Changes in breast implant shape a year after surgery (Photo)

Question

Ive had my implants for a lil over a year. I went under the muscle. 6-7 months post op i woke up to my right Breast implant feeling and looking flatter than the left. Loss of volume in the centre of the breast. The sides are more protruding and the breast looks overall flatter. My surgeon is in another country so we did a video call and he said it was due to muscle adjusting? Fluids?

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to sit down with you to discuss your concerns.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Daniel Barrett, MD · Answer

Dear Original850481,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jonathan Heistein, MD · Answer

Changes in breast shape can have different causes.  It's very hard to tell without a full exam, so I would suggest that you try to have an exam with your doctor or another doctor that you trust.  Best of luck!

Brian K. Reedy, MD · Answer

Thanks for your question! Without seeing your before photos, I can't give an incredibly accurate answer. It is a possibility that you are developing a capsular contracture on that side. I would suggest finding a surgeon locally that can take a look in person. Good luck!

Camille Cash, MD · Answer

It's difficult to say what is occurring without an exam.  The implants to appear to be large, so the weight may be causing the implant to bottom out.  This is corrected surgically.  Often times patients will opt for a smaller implant and bioabsorbable mesh can be used for extra support.  Another potential is that you are developing capsular contracture.  See a board certified plastic surgeon near you for an evaluation.

Connie Hiers, MD, FACS · Answer

Your lower implant is bottoming out from the weight. I would suggest going back to your surgeon and discuss supporting your pocket. You may need to go down in size. For now, wear a good supporting bra at all times while you are vertical.

Heather Vande Ven, DO · Answer

Changes in breast implant shape a year after surgery can occur due to various factors, including:1. Settling: Initially after breast augmentation surgery, implants may appear higher on the chest. Over time, they can settle into a more natural position, which might affect their shape and appearance.2. Capsular contracture: This is a complication that occurs when scar tissue (capsule) forms around the implant and tightens, potentially causing the implant to feel firm, distort in shape, or become painful.3. Implant rupture: If a saline implant ruptures, the breast may appear deflated or change shape quickly. Silicone implant ruptures may be less noticeable initially, but changes in shape or size can occur gradually.4. Weight fluctuations: Changes in weight can affect breast volume and shape, which may impact the appearance of breast implants.5. Aging: As the body ages, skin elasticity decreases, which can affect the appearance of breast implants. This might lead to changes in shape, sagging, or wrinkling.6. Pregnancy and breastfeeding: Hormonal changes during pregnancy and breastfeeding can cause breast tissue to change, potentially affecting the appearance of breast implants.7. Natural variations: Every individual's body responds differently to breast implants, and factors such as genetics and lifestyle can influence how the implants settle and maintain their shape over time.It's essential to monitor any changes in breast implant shape and consult with a board-certified plastic surgeon if you notice any concerns. They can evaluate the implants and provide guidance on whether further intervention is necessary. Regular follow-up appointments with your plastic surgeon are recommended to ensure the long-term health and appearance of your breast implants.

Mats Hagstrom, MD (license on probation) · Answer

I generally do not recommend people travel long distances for elective surgical procedures.
The number of people who have real issues, the importance of in person follow up, the number of patients who will require revision surgery, or the fact that people actually do have complications seems to be under appreciated.
Quality assessment regarding issues related to breast augmentation usually require an in person assessment.
It also requires having access to proper before and after pictures and a copy of your operative report.
I suggest you ask your provider to forward that information then schedule in person second opinion, consultations with plastic surgeons in your community.
 Generally each surgeon is responsible for the outcome of procedures they perform. Surgeons are responsible for surgical outcome and patients are responsible for provider selection.
Breast augmentation outcomes are generally related to three variables.
The first variable is the patient’s candidacy for the procedure. The second variable is the selection of implants in regards to size shape, and type. The third variable is the surgeons ability to place the implant in the correct anatomic location.
 Issues related to outcome are almost always based on one or more of those three variables.
It looks to me like your implants may be beginning to bottom out?
I suggest having a few in person, second opinion, consultations with plastic surgeons in your community.
Best,
Mats Hagstrom, MD

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