Why is my saline implant swollen after heavy lifting?

You should make an appointment to see a plastic surgeon immediately. They are several possibilities for your problem but all demand evaluation and treatment.

Late onset breast swelling could be hematoma, seroma or even infection. Since you were doing heavy lifting this is most likely a hematoma. You need to see a plastic surgeon as soon as possible and will most likely get an ultrasound to better define the diagnosis and treatment.

Severe swelling after breast augmentation is consistent with a fluid or blood collection. An urgent consult with your plastic surgeon is advised for consideration of drainage.

Many things can happen from what you are describing, I suggest you go back to your original plastic surgeon or any one locally first to get a physical exam and likely an imaging study to figure out what happened inside. 

The best way to evaluate this situation is to see your plastic surgeon or another board certified plastic surgeon in your area. That's a lot of swelling for a workout, and it is lasting too long. There are many diagnoses which cause increased breast swelling. It may be related to working out, muscle pull, capsule tear or it may not, infection, ALCL. If free fluid is around the implant is should be aspirated and sent for analysis. Start by getting evaluated by a board certified plastic surgeon,

Based upon your recent activity immediately prior to the breast swelling I believe that you may have a hematoma (blood) or fluid collection (seroma).  It is always best to follow up with your plastic surgeon.  If this is not possible, your primary car provider may recommend ultrasound or other imaging to determine if there is fluid around the implant.  I would not recommend allowing the fluid/blood to re-absorb as this may increase complications for you and your implant.  Your plastic surgeon may recommend having the fluid surgical removed to lower the risk of infection and/or capsular contracture.Not everyone is a good candidate for this treatment so please see a Board Certified or Board Eligible Plastic Surgeon to evaluate if you may benefit. Good luck!

This content is for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare professional.  You should always seek the advice of your physician or healthcare professional for any questions you have about your own medical condition. 

Thank you for posting your question. This is likely a hematoma or a seroma (fluid around the implant). You should see a board certified plastic surgeon. If one breast is twice as large and there is significant pressure on the fuller side, my approach would be to take you to surgery. I hope this helps.- Dr. Bryson Richards

Sudden onset of swelling 10 years after surgery is concerning for some kind of underlying injury and most likely due to a hematoma that occurred when you pulled your muscle while lifting.  I recommend having that evaluated as soon as possible, starting at the emergency room in order to get an imaging study to document what is causing the swelling. Once the cause of the swelling is documented, seek the expertise of a board-certified plastic surgeon. It’s normal to have bruising and swelling as a result of the hematoma as well. Depending on the size of the hematoma, you will either require an operation for removal of the hematoma,  needle aspiration of the hematoma by an interventional radiologist, or conservative observation to allow enough time for the hematoma to resolve itself.  Good luck with everything. 

Acute unilateral swelling 10 yrs out from surgery needs to be evaluated right away. The possible causes of this are, hematoma (unlikely), acute seroma, or BIA-ALCL. Call your plastic surgeon right away because the longer the skin is stretched the harder it will be to achieve symmetry. Good luck!

I recommend visiting your plastic surgeon for an evaluation.  An examination and possibly an ultrasound may be needed to determine the cause of your swelling.  The proper treatment course will be decided from there.