I can now feel a crunching sensation at the base of both breasts. Impart border. Do I need another lift now?

Question

Breast lift with 550cc gel implants under the muscle. 3 months post op. Implants dropped after 6 weeks. Now dropped further after 3 months when I returned to the gym and work.

William Andrade, MD · Answer

Thanks for your question.  You would need a proper exam to determine exactly what you are feeling; it might be the edge of the implants.   It's not possible to comment on the overall shape without a photo or exam.

Gustavo Almanzar, MD · Answer

Hello From the facts that you just explained a think you might need a revision,but i advise you to post some photos because its difficult to give a more precise opinion without them.  Goog luck

Robert Shenker, MD · Answer

What you are feeling is almost certainly the edge of the implant. In almost every case of breast augmentation, the implant edge can be felt. It is a normal result when placing an implant under a relatively small breast.  Sometime this happens more noticeably in thin patients with large implants. (I would definitely consider 550 cc to be a large implant). In most cases, the "crunching" you feel is of no consequence whatsoever. However, if it really bothers you, some fat grafting along the area of palpability can be helpful. Speak to your plastic surgeon about it.I hope this helps! Dr. Robert Shenker MD FRCSC

Sanjiv Kayastha, MD · Answer

Please resubmit you question with pre and post operative photos. Without those it is impossible to try and answer you question. The best thing to do is to see your surgeon and pose this question to them. They will best be able to answer your question.

R. Stephen Mulholland, MD (retired) · Answer

Dear Belle416,

Thank you for your clinical post, but without photographs and
a thorough physical examination it is difficult to say exactly what the
aesthetic outcome is at this point and what the specific anatomy of the
concerns you have represents.  However,
in most cases this crunching feeling you feel at the base is actually the
folded or rippled edges of your cohesive or saline gel implant.  Both cohesive and saline gel implants can
almost always invariably be felt and palpated in the lower pole of the
breast.  This is particularly true with
large implants and with your implants being over 500 g or cc’s and they would
certainly classify as being large.  In
general, the question of a lift or not to have a lift depends upon the position
of the breast and how long has lapsed since your primary surgery.  Breast lift surgery is generally not
performed until at least 6-12 months following an augment and you would need
time for the soft tissues to settle to truly ascertain the true final resting
position of your implants in relation to the breast gland and the rest of your
shoulder chest wall region.

My advice would be to stay in close touch with your operative
breast surgeon to seek their advice and over time decide if subsequent surgery
in the form of a breast lift is required.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

I can now feel a crunching sensation at the base of both breasts. Impart border. Do I need another lift now?

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