Is it possible to develop a “flat spot” on a silicone implant? (photos)

Question

I had a BA done 3/2016, and I have recently noticed I developed a flat spot on my left breast. It is just below my nipple & when trying to do research, I am unable to find out if this would be a warranty issue or not. I have 415cc Natrelle Inspira silicone implants.

Gerald Minniti, MD, FACS · Answer

Hello,Periareolar incisions are a bad idea. They increase the risk of capsular contracture and they unnecessarily injure breast tissue, which can lead to scar related shape issue, as they have done to you. Tethered periareolar scarring can be treated with aggressive internal scar management and fat grafting (SAFElipo), but may require more than one attempt. Tell your friends that breast augmentation should be performed through an inframammary incision only.

Daniel Barrett, MD · Answer

Dear Melissa0329,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

David Finkle, MD · Answer

I believe the depressed area you are referring to is from scarring and not implant related.  It appears your incision was around the areola which means the surgeon had to dissect through all of your breast tissue to create the pocket/space to place the implant.  When this tissue healed, the scarring inside the breast has "pulled" the tissue into this flat appearing area.  Yours is very mild and I personally would just leave it alone.  A scar revision procedure could be performed, but it could also worsen the scarring.Good Luck!

Mark Eberbach, MD · Answer

I can see the slightly blunted aspect below the areolar incision in the lower pole of your breast. This is likely from scar tissue manifesting after breast settling from time or weight change or pregnancy. See your surgeon if this bothers you. It will take surgery to correct but I would recommend no intervention with how it looks now.

Is it possible to develop a “flat spot” on a silicone implant? (photos)

Answers (4)

Answer: Flat spot

Answer: Flat spot

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Is it possible to develop a “flat spot” on a silicone implant? (photos)

Answers (4)

Answer: Flat spot

Answer: Flat spot

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.