Thank ypu for your question. The pain may be a result of ypur muscle spasm and or contusion. A saline leak would be noticeable very quickly as a deflation. A silicone impant leak can be diagnosed with an MRI. See ypur surgeon this week. Best Wishes.
If your implants are saline, you would definitely know if you had a leak. It becomes obvious rather quickly.
If you have silicone, it never becomes obvious by appearance. The only way to tell is with an imaging study such as an MRI.
From your picture, if they are saline, your right does not seem deflated.
Best of luck,
Your breasts are changing due to the natural effects of pregnancy. Generally, an increase in breast size related to pregnancy then decrease once you stop breastfeeding can cause the breasts to sag, and this may be happening to you.
What type of implants do you have? If they are saline, then the leak will have caused the implant to rapidly deflate, often within a day or so. If you have silicone implants, then it would be harder to detect (an MRI may be required). Either way, I recommend you see your surgeon for a physical examination.
Expanding midline cleavage with breast implants
Saline implant leakage is usually externally visible. Silicone implants may exhibit a silent rupture in which there are no physical signs of rupture. In your case, it appears that your implants have laterally displaced thus causing you to lose midline cleavage. Exchange of your implants with capsulotomy may help.
Evaluation for Implant Leak
Saline implants will deflate and appear smaller if a leak develops.
A leak in a silicone implant won't show a change in breast size. Getting an MRI is the best way to check for a silicone implant leak.
Some of the changes you describe are not uncommon after pregnancy: change in shape, drape, drooping, rippling, position, including excess motion toward the armpits. These changes can be improved with surgery.
Consult with your plastic surgeon to determine your best options.
If they are saline implants, I don't think you have a leak. If they are gel and you have a change in the way they look and feel after trauma, I would recommend imaging to assess implant integrity. MRI is the gold standard.
Lisa Lynn Sowder, M.D.
There are two types of implants saline or silicone gel. Saline implants, if they have a leak they will disappear in a very short period of time and there will be no implant palpable. Silicone gel implants, if they leak, they do not declare themselves with volume loss. In the case of the patient displayed in the photograph, the patient was pregnant. After the pregnancy she did develop some droopiness of her breast that is evident more on the left side and increased rippling may be a sign that she may have a saline implant. The best solution for this type of patient would be to place silicone gel implants and do a mastopexy (breast lift) of both breast at the same time.
It's pretty unlikely that you have a leak, since you should have noticed a significant change in size over a short time (if they're saline). If they are silicone gel implants, a rupture can lead to capsular contracture, which may cause rippling early in the process. With gel implants the only way to check is with an MRI.
You failed to mention if yo have saline or silicone implants. I am assuming that your implants are saline. If so, I do not think that you have a leak. I think that the most likely cause of the appearance of your breasts is the effect of pregnancy. The best way to determine a leak in silicone implants is with an MRI but it is not 100% reliable.
Detecting a leak in a saline breast implant
If your breast implants are six years old you must have a saline breast implant if your implants were placed in the US as the gels were not yet available. A leak in a saline breast implant, even a slow one, will result in dramatic loss of volume over a matter of days. The difference will not be subtle. It is not unusual to have some increase in laxity and ripple of an implant after pregnancy.
Best of luck,