Am I developing capsular contracture / ruptured implant? My implants are now 7 years old

Hello @t_rowan thank you for your question. It is important to receive a professional diagnosis with a mammography ultrasound where can be clearly seen what is happening. That way, it is possible to plan what is best for you and evaluate the reason of that pain and loss of volume. Best wishes! Alan Gonzalez MD FACS

Dear t_rowan,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Capsular contracture and ruptured implants are potential concerns with breast implants that can arise over time. If you're worried about these issues, it's important to consult with a qualified medical professional, such as a plastic surgeon or a healthcare provider who specializes in breast implant issues.Capsular Contracture occurs when the scar tissue (capsule) that forms around the implant tightens and squeezes the implant. This can result in discomfort, changes in breast shape, and potentially pain. If you're experiencing increased firmness, distortion, or pain in your breasts, it's recommended to see a healthcare professional for a proper evaluation.Ruptured Implant refers to a tear or hole in the implant shell. Depending on whether you have saline or silicone implants, the signs of a rupture can vary. With saline implants, a rupture might cause deflation and noticeable changes in breast size. With silicone implants, ruptures can sometimes be "silent," meaning there might not be noticeable changes externally. Imaging tests like MRI are often used to detect silent ruptures.To address your concerns:1.) Consult a Professional: Reach out to a plastic surgeon or a healthcare provider who specializes in breast implants. They can perform a physical examination and may recommend imaging tests like ultrasound or MRI to assess the condition of your implants.2.) Monitor Changes: Pay attention to any changes in the appearance, texture, or sensation of your breasts. Keep track of any discomfort or unusual symptoms.3.) Regular Check-ups: If you have breast implants, it's generally recommended to have regular follow-up appointments with your surgeon to monitor the condition of the implants and surrounding tissues.4.) Educate Yourself: Learn about the signs and symptoms of capsular contracture and ruptured implants. This knowledge can help you recognize potential issues early.5.) Choose a Qualified Surgeon: If you're considering replacement or revision surgery, make sure to choose a board-certified plastic surgeon with experience in breast augmentation and revision procedures.Remember, only a medical professional can provide a definitive diagnosis and recommend appropriate actions. If you have concerns about the health of your breast implants, it's best to schedule an appointment with a healthcare provider for a thorough evaluation and guidance tailored to your specific situation.

You probably will not be able to feel a rupture, but if a capsule has formed, you will notice a different feel or shape. I would suggest going back to your surgeon and being examined.

Thank you for your question. Photos would be helpful but if you have saline implants and one ruptures then you will see some deflation of one breast. If you have gel implants then you are unlikely to feel the gel from the rupture unless there is leakage outside of the capsule which can form small nodules. Capsular contracture is when the capsule around the implant tightens and will feel more firm and often pulls the implant higher on the chest wall. Implant palpability can be bothersome to patients as well and can become more noticeable with a decrease in weight or from having larger implants for a many years. The stress of the weight of the implant on the skin of the lower part of the breast can cause it to stretch and feel thinner to you and thus you can feel the more. Ultimately a visit with your board certified plastic surgeon is important to determine the cause of your concerns and direct treatment.

It's difficult to diagnose without an examination. I encourage you to visit with your surgeon for an evaluation. If there is a rupture or a contracture you can discuss options for treatment. I've included a video I hope you find helpful.

Greetings,
You seem to be experience a number of different issues with your 7 year old implants. A sense of deflation can be related to breast tissue loss, actual breast implant leak (saline) or silent rupture. There is no substitute for an examination and consultation to make a diagnosis and discuss options for your care.
I would suggest that you re-consult your plastic surgeon for guidance and care.
You may require imaging studies to assist with planning your options.
Best Regards,

Hi and welcome to our forum!This is not a normal phenomenon and requires reevaluation by a board certified plastic surgeon to determine its source and provide relief....Capsular contractures are usually firm while deflations are usually soft..Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...