Is It Possible That an Implants Valve Can Leak Saline and then Reseal Itself? (photo)

I was told that my left breast seems to have gone down a bit. I have been to three PS and the last surgeon told me that my left breast implant looks to have potentially opened from the valve but then resealed itself... Is this possible? My left implant is now measuring a 32DD as my right is still measuring a 32DDD. The left implant is very jiggly with almost no volume but the implant feels as if you have a water balloon that is half full if that helps? I am 1 yr and 7 months PO.

Doctor Answers 4

Is It Possible That an Implants Valve Can Leak Saline and then Reseal Itself?

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Typically when the saline implant leaks it deflates. This is clearly not the case here.  

What I see in these photos is not a leak but rather marked "bottoming out" more so on the right than the left. Nothing beats an actual physical examination, but I suspect from the size of the left breast compared with preoperative,thatof the this implant has not deflated.

At any rate I suspect the bottoming out we'll continue unless something is done surgically to reinforce the fold and to replace your implants with smaller ones.

If there is a leak your surgeon will be able to detect it by measuring the implant. 


Thanks for the question and for  the photographs. Best wishes

Seattle Plastic Surgeon

Leaky implant?

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In an imperfect world, I guess anything's possible.  However, the leaky valve theory is highly unlikely.  Either the valve works or it doesn't.  If the valve is defective, you would have lost volume right away.   My guess is that you have a small leak in the implant and now that the pressure has equalized, the fluid is no longer coming out.  If the left implant truly is much softer than the right, then it is probably time for a replacement.  Hope it goes well.

Breast Implants May be Bottoming Out

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"Bottoming Out" is the term given to implant #displacement, where the implant drops down below the existing inframammary fold; the natural crease beneath your breast. This may occur when the fold has been released excessively during surgery or may be due to factors of the patient’s collagen and tissue integrity. The implants then sit very low on the chest with a lack of internal support for the implant itself.

Correction usually involves #restoring the crease beneath your breast to it's normal position with internal reconstruction of the capsule around the implant (#capsulorrhaphy). Sometimes a biologic fabric (Acellular Dermal Matrix or #ADM) can be used to attach to the breast tissue internally while supporting the implant. This corrects the placement of the implant, redefines the breast shape, and also refines the internal fold.

With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation. It's best to consult with a board-certified plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast #procedure. You will then greatly improve your chances of getting the result you desire, and, without the need for a #revision surgery. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcome.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Is It Possible That an Implants Valve Can Leak Saline and then Reseal Itself?

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Thanks for posting a series of unlabeled time span photos. But you have more issues than just a possible valve leak that ?? resealed. It appears as you are bottoming out also. Seek immediate evaluation. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.