What causes a Dent in A Breast Implant? Do I need corrective Surgery? (photos)

Thank you for your question. The dent that you are seeing is usually because some of the underlying structure, capsule, breast tissue, dermis is tethered or is constricting the implant from fully expanding. Rarely, this can be released through the skin with a needle. Another option is to sometimes fat graft the misshapen area. It is possible that opening up the pocket and releasing the tethered point is necessary. In terms of needing a revision, that is a personal decision that you have to make while balancing whether this problem is bothering you enough to undergo surgery again for. Good luck.

Thank you for your question about recovery from silicone breast implant exchange.

For specific questions like this and about your recovery in general, it is best to speak directly with your doctor or doctor’s representative – such as his or her nurse, or the physician on call for the practice.

You will likely get many differing opinions from members of the RealSelf Community, but they have not personally seenor examined you. Nobody should know you or your unique set of circumstances better than your doctor. If you feel you are not being listened to or you are doubting your doctor’s recommendations, then it is certainly within your rights to seek a second opinion and get the advice from another board certified physician. This should be done through an in-person consultation with a thorough evaluation, including a review of your history, review of all prior treatment and with a physical examination.

Obviously, if you think that you are having a medical emergency or other serious problem, you should call 911 and/or go to your nearest emergency room.

Best Wishes.

Dear Mgrilly,
though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

A dent or deformation in a breast implant can occur due to several reasons, including:1.) Implant Defects: Sometimes, manufacturing defects can lead to weak spots or inconsistencies in the implant shell, causing it to collapse or dent.2.) Capsular Contracture: This is a complication where the scar tissue (capsule) that naturally forms around the implant tightens and contracts, potentially causing distortion of the implants shape.3.) Trauma: Physical trauma or injury to the breast can result in damage to the implant or its surrounding tissue, leading to dents.4.) Surgical Technique: Inadequate surgical techniques or improper implant placement might cause the implant to shift or deform over time.5.) Implant Movement: Natural movement of the implant within the breast pocket might result in creasing or folding of the implant shell.Whether you need corrective surgery depends on the severity of the dent, your aesthetic concerns, and the underlying cause. Here's what you should do:1.) Consult a Plastic Surgeon: If you notice a dent in your breast implant, it's important to consult with an experienced plastic surgeon who specializes in breast augmentation or reconstruction. They will be able to evaluate your situation and provide recommendations based on your individual case.2.) Assessment: The surgeon will assess the cause and extent of the dent, as well as the overall condition of your breast implant and surrounding tissue.3.) Options: Depending on the assessment, the surgeon might recommend corrective surgery to address the dent. This could involve implant replacement, adjusting the implant pocket, addressing scar tissue, or other necessary procedures.4.) Risks and Benefits: Discuss the potential risks and benefits of corrective surgery with your surgeon. They can provide you with a clear understanding of what to expect in terms of results, recovery, and potential complications.5.) Personal Considerations: Ultimately, the decision to undergo corrective surgery is a personal one. Consider your comfort level, aesthetic goals, and overall well-being when making this decision.Remember that while corrective surgery is an option, not all cases of dents in breast implants require surgical intervention. Mild dents that don't cause discomfort or aesthetic concerns might not necessitate surgery. It's best to seek professional advice from a skilled plastic surgeon to determine the appropriate course of action for your specific situation.

Your implants look large for your frame and may be bottoming out some to cause the dent. Going smaller and raising your lower fold could be done.

There are two things going on. It seems you have sone scar tissue, a double bubble and lack of fat in both areas.
A fat transfer would help, but you might require release of the scar tissue too. A physical exam would answer all of these questions

Nicely posted photos. The reason is most likely scar tissue with fat distilling. The easy fix is micro/macro fat grafting under local anesthesia with ultrasound guided injections. Fee $5,000. Best to virtual consult with…

Hi and welcome to our forum!From your photos, I note the contour deformity of the infero-lateral left breast. Color distortion is not uncommon in digital photos, but the indentation appears to demonstrate a slight bluish color, which may represent a shadow or a suggestion that the implant is quite close to the skin surface. The "dent" is not caused by the implant itself but rather by soft tissue scarring overlying the implant.With each successive surgical procedure, there are new planes of dissection created, contributing to increasing fibrosis of the involved tissues, especially since you underwent release of a capsular contracture,The length of time since your last procedure is important. Initial contour irregularities tend to lessen and soften with the passage of time for up to 18 months or so. The nature and location of the previously employed chest tube may or may not be of significance???As you are still under the care of your plastic surgeon, you must not yet be totally healed. Continue your care as directed.Best wishes...