The recent onset of swelling in the breast after 20 years can be from several things. The most common is an infection. Best to be evaluated in person. Good luck.
Right breast capsule contracture
Dear princess, Thanks for submitting your picture and sorry for your trouble. From observing your picture, it appears that you have severe capsule contracture with, possibly, fluid collection. If the breasts were symmetrical until few days ago, malignancy is very unlikely. It is more likely for you to have capsule contracture due to 'Biofilm', which can be caused by dental work or infection like UTI etc. 'Biofilm' does not appear as a flagrant infection (fever, chills, redness, sweling etc) , so antibiotics will not bring any improvement. The correct treatment is complete capsulectomy (scar excision) and replacement of implant. At the same time a capsule specimen and seroma fluid can be sent to the laboratory for ruling out ALCL (very unlikely) . If you elect to go back to your original surgeon, make sure that he is experienced wit capsulectomy surgery, which is a very tedious procedure. Otherwise, consult with other experienced board certified plastic surgeons who , indeed, have vast experience in performing that procedure. Best of luck, Dr Widder
Swelling I left breast 20 yrs. after augmentation surgery
I would initially consider the necessity to see a Board Certified Plastic Surgeon ASAP. This condition is certainly worthy of careful evaluation. You may have an infection of the breast, or more commonly a seroma. The symptoms are very different, as well as your medical physical findings when they would be fully evaluated. Very simply, be aware that a proper medical and surgical evaluation is necessary. Please don't delay about this.
Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
What would cause unilateral breast swelling 20 years after saline breast implants?
Swelling 20 years after breast augmentation is certainly not normal. Make sure to see a board-certified plastic surgeon can evaluate you in person.
Unilateral breast swelling
Thank you for your question and for your photograph. Breast swelling 20 years post augmentation is certainly cause for concern. This is a situation that would require an in person exam to determine what is going on. I would recommend that you schedule an appointment with your plastic surgeon. Best of luck.
Unilateral breast swelling
An exam and consultation with a/your plastic surgeon is recommended to evaluate your presentation. A capsule contracture, seroma, or other process may require tests and/or surgery with discussion of your options and expectations.
Unilateral breast implant swelling
Breast swelling 20 years after implant placement is a concern. Mastitis and ALCL are both possible causes of breast swelling. An in office exam and follow up testing are required.
Fluid collection as in a seroma requires a check as soon as possible by a qualified ASAPS board certified plastic surgeon. I have patients with saline implants without problems for over 25 years. Age of the implant is not an indication for change. More often body change, weight change is a reason for changing implants. If you had textured Allergan saline implants an ultrasound is possibly indicated. It is possible you have mastitis or capsular contracture. However late seroma, one must be wary of ALCL. Good luck...
From your photo it appears you may have capsular contracture develop on that side. This can cause the implant to be pushed upward. Another reason could be fluid accumulation around the implant. I would suggest an ultra sound to determine. I do not believe that is mastitis
Infection around the implant
Mastitis is infection of the breast tissue but from you photo I think this is more likely infected fluid around the implant. I would advise having a breast US to determine the cause of this and finding a plastic surgeon who is familiar with these types of breast implant problems if it involves the implant. Saline implants should be changed out every ten to fifteen years in my experience in order to avoid these types of problems. You will need total capsulectomy without any reimplantation for at least six months as well as appropriate antibiotics and antifungals. Duricef does not cover many of the organisms that we see with this. I would suggest Cleocin.