Did my breast rupture? One breast has been feeling off, it is extra soft and feels like it is dropping, did it rupture?

Question

I got my boobs done in 2021 I've been exercising a lot this week including upper body and chest. My left boob feels different than normal, extra soft and feels like it drooping and hitting my armpit more, I feel like I have To physically move it away from my armpit to feel more comfort My right breast feels normal, more firm and upright

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question.The answer to your question depends on if you have saline or silicone implants. Rupture of a saline implant typically presents as loss of volume of the affected breast implant. The change in the breast size and shape occurs soon after the rupture. With silicone implants, the rupture is often asymptomatic or "silent". I would suggest that you contact your plastic surgeon for a full evaluation including an examination impossible breast imaging.

Daniel Barrett, MD · Answer

Dear jtruong1367,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Andrew Wolfe, MD · Answer

Thanks for your question.  It's hard to tell what's going on without a photo or more information, but I can make a few guesses.  (I will assume you have silicone implants, based on their greater popularity.) If both of your breasts have felt firm and upright until recently, then it is possible that your vigorous workouts have torn or disrupted the capsule around your left implant, allowing it to move more freely. This may firm up as the capsule heals or the pocket may be permenently enlarged and would require surgery to tighten it.  Sometimes, the soft breast is actually the normal side, and the firm side is developing a capsular contracture, a tightening of the scar capsule that forms around all implants.  This can happen from bacterial contamination of the implant or a ruptured silicone implant.  An ultrasound would readily diagnose a rupture, and a physical exam can detect a capsular contracture.  You should reach out to your original surgeon, or another plastic surgeon experienced in breast implants for an evaluation.

Eric Swanson, MD · Answer

Most likely your implant has displaced to the side. You may have experienced a tear in the capsule at some time allowing the implant to move toward your armpit. This can happen as the result of injury or major exercise (without you even knowing it). The treatment is surgical repositioning of the implant and repair of the capsule. Also, an ultrasound is useful to check to see if your implant is intact.

Camille Cash, MD · Answer

The symptoms you described could be related to many things.  Your implant may be displaced in the pocket.  This is not dangerous but can be corrected via surgery.  If your breast felt firmer before you may have impacted your capsule.  In any case a visit to your surgeon for an evaluation can give you some peace of mind.

Pawel Szychta, MD, PhD, DSc · Answer

I'm sorry to hear that you're experiencing these issues. Changes in the feel or position of a breast implant can occur for several reasons. The symptoms you're describing&mdash;such as the left breast feeling extra soft, drooping, and moving toward your armpit&mdash;may indicate a possible shift in the implant's position, implant displacement, or other changes in the surrounding tissue.
It's important to consult your plastic surgeon or a qualified medical professional as soon as possible. They can perform a thorough examination to determine the cause of these changes and recommend appropriate action. In the meantime, you might want to avoid strenuous upper body exercises until you've been evaluated, as certain activities could potentially exacerbate the issue.

Connie Hiers, MD, FACS · Answer

You may have torn your capsule which allows your implant to move more. This would not be a rupture. However, you can have an ultrasound to check your implant.

Did my breast rupture? One breast has been feeling off, it is extra soft and feels like it is dropping, did it rupture?

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