Left Breast is Shrinking 3 Months Post-Op Breast Augmentation

Hi there, I had my augmentation on January 18th of this year. I had saline under the muscle surgery. My left breast was slightly lower and slightly larger before my augmentation so my doctor tried to even things out by putting 20 cc more saline in my right breast. 570cc in my left and 590cc in my right to be exact.

As you can see from the pics things looked pretty even on surgery day but as time goes on it seems like my left breast is continually shrinking. PLEASE HELP!!!

Doctor Answers 16

Saline Breast Implant Leak - Beverly Hills

Hello and thank you for the question.

In review of your photographs, the findings are consistent with a slow-leak of your left implant. Outside of acute trauma, this generally occurs secondary to a defective valve. Most implant manufacturers will replace faulty implants at no cost to the client. I recommend you follow up with your plastic surgeon for an evaluation. 

Warmest Regards,

Glenn Vallecillos, M.D., F.A.C.S.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews

Loss of size after breast augmentation

Initially after breast augmentation surgery, you are swollen, making you larger that what you will be in the future.  As the swelling goes down, and your own breast tissue shrinks from the pressure of the implants, you get smaller. Those changes are generally symmetric and not limited to just one side.  Significant loss of size on one side after breast augmentation with saline implants is generally due to a leak in the implant which will eventually go completely flat.  Your photograph appears to be consistent with a leak on the left side. If you have Allergan or Mentor implants, you should receive a free implants and $1200 towards the cost of surgery to replace a ruptured implant; more if purchased an additional warranty.

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 38 reviews

Implant deflation likely

Implant deflation can result from rupture of the device or valve failure.  Rupture presents with a rapid deflation over 1-2 days.  In your case it has been more insidious with likely a leak at the valve giving rise to a progressive but slow diminution of size.  Most major manufactures have a warranty program in place to assist in the cost of correction.  It might be a good time to review the particulars of the warranty. Good job with your photos as it is more information to base an opinion.

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 17 reviews

Change in Breast Implant Size after Surgery

Your pictures suggest a leaking saline implant. Suggest you see your plastic surgeon before the capsule contracts any further which may make revision and exchange slightly harder. I wixh you all the best in this undertaking. J. Vicente Poblete, MD, FACS, Avon Lake, OH

J. Vicente P. Poblete, MD
Cleveland Plastic Surgeon
4.6 out of 5 stars 23 reviews

Breast implants leak

Your implant is leaking. I would return to your plastic surgery so he can change it out. If you purchased the implants in the states then you should get a free implant and some money from the implant company.

David E. Kim, MD
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 97 reviews

Shrinking Breast After Augmentation

Breasts that appear to be shrinking after augmentation are due to 2 factors:

1. The implant is leaking

2. The pocket is stretching and drooping so that the implant appears smaller.

In your case, I feel fairly certain that your implant is leaking. This is not an emergency, but the implant will need to be changed. If you have a Mentor or Natrelle implant, your warranty will help cover some of the expenses.

Karen Vaniver, MD
Kennewick Plastic Surgeon
5.0 out of 5 stars 37 reviews

Breast augmentation

A shrinking implant could be related to an implant leak or a perceived shrinkage because of a change in the implant position.

David L. Abramson, MD
New York Plastic Surgeon
4.1 out of 5 stars 12 reviews

Left implant shrinking 3 months after surgery.

It's good that you showed the immediate post op picture. It shows that your implant is deflated on the left. You should see your doctor ASAP so that the implant can be exchanged before the pocket shrinks any more. This is due to a manufacturing defect or a problem during insertion in any case you should be able to replace the implant without too much exponce to you.

Farhad Rafizadeh, MD
Morristown Plastic Surgeon
4.9 out of 5 stars 47 reviews

Left Breast is Shrinking 3 Months Post-Op Breast Augmentation

Appears to be a slowly leaking/deflating implant.  Although it is not dangerous, make sure to see your surgeon about this asap to get a replacement implant (typically provided free by the implant manufacturer). 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 117 reviews

Asymmetry After Augmentation May Be Due Leak

I agree that the most likely cause of your ongoing breast asymmetry is most likely due to a slow partial leak of your left-sided implant.  I also agree that you should consult with the plastic surgeon who performed your surgery.  If the implant is leaking from a defect in the implant, the manufacturer will likely replace your implant at no charge and also assist with other costs.

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