Did my silicone breast implant pop? (Photos)

Question

I got silicone implants about 6 months ago and the right boob has a huge indent when I bend down. The left boob is nothing like the right. The right one looks partially deflated. This has been the case since the first few weeks of getting them done.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Although I do not think you have a rupture I do think you should speak with your surgeon about your results.  It appears that your natural breast tissue is thin relative to your breast implant size making the risk of rippling greater.  Hope this helps.

Sacha Obaid, MD · Answer

Although it is common to see rippling with breast implants, the only way to tell if your implant has ruptured is to have imaging done with an ultrasound or an MRI.  I would contact your plastic surgeon to discuss your concerns.  Thank you and good luck.

Donald R. Revis Jr, MD · Answer

Good morning,
You do have some really thin tissues and rippling is severe- not necessarily a sign of rupture but definitely something going on since it's not on both sides. I suggest you see your surgeon and allow them to explain it to you!

Daniel Barrett, MD · Answer

Dear ihatethis69,
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

Joshua B. Hyman, MD · Answer

Thank you for the question and the pictures. It does not look ruptured at all. This is rippling which is sometimes caused by the type of implant or the position of the implant. It is essentially scar tissue stuck to the implant and when you place tension on the implant either by pulling or changing the position you will see the ripple. It needs to be surgically addressed, unfortunately. It is not an emergency but please contact your surgeon.

Connie Hiers, MD, FACS · Answer

Your large implants have stretched and thinned your tissue. rippling can occur with saline implants and also gel, especially in thin women.  Smaller implants would have been better.

Michael S. Wong, MD · Answer

Dear ihatethis69,
Thank you for your question and pictures. You have rippling from your implant. This can occur for many reasons. Most common on the lower outer breast as there is less tissue to camouflage the implant. The definitive way to determine if your silicone implant is ruptured is to get a breast MRI. A breast ultrasound can also be helpful, but the MRI is the gold standard.
I hope this is helpful.

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