Right breast much larger than left & little painful 6 years post-op, what is this? (Photo)

It is difficult to determine exactly what is going on from a single photo and without a physical exam. There could be several reasons including a late seroma (fluid collection), bottoming out of the implant, a silent rupture (if silicone gel), and many others. This needs to be examined with a physical exam and also potential ultrasound. I would recommend seeing a plastic surgeon with ultrasound capabilities. Dr. William Adams Jr is one of the plastic surgeons in Dallas who offers implant surveillance ultrasound. This may also necessitate a formal ultrasound done by a radiologist. My best recommendation is to find a surgeon certified by the American Board of Plastic Surgery near you with excellent breast surgery experience and a good reputation.

Whenever there is a change like this, it is important to see your plastic surgeon. It is likely that you may need an ultrasound or another type of imaging, but after the evaluation, your surgeon can arrange this for you. If you are unable to see your surgeon, then you can see another surgeon or start with your GYN or PCP. Best of luck! Call if you have any further questions.

Thank you for your question and picture. First question is was there any trauma. Also is the breast hard or feels soft but bigger. And finally, do you have textured silicone implants. In either case you need to see a Board Certified PS, your original surgeon, if possible ASAP to be sure that IF they are textured implants and there was a sudden and drastic increase in size that you do not have BIA-ALCL.