How Do I Know if I Have Extrusion or Tissue Necrosis After Breast Augmentation?

I just had breast augmentation 10 days ago. I went from an A to C cup. I am worried about how thin my skin is laterally and close to my armpit. My implants are saline and placed under the muscle. I can really feel the edges of the implant where the skin is the thinest. It is worse on the lateral aspect of my right breast. When looking at the skin in these areas it looks lighter like the implant is placing pressure on the skin. How would I know if it's the start of extrusion?

Doctor Answers 5

Breast tissue necrosis and implant exposure

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Th risk of implant extrusion is commonly associated with tissue necrosis which fortunately is a relatively rare event. However sustained vascular compromise of any tissue will eventually result in tissue necrosis. This assessment is not always an easy one.

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Extrusion of implants

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Without examining you it would be difficult to tell. Very thin skin can be difficult to deal with. You should really have close follow-up with your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Thin Breast skin with large breast implant VS Breast Implant exposure

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The ONLY person who can best advise you if you are seeing / feeling the normal side shell of an implant or are at risk of implant exposure through an ulceration of the side skin of the breast is your surgeon. I would see him promptly and see what he has to say.

Breast implant exposure is NOT common but has been known to happen with very large implants when the place pressure on the breast skin and are accompanied by other risk factors such as smoking and or poor nutrition.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Extrusion of Breast Implants

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You should address this concern with your surgeon today.  If there is pending extrusion then this needs to be taken care of promptly.  Without examining you or seeing pictures, it is difficult to give you specific advice.  Good luck.

Possible implant extrusion

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Clearly you need to go back to your doctor today and have them take a look.  It would be very unlikely that you were seeing an impending extrusion but your doctor would want to see you and put your mind at ease.

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.