Will my silicone implant that is currently poking through my breast tissue stay that way?

Unfortunately, this is unlikely to change.  Following breast augmentation, eventual skin/tissue stretch and thinning is common.  In the lower pole, there is little tissue covering the implant beyond native breast tissue and your skin.  With larger augmentation and with the passage of time, the breast gland may thin out leaving the underlying implant more palpable.  This can occasionally be addressed by use of an ADM or by switching to a more cohesive gel implant - such as the shaped implants - where the thicker gel leads to maintenance of shape more than what might be felt with round silicone implants.  At the very least it is good to hear that the appearance of your augmentation remains pleasing.  Hope this helps and sorry for your disappointment!  

I am so sorry that you are experiencing this. It can happen at any time regardless of whether or not the implant is placed above or below the muscle. Unless you gain a lot of weight (which I wouldn't advise), there is little chance that this will improve. Best, Dr. Nazarian

I appreciate your question.

If your implants are above the muscle, implants can be more palpable.  Especially in the lower pole of the breast. Or if you do not have much breast tissue covering the implant.   The implants will be need to be switched to under the muscle with the use of ADM for this to be resolved.



The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

It is difficult to say.  Palpability is most common along the lower pole of the breast.  Sometimes an ADM will help.

I am sorry to hear about your concerns. Unfortunately, breast implant rippling/palpability may occur regardless whether the breast implants are placed above or below the pectorals major muscle. It tends to be more of a problem when implants are placed above the pectorals major muscle. Barring weight gain, it is unlikely that your situation will improve  significantly. Sometimes, revisionary surgery may be necessary to improve the feel  of the breast in the area involved. I have found the use of acellular dermal matrix very helpful in this regard.  Best wishes.

This situation is not uncommon, especially with above the muscle breast augmentations.  It probably won't resolve back to it's original position.  You may need some type of reinforcing procedure if it gets worse.  

Hi, isadore865From your description, you are "feeling" the implant.  Implant can be more palpable if your implant are above the muscle or if you do not have much breast tissue covering the implant.Unless implants switched under the muscle, implants will not go back.Best regards.

Once the implant starts causing breast tissue/skin thinning there are very few options. The first option might be fat grafting over the implant to thicken that area. But there is a high risk of implant rupture. Otherwise sub muscular placement surgery is the other option. Good Luck.. 

since you say the implant is palpable on the lower portion of the breasts it is likely not going to change. This is because even though the implants are under the muscle the bottom portion that you can feel is not under the muscle. Your tissues have become thinner in that area either because of age or weight loss and some of the pressure of the implant. If this is something that really bothers you there are things which can be added over top of the implants such as an implanted biological material or fat grafting but there is no guarantee that you won't still be able to feel the implant.