Is It Normal to See and Feel my Textured Saline Implant? Will It Eventually Poke Through my Skin? (photo)

It seems like you have a knuckle or a fold in the implant sticking out, this can happen even if the implant is overfilled

Hello,

It looks like you are looking at a revision surgery to fix the problem you have; you may need to consider a small implant and in your case with the size of your breasts may end up changing both implants to keep on a symmetry.

Unfortunately, draining the left implant will not solve the issue but replacing it could be the best approach.

The reason why your implant takes some time to protrude as the day progresses is because you stand up and start moving hence gravity will take its natural course over the implant pulling it downward.

I recommend that you consult with your surgeon to discuss your option since he/she knows the full details of your surgery.

I hope this helps.

Thank you for your inquiry.

The best of luck to you.

Dr. Sajjadian

Hi!

Thank you for your question.
 

I would recommend consulting with your plastic surgeon on this. It
sounds like you may need revisional surgery because your implant may eventually poke through due to erosion.

Good luck!

Dr. Sam Speron

Unfortnately you have palpability of your implant.  The location that you can feel your implant is also unfortunate.  Gravity is affecting your implant during the day and you start feeling the implant later in the day as you spend more time in a vertical position.  Your tissues seem thin so I think it's best if you ask your surgeon a few things:  are my implants under the muscle?  How were my implants sized in correlation to the size of my breast?  .  In my practice, you would likely get you implants under the muscle and I would encourage you to be conservative in implant size as you are 5'0." Over time, you tissues will continue to thin if they are not covering your implant now.  I have never seen an implant "poke through" the skin however I am concerned that your surgery was very recent and you already see and feel your implant. 

The area of concern will most likely settle out and not be as hard after the next few months when the swelling has resolved.  If things worsen, definitely see your plastic surgeon soon.

Most surgeons feel that use of textured implants below the muscle is not appropriate, and it appears as if your implants are below the breast and above your pectoralis major muscles. The textured surface  induces a Velcro-like adherence to the breast tissue (I will assume you have Allergan textured implants (or the new Silimed textured implants), as the Mentor Siltex does not cause tissue adherence).

At any rate, your implant shell has a visible and palpable fold, likely from early capsular contracture, or possibly because the pocket for the implant was slightly smaller than the implant itself. This fold will eventually (weeks, perhaps several months) erode throught he surface of the skin, exposing your implant and requiring removal, as well as causing a permanent scar where it became exposed. Even if you were to somehow avoid erosion through the surface, the fold would eventually develop a weak spot in the implant shell, causing a leak and deflation of your implant.

None of this is good.

As others have suggested, you need to see your surgeon and have this surgically revised. The sooner this is done, the more successful and least ongoing difficulties you will have. Please call your surgeon or get another opinion from an ASPS-certified plastic surgeon in your area, sooner rather than later. Best wishes! Dr. Tholen

While it is not unusual to have some palpability of implants in the lower pole of the breasts after breast augmentation, your case seems to be more severe than normal. This may be caused by a fold flaw in the implant. If this is the case, it is not likely to resolve on its own because of the textured nature of your implants. You should be examined by your plastic surgeon to determine if revision surgery is required. 

When you have very little body fat and you use textured saline implants, you can normally feel the implant through the skin, but to have it poke out in one area is not normal.  You should go back and discuss this with your plastic surgeon. 

This having been said, there is a capsule (scar tissue) around every implant, saline, silicone, textured, smooth.  Either, you have a capsular contracture around that implant or there is a weakness in the scar tissue at the point of bulging, or both.  At any rate, this requires a face to face evaluation to diagnose the problem.  If it is a capsular contracture, then it may improve with Accolate, a pill that softens breast capsules, or with ultrasound or both.  If these don't work, then surgery is your next choice. 

This is an unfortunate situation that is occurring because you have a saline implant in a mismatched pocket under tissues that are quite thin. This situation will most likely not improve by itself and it is, therefore, imperative that you consult with your surgeon. One fix may be to replace it with a slightly smaller silicone implant. Best of luck to you. 

Your implant is both palpable and visible in the lower pole and may warrant revision. It is best to see your surgeon.