Possible implant rupture? (Photo)

Question

My boyfriend repeatedly squeezed my breasts very hard during sex and two days later my breasts are still a bit sore and tender. I have also noticed some bruising on the right breast. I have 5 year implants in my breasts so I am wondering if this squeezing may have ruptured them and could the bruising be a possible sign of it?

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

Pawel Szychta, MD, PhD, DSc · Answer

Bruising, soreness, and tenderness after rough squeezing can be normal due to the pressure applied to the breast tissue. However, when you have breast implants, it's important to monitor any unusual symptoms closely, as significant trauma could potentially cause implant damage.
A rupture may not always be immediately apparent, especially with silicone implants, as the silicone may stay contained within the scar tissue around the implant. Signs of a possible rupture could include changes in breast shape or size, persistent pain, swelling, or a lump.
To be safe, it’s best to consult with your surgeon or a specialist. They may recommend an ultrasound or MRI to check the integrity of the implants if there is any concern about a rupture.

Connie Hiers, MD, FACS · Answer

If he squeezes that hard, you may need another man or put him in time out.  Ouch!  He probably did not break your implants, but you can ask your doctor to do an ultrasound to check the implant.

Camille Cash, MD · Answer

If you have saline implants and there is a rupture you will notice the volume of the breast decreasing.  This is not the case for silicone implants.  If there is not improvement over the week visit with your surgeon for an evaluation.  Breast implants that are only five years old are typically not easily ruptured.

Mats Hagstrom, MD (license on probation) · Answer

The sequelae of having ruptured implants usually takes one of the two forms.
The outcome depends on what type of implant you have. When saline implants rupture the body absorbs the saline and the breast shrinks in size, fairly rapidly and fairly dramatically.
With the rupture of a silicone implant generally nothing happens initially. With exposure of the silicone gel, some individuals will develop surrounding inflammation, causing scar tissue to form generally called a capsular contraction. This causes the breast implant to feel hard, eventually like a tennis ball under the skin.
The formation of capsular contraction can happen without having a ruptured implant and can happen with both saline and silicone implants. The timeframe of forming capsular contractions after ruptured silicone implant is generally quite slow and can take months to years.
Implant rupture can definitely be related to breast trauma. The chance of implant rupture increases with the age of the implant. Implants that are many years old become increasingly fragile, and can rupture from minor trauma. This is often the case when implants approach 20 years of age.
Relatively new implants are quite sturdy, and it would be difficult to rupture from the type of force you describe.
To get an assessment regarding the current state of your implants, including an evaluation of for possible capsular contraction I suggest seeing a plastic surgeon in your community.
Best,
Mats Hagstrom, MD

Douglas J. Raskin, MD (retired) · Answer

Greetings,
Breast trauma during sex and from other activities can make breasts sore and tender. Some later bruising on the right breast could be a possible sign of an implant capsule tear. Although much less likely, the implant could be damaged.
The best course of action would be a visit to your plastic surgeon for a follow-up consultation. If there is significant bleeding around the implant, this can lead to a hard implant later.
Best Regards,

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