Breast changes and possible implant rupture
Something is not right here. The usual quoted rate of rupture of current generation implants is in the range of 0.5% per year, so while yours is low it is still a possibility. I have seen many patients in my 20+ years of practice with ruptured implants in the first few years after augmentation. Your risk of breast pathology such as cancer is age and genetically dependent, and although this is not a typical presentation you need to be seen by a plastic surgeon with experience in breast implant related problems and breast disease. You will possibly be referred for studies such as mammogram, sonogram or MRI to get a better idea of what's going on.
Anytime that you have breast bumps/lumps, this needs an evaluation to rule out a malignancy. Silicone implants can rupture, but when they do, the silicone material typically drains into the capsule first and then the lymphnodes and not out superficially.
Thank you for your question. Yes, silicone and saline implants can leak, and the rate is
somewhere around 1% per year. The leak from a silicone implant may be less noticeable, and an MRI will help detect if there is a leak. It is best
to see a Board Certified Plastic Surgeon who can examine you and help you
Benjamin J. Cousins MD
Board Certified Plastic Surgeon
With the newer gel implants, breast implant rupture can still happen but the presentation is very subtle. What you are describing does not appear to be gel rupture but can not say for certain without an MRI. You may be feeling the shell through thin skin. A physical exam would help determine.I would recommend you follow up with your previous plastic surgeon or find a board certified plastic surgeon in your area to evaluate. Good luck.