Almost 1 year post op and I noticed a bulge and popping sensation near my scar, what could this be? (photos)

Question

Hello I had a boob job just under a year ago now I seem to have a bulge like lump under my breast right on my scar it doesn’t really hurt but when tounching this bulge it seems to have a poping sensation what could this be ?

Carlos Marciales, MD · Answer

Hello, apparently your implant is visible, that's why you touch it and it goes inward, it seems most likely that the closure suture in the deep plane opened, it should be closed so that this is not visible.

Daniel Barrett, MD · Answer

Dear Nice735807,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Thanks for your question!
This could be a spitting stitch. Reach out to your surgeon to take a look at it. Best wishes!

Wayne I. Yamahata, MD · Answer

That is most likely your implant. If the tissues are thin in that area, the implant can budge like a weak area in an inner tube. Typically, this is a benign condition and doesn't require treatment or intervention unless the overlying tissue is exceptionally thin. In that situation the thin area can be strengthened by bringing the surrounding tissues together as a simple outpatient procedure.

Sibel Atalay, MD · Answer

Hi,It is likely that the skin and subcutaneous tissue in that area have thinned, and what you are feeling is probably the implant. To treat this, we can open the area under local anesthesia and bring the subcutaneous tissues together in layers to close it. This procedure is done to correct the issue and strengthen the tissues over the implant.
Best regards
Dr Sibel Atalay

Miguel Mota, MD · Answer

Thank you for posting. It is hard to say with just a couple photos but it could actually be the implant. Th best way to confirm this is with a sonogram. Please consult your plastic surgeon. I’m sure he will to ask for breast imaging in order to better address this issue. If it is the implant a simple revision will do.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Zoran Potparic, MD · Answer

Your scar healing process is not over yet. It is possible that a small nerve branch is entrapped within the scar, a condition known as neuroma. Injection of corticosteroid may help , possibly completely resolve the pain. It should be discussed with your surgeon. Good luck.

Dana Goldberg, MD · Answer

When the breast tissue and skin are closed over the implant, sometimes tissue is thinner in certain areas or the sutures pull through the tissue internally, causing there to be less tissue covering the implant. This can make the implant more visible or palpable in these areas. Generally this isn’t anything to worry about, although it can be annoying. It looks like that is what is going on. If you have concerns about it worsening, please see your surgeon.

Michael J. Denk, MD, FACS · Answer

The bulge you’re seeing and feeling is your implant. Don’t fret. The tissue between your skin(scar) and the implant is quite thin, but is plenty strong enough. It is common to be able to feel a breast implant at this site, particularly if a dual plane technique has been used. Because I don’t know the exact techniques your plastic surgeon used, it would be reasonable for you to send your question and photos to him/her. Hope this helps.

Marvin F. Shienbaum, MD · Answer

It's important to consult with your plastic surgeon as soon as possible. A lump or bulge under your breast, especially near the scar, could be a sign of an underlying issue.

Here are a few potential causes:

Seratoma: This is a fluid-filled sac that can form around an implant. It usually doesn't cause pain but can be felt as a lump.
Capsular contracture: This is when scar tissue forms around the implant, causing it to become tight and potentially painful.
Implant malposition: The implant may have shifted or rotated, causing a noticeable lump or asymmetry.
Your surgeon can examine the area and determine the cause of the lump. They may recommend:

Ultrasound or MRI: To assess the implant and surrounding tissues.
Aspiration: If a seroma is present, it can be drained with a needle.
Revision surgery: In some cases, a revision surgery may be necessary to address capsular contracture or implant malposition.

Almost 1 year post op and I noticed a bulge and popping sensation near my scar, what could this be? (photos)

Answers (14)

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