel a pinch in my right implant when I'm either leaned over grabbing something or lifting myself up?

Question

Iv had my saline implants in almost 5 years they are under the muscle 425cc in each they still look and feel great but recently started feeling almost pinch sensation near my nipple it's uncomfortable and I am starting to feel it more frequently when im do either of those two things is it something that should concern me

S. Larry Schlesinger, MD, FACS · Answer

Thank you for this very pertinent question.  Obviously, an in person exam with the ability to palpate both breasts and ask multiple questions would increase the ability of any of your online plastic surgeons to give you an accurate diagnosis of what could be causing this discomfort.  That being said, five uneventful years with no discernible breast problems followed by recent repetitive problems in your right breast secondary to specific movements would indicate something has changed, and more often than not, this is scar tissue.  This scar tissue usually occurs circumferentially around a breast implant and is known as a capsular contracture.  Since you cannot discern any difference in the firmness of your two breasts, and if my assumption of this being early capsular contracture is correct, then this is a Baker II, i.e. a plastic surgeon can feel the difference but the patient cannot.  Assuming all the above is correct, then the most common cause of this early capsular contracture would be going to the dentist, especially for teeth cleaning, without taking antibiotics pre visit.  I realize there is some controversy in the plastic surgery community as to whether a dental visit can lead to a capsular contracture.  However, since I have seen this over and over in my own patient population, I would be willing to bet that is the cause.If you were my patient with the above history, I would recommend Accolate and ultrasound (the kind physical therapists use for sore muscles) to decrease the chances of you getting a Baker III capsular contracture.I have made multiple assumptions so as to give you at least an idea of what may be going on.  You need to contact your personal plastic surgeon, have an in person exam, and follow their advice.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your new breast symptoms.  Any acute change in the sensation or appearance of your implants should be investigated by your plastic surgeon for an appropriate diagnosis.  Most likely the pinching is the result of scar tissue formation, but this can only be determined through an in-person examination.  Best wishes.

Christine Rodgers, MD · Answer

HI Meesh,  It is difficult to diagnose this problem without a physical exam. I would recommend that you see your PS to discuss the issue. A possible beginning of a capsular contracture could cause this problem, but a physical exam would be preferred.Best,Dr. Christine Rodgers

Ted Eisenberg, DO, FACOS, FAACS · Answer

It is difficult to offer an explanation without having more information from an in-person evaluation. Then, if necessary, further testing could be recommended either by your plastic surgeon, gynecologist, or family physician. Hope this guidance proves fruitful. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

Aldo Guerra, MD · Answer

Most likely it's not the breast implant since in feels and looks great. There are many reasons for breast pain and you should ask your medical doctor for an examination. See the Mayo Clinic website they have a great 8 page informational on the causes and treatments of breast pain. Warmest regards, Dr. ALDO

Robert E. Zaworski, MD (retired) · Answer

An in person exam is needed to determine the cause of your discomfort.  You could have capsule formation.

What could cause me to feel a pinch in my right implant when I'm either leaned over grabbing something or lifting myself up?

Answers (6)

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