I Feel Saline Implant Valve

Implant palpability is the most common difference in saline breast implants as compared to silicone breast implants. The deformity you are feeling may represent the breast implant valve. This could be alleviated with a change of breast implants from saline to silicone. please refer to a board certified plastic surgeon for this problem.

This can happen with saline implants in certain cases. You may consider converting to silicone implants which do not have valves. Your tissue also may have thinned out which is contributing to the valve's prominence. A board certified plastic surgeon can outline a surgical plan for your revision.

Best wishes,

Dr.Bruno

From your description it sounds like the implant has flipped back to front, since the valve is a small bump but on the back of the implant there is a patch about the diameter of a quarter with a ridge around the edge. More important is that if you can feel it, your tissue coverage is very thin despite the implant being under the muscle. You may wish to look into the option of  a Strattice graft, which makes a sort of internal bra. This would support repair of the lateral displacement and bottoming out while also adding coverage.

Thank you for the question.

Yes it is possible in the rare  patient to feel the implant valve associated with saline breast implants. 

Also, as you describe, one of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

Revisionary surgery may be useful and often involves the use of internal sutures ( capsulorraphy)  or opening a breast implant pockets (capsulotomy)  as the patient specific circumstances warrant.

 I hope this helps.

In thin individuals with overfilled saline implants, the valve can sometimes be felt. As for the bottoming out and lateral displacement, it sounds as though your overall tissues are not supporting the implants very well. Consider the use of a dermal matrix (Strattice) to provide an "internal bra" for longer term support. If your muscle has window-shaded and the overlying breast tissue is quite thin, the Strattice can also help camouflage the implant valve. Switching to gel implants will also eliminate the valve issue. Best of luck.