Does One Breast Getting Smaller Mean I Have A Leak?

I have had saline implants since 2003. Today I noticed that my left breast seems smaller than my right. Could my implant be leaking or am I freaking out over nothing?

Doctor Answers 14

Saline implant Leaking

When a saline implant ruptures, it will quickly deflate and you will notice a significant decrease in size.  I have seen several patients who have a valve leak where the saline implant is filled during the original operation.  It may leak a small amount of saline through the valve and then stop. I would suggest you give it some time to see if the implant continues to get smaller...then go back to your plastic surgeon to have it checked.  Good luck!

Tampa Plastic Surgeon
4.8 out of 5 stars 115 reviews

Does One Breast Getting Smaller Mean I Have A Leak?Answer:

Most of the time when a saline implant ruptures, it deflates very quickly and there is no question...but, I have seen "valve leaks" that only deflate to a certain point, and when there is no longer enough pressure in the implant to overcome the incompetent stops. So give it some time and have it looked at, but no worry or hurry if you are not sure. And have your old implant paperwork handy if it is a leak!!

John J. Corey, MD
Phoenix Plastic Surgeon
4.6 out of 5 stars 44 reviews

Breast Implants

A leaking saline implant is not an emergency, although it is a pain.  Contact your surgeon's office during normal business hours for a check up.  It sounds like a deflation is a possibility.  If so, you would want to put in a new saline implant, or change out for a gel implant which does not go down in size if ruptured.  Talk to your surgeon about your choices.  All the best, "Dr. Joe" Gryskiewicz

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 269 reviews

Shrinking implants

If you have a significant change in size, it is almost certain that your saline implant is leaking. There is about a 1/2-1% risk of this happening per year. The leak often will stop short of full delfation as the pressure inside and outside the bag equalizes and the implants folds more.

Robin T.W. Yuan, M.D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Breast getting smaller eight years after breast implants

If one breast is indeed getting smaller eight years after your saline breast implants were placed, a leak is almost certain. The leaks when the implant has worn progress quickly for most, though replacement of your implant should be easy, so see your surgeon soon.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Saline implant leak

It is possible for saline to leak from an implant,this is often accompanied by increased rippling in the implant . I would suggest you contact your surgeon.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Leaking inplant

Saline implants may never leak, but they have the potential to leak at any time.  Most often, the leak becomes very obvious as that breast becomes much smaller.  The best way to be sure is to visit with a plastic surgeon.  If you are unable to see your original surgeon, try to find and bring the implant details to your appointment (manufacturer, size, fill volume) as this will help with decision making.  Good luck.

Michael S. Hopkins, MD
Albuquerque Plastic Surgeon
4.9 out of 5 stars 83 reviews

Saline Implant Leak?

You may have a leak. It is not an emergency but contact your plastic surgeon to be evaluated. Bring your implant documents to see if the company will offer a replacement implant.


Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

Leaking Saline Implants

It is impossible to state with certainty if your saline implant is leaking, however a significant change in size would make this likely.  You should see your plastic surgeon quickly since replacement is fairly simple if done right away.  Since your implants are less than 10 years old, the manufacturer may cover mosy, if not all, of the costs associated with replacement.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Saline implants

It is very possible that you have a slow leak in your implant. If so, the implant should deflate completely over the next few days.  You should see your surgeon to be evaluated.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

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.