Are Gurgling and Swishing Common in Silicone Implants at High Altitudes?

Dear J. Gray:

Thanks for your question. A breast augmentation video can be viewed by clicking "more" below. I have done many breast augmentations and I like to ask each patient how they are doing at each visit.  I encourage them to share any concerns and problems, so I think I have heard just about everything that can happen. I have had several patients report noises or feeling odd sensations from their breast implants from traveling to high altitudes or flying.

Most commonly it is a squeak or gurgling sensation when moving the arm across the chest or upwards. Usually, only the patient can hear or feel it, but sometimes I can hear it too. When it does occur, it is more common in the first few months after surgery and often resolves at a year.

I have one patient who continues to have gurgling 4 years after her surgery. I only occurs when at high altitude, and resolves when she returns to the bay area. Other than the minor annoyance, it does not cause her problems, and she is happy with the improvement in her appearance.

The sensation is likely caused by swelling. A small amount of fluid may accumulate around the implant, and cause the implant to vibrate when is slides in its pocket. It is similar to rubbing your finger around a crystal glass. The good news is, it does not seem to cause any long term problems. It also means your capsule remains at least a little bigger than your implant, and that should keep your result softer.

It's not unusual for patients to have unusual sensations in their breasts following breast augmentation surgery. In many cases, this is related to residual air and fluid that's present within the breast implant pocket. Under these circumstances, movement of the implant within the pocket can cause the sensation of squeaking, gurgling , swishing and bubbling.The sensation tends to improve as fluid and air resorb. In addition, formation of a capsule around the implant also helps to minimize this phenomena. In the majority of cases, resolution occurs in one to two weeks.It's possible that re-accumulation of fluid within the breast implant pocket might result in a return of these symptoms. This might occur with exercise and elevated altitude, but I've not seen this occur in my practice.If you're concerned about this phenomena, it's important to have a discussion with your plastic surgeon. Your surgeon should be able to alleviate your anxiety regarding this issue.

This is a very interesting question but in 20 years of practice I haven't heard of anything like that. I do have a large number of implant patients who are flight attendants or skiers, and there doesn't seem to be a problem with altitude or air pressure change.

Is it common to hear a gurgling or swishing sound following breast augmentation? Thanks so much for your question. The short answer is no, it’s not common to hear those sounds. In the short term you could have fluid or air in the space where the implant has been placed. This can create various noises as the air and the fluid reabsorbs. You may have some persistent fluid around the implant that is causing some noise but this is not common at 10 months. An ultrasound would verify if there was fluid around the implant or not. The implant themselves do not make noise as it’s a viscose material. 

Having gurgling and swishing in the first several days to week after surgery is common, in particular with saline implants. However, your situation with gurgling and swishing ten months after surgery is not common. I suggest you follow up with your plastic surgeon. Good luck.

Regardless of altitude it is not common to find gurgling and swishing feeling with silicone implants as the viscosity of these are similar to tissue.  Perhaps you should see your surgeon for reassurance.

Lake Tahoe is only about 6000 ft elevation. The atmospheric pressure difference should not be that noticeable, and isn't even as much as you'd experience on a commercial flight. What you're experiencing is unlikely to be related to the altitude. The density of gel implants is also not that different from the surrounding tissue. If you're concerned about it, you should speak to your surgeon

Swishing and gurgling sounds are somewhat common for a few days after augmentation due to the presence of air and fluid around the implants. A few patients have noticed intermittent swishing/gurgling beyond the initial healing period. This is often activity-related, with serum (the fluid component of blood that bathes our tissues) leaking into the implant pocket/capsule. It is usually transient.It is hard to explain the fluid accumulation in relation to altitude changes.However, if the fluid accumulation persists for more than a few days, it is important to have your surgeon evaluate.

It is very common after breast augmentation surgery to temporarily have a gurgling or squishing sound coming from your breasts. This is a result of having some fluid between the implant and the capsule. If you move your arm and the implant shifts slightly to one side, the fluid has to go in the opposite direction which is what causes the sound or sensation of fluid moving.  The fluid generally goes away with time. Some patients will also experience this with exercise and high altitudes.  In my experience, it usually completely goes away.