What is the Clicking Noise I Am Hearing/feeling when Massaging Post BA?

Thank you for the question.

Most likely what you are hearing is the presence of air and/or fluid around the implant. The sounds tend to dissipate after a few weeks. You do not describe any  concerning signs or symptoms.

I hope this helps.

When a patient experiences sounds from the breasts, often it is
early in the recovery period from breast augmentation surgery.  This is normal and is a reflection of some of
the irrigation fluid that has remained in the breast pocket.  Over a short time this irrigation fluid
becomes absorbed, and the sounds go away. 
Your situation is different in that the timing is 13 months post-op.   Fluid in the breast pocket is still likely
the reason for these sounds. However, newly accumulated fluid in a breast
pocket over a year after surgery is called a delayed seroma and should be
investigated.  A breast ultrasound can
confirm the diagnosis of seroma.  Delayed
seromas are associated in the majority of cases with having textured gel
implants.  Delayed seromas can also be
associated with a rare implant-associated cancer called anaplastic large cell
lymphoma.  I would suggest following-up
with your original plastic surgeon so that he/she can evaluate you for these
new symptoms.

Hi,

  I do not agree that this is air/fluid considering that you are out 5 weeks now.

  Saline implants have a tendency to ripple or wrinkle.  Sometimes, in the soft breast, one can feel a clicking of the shell of the implant in any area that tends to have a fold.  It is weird to feel but it is not something to worry about.  I would put my vote on this being the issue.

  Stay close to your ps to get the answers in your case and all will be good.  If it is the rippling effect, then you will have to accept it (as seen in your consent forms) but there are options to treat it if it is too annoying.