Right breast changing shape. Is this due to extra weight I have gained? (Photo)

Question

28 year old female, 88kgs. Breast implants put in about 6 years ago. Silicone, behind the muscle. Incision under breast. Recently hit my heaviest weight at 91kgs and right breast is changing shape. The shape looks off to me when looking at it, feels like nipple is moving closer to middle of chest and the breast itself has a weird shape to it (the side of breast closest to chest) Breasts have gotten bigger with weight gain. Is the odd looking shape due to the extra weight?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. There appears to be some implant malposition and possible capsular contracture taking place. Best to seek out an in-person examination to get the best advice.

Donald R. Revis Jr, MD · Answer

Good morning,
The photo actually makes me think you may be developing some encapsulation, so I would visit your PS for an examination to see if they detect any firmness in your capsules and if so start treating you for it.

Daniel Barrett, MD · Answer

Dear Acup,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, the weight gain has increased the differences you are seeing. Your implants are sitting somewhat high and your natural breast is more low. As you gain weight, the implant does not change, but your breast does and gets bigger.  Try loosing the weight and see if you correct this.

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. It is most likely due to the excess weight gain, but thankfully, this can be fixed! I'd advise trying to get back to the weight you were at around the time of surgery and if they still don't look normal (which I doubt would happen), see your physician and discuss options. Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD 
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Right breast changing shape. Is this due to extra weight I have gained? (Photo)

Answers (5)