Saline Implant Looks Lower and Less Full Than the Other 2 Years Later, What Do You Suggest?

I had 350cc smooth round saline implants put under the muscle two years ago. For a while they looked perfect! Now i am noticing that one is less full than the other and symmetry is fading. It seems like one of them hasn't "dropped" at all and is still nice and high the way i wanted it, while the other one is more of a teardrop shape and has lost lots of fullness at the top. I am wondering if silicone implants would be a better fit for me. i want them full, high and full on top. I need advice pls

Doctor Answers 5

Asymmetry after two years

From your description, it seems like one of your breast implant has capsular contracture.  It is normal progression to lose some of the fullness on the top and to become a "teardrop" shape.  All implants (silicone and saline) will become more like teardrop with time due to implant/tissue settling unless you develop scar tissue around the implant.  If one becomes very asymmetric, there may be a slow leakage.  You should visit with your plastic surgeon to be examined.

Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

Asymmetry of breasts has many causes.

Most natural breasts are asymmetric and so it is common to see a little after surgery.  Your description sounds like more than this.  It is not possible to tell what is going on without an exam.  Possible reasons include bottoming out on the lower side and capsular contracture on the higher side, or just natural unevenness, to name the most common.  Go see your surgeon for options.

Michael S. Hopkins, MD
Albuquerque Plastic Surgeon
4.9 out of 5 stars 83 reviews

Saline implant problems

One side may have bottomed out, one side may have deflated or one side might have a capsular contracture.  Visit your doctor or another in person as these are easy to determine.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast implants asymmetry

Without an exam it is impossible to say what is going on.  Has one bottomoned out, has one develope a tight capsule?  I do not know without ane exam.  Some asymmetry is normal.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breasts Implant Asymmetry Suggestions?

Thank you for the question.

Based on your description, I do not think it is necessarily the type of breast implant that is the issue. In other words, you could experience the same breast asymmetry if you had used silicone gel breast implants instead of saline.

It sounds like one of your breast implants has “settled” more than the other. This situation can be corrected using capsulorraphy techniques (internal sutures used to “raise” the breast implant pocket maintaining the breast implant in a higher position).  You should also be evaluated by a well experienced board-certified plastic surgeon to rule out leakage of the saline breast implant causing the change in shape etc.

I would suggest that you seek consultation with a plastic surgeon who can demonstrate significant experience with revisionary breast surgery  for the most precise diagnosis and treatment recommendations.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

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