Why are my implants sticking out and changing shape? 3 years post silicone moderate + 495 smooth implants with a lollipop lift.

It is unlikely that your implants are ruptured. you have visible ripples or "knuckles" of your implants.  This is seen most often with either saline or textured implants, and when implants are above the muscle.  Sometimes capsular contracture can cause this but I doubt that is the case with you as you show a similar knuckle on your left where the breast looks looser.

Thanks for your questions. These implants are too big for your body and have caused atrophy of your breasts. Now you can see rippling when the implant moves. You can rule out a rupture with an MRI, but I believe you will do better if you down size your implants!
Good luck. Dr. Aldo

Hello,Those points are the implants being folded upon themselves causing little firm peaks called knuckles. They are usually caused when an implant is confined into a smaller space or pushed into an irregularly shaped space due to capsular contracture. It is not rejection, which does not ever occur with implants. If your surgeon isn't an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery, you should get a second opinion from a few who are. Best of luck!

Dear cmccafferty7,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. Only after 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

You appear to have a capsular contracture on one breast and some soft tissue descent on the other, with your native breast tissue bottoming out a bit. While large implants can contribute, I don't think the answer is as simple as "downsize your implants." You likely will need a capsulectomy on the right breast in order to create a clean pocket, and you may need capsular revision on the left. Fat transfer might help "shroud" the implant but revision of your lift could be more effective at repositioning your native breast tissue to provide additional coverage. Your surgeon might have been suggesting placing a dermal matrix material like Strattice or Galaflex to cover the device, but I don't usually find those helpful in this situation and the products are rather expensive. Maybe get some additional opinions from other board-certified plastic surgeons before moving forward with your revision surgery.

in unusual places, its not due to the implant or skin.  As Dr. Minniti said, its most likely due to some contracture pushing your implant out wherever your capsule is weaker or thinner.  If this was from day one, it would be due to your tissue coverage.  But since it isn't, it's more likely due to a slow contracture and you should get checked for that.

They look like visible/palpable implant folds. I wonder if you have lost body fat over this time possibly "uncovering" them? Your surgeon is likely recommending a dermal substitute such as Strattice or other product. This can offer both support and cover for the implant depending how it is placed. This is NOT "rejection" of your implant.

You have asymmetry created by right breast capsular contracture and left breast soft tissue ptosis. the answer to your problem is not the addition of a tissue matrix that is going to add another variable to your breasts. You need to have bilateral breast augmentation revision.

Sorry for your problem but an examination is needed. So if you have concerns that have not been answered go on some complimentary consultations with experts and compare recommendations and opinions Dr Corbin