Should I be concerned with swishing of 20 year old implants when I run?

Question

20 year old implants - saline- under the muscle - swishing when I run. I thought it was my lungs but believe it to be my breasts.

Ben Lee, MD · Answer

Thank you for your question. Although I don't advocate routinely replacing implants if there is nothing wrong with them, 20 years is an extraordinarily long time for saline implants. I have seen saline implants that appear to have lost volume over the years despite not being grossly ruptured. The valve that holds the saline inside the shell, although incredibly reliable, is not immune from failure and it's possible to lose volume over time. I would suggest consulting with a plastic surgeon to evaluate the implant. If you decide on replacement, know that replacement procedures are often much easier than the original surgery.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Although not dangerous I would recommend having them checked by your surgeon to ensure the implants and the pocket they sit in are okay.  Best wishes.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. This can be normal with saline implants. I would recommend returning to your plastic surgeon to make sure the implants are okay and not possible leaking causing your concerns.

Don W. Griffin, MD · Answer

As long as your breast volume has not changed, your implants are probably okay. Sometimes if you have lost weight, the fluid in the implant can be heard when you are running since there is not as much tissue covering it as there used to be when your breasts were fuller. It would certainly be feasible to seek out consultation with a board certified plastic surgeon in your area for evaluation.

Daniel Barrett, MD · Answer

Dear kimwkelly,
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 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

There is probably a little more stretching of you tissue so that your implants have more space in which to move. However, I would suggest wearing a tighter sports bra so your breasts are held more tightly, or you will have more sagging.

Should I be concerned with swishing of 20 year old implants when I run?

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