Is it normal to have deep puckers indentations in the breast?
Doctor Answers 3
Change and breast shape when bending overy
Deep puckers and indentations after breast augmentation.
Saline implants are made on the same implant molds (mandrels) that silicone implants are manufactured with, but obviously the filler material is saline instead of cohesive silicone gel. To minimize rippling, reduce the higher potential for creasing in the shell that can lead to leak and deflation, as well as the visibility of these pronounced ripples (dents and puckering), "over"fill by about 10% is widely recognized by most plastic surgeons experienced in breast augmentation as appropriate, and is even labeled that way on the saline implant packaging. Some surgeons stubbornly refuse to accept this, and even tell their patients that "over"fill will void manufacturer's warranties. This is false.
Overfilling is also how surgeons are able to achieve 1000cc or larger augmentations, since the largest implants come in 800cc sizes. But then the implants feel hard!
Massages won't help you. Unfortunately, unless your scar capsule tightens a bit, this will only get worse as your tissues heal and soften. Then, the only solution is switching to silicone gel implants, going below the muscles, or (rarely) adding thickness via acellular dermal matrices such as Alloderm or Strattice.
You should discuss this in detail with your surgeon, who can discuss the options and appropriate timing for any revisionary surgery, if recommended. Best wishes! Dr. Tholen
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