Silicone Breast Implant Getting Smaller?

If you had your augmentation a few years ago and now you notice change in size, it is most likely a capsular contracture. The breast which is smaller now, might also feel firmer than the other side. With gel implants you will not loose volume as it happens with saline implants when they leak. You need to go back to your surgeon to be reevaluated for the change in size.

Unlike saline implants which are filled with liquid saline solution the gel in silicone implants is semisolid, so even if the shell of the implant was sliced open the gel wouldn't spill out. That leaves only a few other explanations for the implant appearing smaller. One is capsular contracture, which is a compression of the scar capsule around the implant. That could make the breast appear smaller but it would also feel hard. The other is that your breast tissue is changing, along with perhaps some settling of the implant. That is actually more likely. Either way, it is a good idea to have your plastic surgeon check it out.