I got breast implants about 12 years ago. I am losing weight and one is now smaller. Should I be worried that I have a leak?
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Doctor Answers 14
Breast asymmetry with 12 year old implants
The only way to tell is to see your surgeon to be evaluated for implant rupture. If the implant is OK, you might be able to have a breast lift with a small amount of tissue removed from the larger breast for symmetry.
Should I be worried that I have a leak?
Congratulations on your weight loss and your commitment to get back to your previous weight.
There are quite a few reasons why one breast may now appear smaller than the other. For example:
It is very possible that one breast alway was smaller than the other. Your surgeon may have put in different sized implants to correct for existing asymmetry. Being 12 years, it would be easy to not remember (or you may not have been aware of) such details.
Further, you may be losing more tissue on one side than the other, due to the weight loss. Or one implant may be settling into a lower position than the other, giving the appearance that it has gotten smaller, as the tissues loosen more on one side or there have been more scarring/contraction on one side.
You could have had a slow leak (saline) that was not detected with breast enlargement associated with weight gain that is now visible as the breast tissue deflates with weight loss. It is also possible that one breast has been larger due to fluid around one implant, that also was noted with the larger breast during weight gain and is now noticeable with the weight loss.
An experienced plastic surgeon will bel able to better assess the source of your asymmetry and what to do about it. Good luck!
See your surgeon
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Yes, you should be concerned
Saline or silicone
You also could have some asymmetrical volume loss from your on-going wt loss--congrats!
Set up an appointment with your Plastic Surgeon to be evaluated.
Over 12 years your breasts have likely changed in size and shape. This alone could be causing your asymmetry. It is possible that one of your implants has a slow leak, if it is a saline implant. Usually if there is a hole in a saline implant, there is a rapid decrease in size.
Changing saline breast implant size
Changing breast sizes with saline implants and weight changes.
Congratulations on your weight loss.
I would suggest that you revisit your plastic surgeon to evaluate whether your size changes are related to a leaking saline implant (s), breast volume loss(es), or a combination of the two. You or your plastic surgeon should have the implant volume information which helps with decisions related to replacements.
Good luck with your care...
Breast size changes with weight loss
Congratulations on your weight loss! You don't mention if you have saline or silicone implants. A saline can certainly loose volume if there is a leak or rupture, but not a silicone implant. When saline implants leak (a risk that increases over the years with all implants) they either go completely flat, or sometimes just loose smaller amounts through a malfunctioning valve with pressure. A plastic surgeon may be able to give you an opinion with an exam as to whether your small side feels deflated.
People commonly mistake a deflating implant for the changes in their breast's appearance that happen with weight fluctuations, progressive ptosis or droop, capsular contractures, or changes in their glandular tissue due to age and hormone changes.
I would not "worry" about health problems from a leak, but you might start planning for a revision. If you still have your implant information from your previous surgery that would be helpful. A revision after 12 years and such dramatic weight changes would be expected. If your implant has truly deflated and you have the information regarding the manufacturer and serial numbers you may be entitled to replacement implants which could save you some money at your next surgery.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.