Possible rupture? Can this be fixed? (Photo)

Question

Hello. I’m 13 months post surgery. About a month ago I stared noticing my right implant was feeling a little different, like there was an air bubble in it. Now I can feel the edge of the implant. Could this be a sign of rupture? I have Ideal implants 490ccs.

Brian K. Reedy, MD · Answer

Thanks for your question! Without seeing you before photos and seeing you in person, it would be hard to determine if you had a deflation. If you did not have a size discrepancy beforehand, then you may have a partial deflation. I would suggest seeking out an in-person evaluation. Good luck!

Brian Bassiri-Tehrani, MD · Answer

This is a good question. Ideal implants are structured saline implants. The outer shell is made of silicone but it the implant itself is filled with saline. This means if the implant(s) ruptures, you would notice it right away since your breast will deflate and get smaller. Ideal implants have more structure than a typical saline implant, so you may feel the outer shell of the implant. It appears one side is smaller than the other, so this is a possibility. It is important to go to your plastic surgeon who did your surgery to discuss this.

Jonathan Heistein, MD · Answer

Yes, the implant could have ruptured.  With Ideal Implants, they may not fully deflate, so it would be best to make an appointment with your surgeon to evaluate it in person.  If it's deflated, then you will need to replace it, but there are warranties in place to help offset some of the cost.  Best of luck!

Daniel Barrett, MD · Answer

Dear valentinars8,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Finny George, MD · Answer

Hi, thank you for sharing your question. While the photo gives the impression that the right breast may be smaller than the left, the best way to make a diagnosis is with an imaging study. Feeling the edge of the implant can be normal. Discuss these concerns with your plastic surgeon.

Ram Kalus, MD, FACS · Answer

It appears that your smaller implant has a leak or deflation. That said, there is nothing to worry about. This is NOT a medical emergency. Please consult with your plastic surgeon and if he or she are unavailable, please consult with a board certified plastic surgeon familiar with IDEAL Implants. you will only be able to achieve a correction with revision surgery and replacement with a new implant, which the company will provide to you with no charge. Good luck.

Randal Haworth, MD, FACS · Answer

If you're experiencing changes in the feel of your breast implant and can feel the edge of the implant, it's important to consult with your plastic surgeon as soon as possible. While it's difficult to make a definitive diagnosis without a physical examination and imaging tests, such as an MRI or ultrasound, the changes you've described could potentially be signs of implant-related issues, including implant rupture.

Implant rupture refers to a tear or hole in the outer shell of the implant. When a rupture occurs, the saline or silicone filling material may leak out, leading to changes in the shape, size, or feel of the implant. In the case of saline implants, a rupture is usually more readily apparent, as the saline is absorbed by the body, causing the affected breast to deflate. In contrast, silicone implants may require imaging tests to confirm a rupture, as the silicone filling material can stay within the implant pocket.

It's important to note that only a medical professional can provide an accurate diagnosis. Contact your plastic surgeon and schedule a consultation to discuss your symptoms and concerns. They will be able to evaluate your situation, perform a physical examination, and order any necessary tests to determine the cause of the changes you're experiencing.

Prompt medical attention is crucial in such cases to assess the integrity of the implant and ensure appropriate management, which may involve revision surgery if a rupture is confirmed.

I hope this helps,
best of luck!

Peter Andolina, DO · Answer

Looking at your photos, I am a bit concerned that you may a leak in your right breast.  When an Ideal implant ruptures or leaks, it does not completely empty - that is the beauty of those implants.  I would try to get back in to see your surgeon or a surgeon as soon as possible.  Most times, saline implants are covered for ruptures.

Milan Doshi, MS, MCh · Answer

Thank you, valentinars8 for your question and photographs. Our evaluation is incomplete without personal examination to give the most appropriate answer. Despite that to answer your query, if you have any doubt regarding implant rupture, ultra sensitive sonography of the breast will help you evaluate the condition of the breast implant. Considering your history & picture, it less likely a rupture & it could be that because of a large implant, you are feeling the edge of the implant. Nevertheless, I recommend you to go for an ultra sonography to rule out breast implant rupture. Please consult a board-certified plastic surgeon near you and discuss this in detail. Wish you an alluring look.

Connie Hiers, MD, FACS · Answer

With ruptures, most saline implants loose volume rather quickly. I would suggest going back to your surgeon and being examined.  Ideal implants are still saline implants and still can be felt through and under your breast tissue.

Possible rupture? Can this be fixed? (Photo)

Answers (14)

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