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

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.