What's Wrong with my Implant? (photo)

I had breast augmentation almost 2 years ago using 340cc implants under muscle. A different surgeon has examine me as I now want re augmentation and said he believes something happened in surgery that caused the muscle to be pushed up.... Therefore leaving one breast with an indentation. He told me to go back to my surgeon. My original surgeon says it's just rippling??? It looks a mess.... What is it really??? It is clearly visible on photos which I've added. Please help???

Doctor Answers 8

What's Wrong with my Implant?

Although I can see the indentation, at a minimum proper photos showing the entire breast (both of them) would be needed to assess this, and even with those, chances are an in person exam will be needed to sort out the possibilities, which include among other things both suggestions you have already heard. That would be an unusual place for a solitary ripple. Please consider reposting this question with better photos. Sample photos are probably visible to the right in the feature doctors section.

Best wishes

Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Breast Implant Indentation


After reviewing your photo, I can clearly see the indentation along the medial aspect of your left breast. It appears to be the edge of your pectoralis muscle which is more apparent when you engage or contract the muscle. This is usually a more visible problem in thinner women such as yourself. There are surgical ways to correct this problem including further release of the muscle, breast implant exchange, fat grafting, and/or placement of acellular dermal matrix. I suggest meeting with a board certified plastic surgeon to see which of the options I mentioned would be best for you.

Hope this helps.

R. Michael Koch, MD
Tarrytown Plastic Surgeon
4.4 out of 5 stars 22 reviews

What's Wrong with my Implant?

You have muscle edge show. I recommend fat grafts to are to alleviate this issue. But best to see your surgeon to discuss options.//

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Implant revision

The muscle seems to be showing its contraction more than it should in your breast tissue. This can be corrected in a variety of ways. If it’s rippling from the implant or contraction use of acellular dermis to camouflage the implant could help. It may be that just capsular adjustment and implant replacement would do the trick. Your photo is difficult because it’s clearly an abnormal pose and in a swimsuit. I would recommend visiting with a few PS and seeing what each recommends and choose the plan you feel best fits your goals.

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
4.9 out of 5 stars 217 reviews

What's Wrong with my Implant?

This could be a problem with scar tissue or inadequate muscle release. As stated below, if it presents or worsens with muscle contraction, it is likely muscle related. Additional muscle release, implant exchange, and placement of acellular dermal matrix are all possibilities to correct the problem.

Don W. Griffin, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 73 reviews

Capsule versus muscle as the source

Dear Leanne,

There are a few possible sources for the indentation that can be visible in the photo.  The bottom edge of the muscle is one option, your breast implant capsule is the other.  If the indentation worsens with muscle contraction then the muscle is certainly part of it.  A thorough examination will be needed to determine what the source is and what needs to be done to fix it.

All the best,

Dr. Remus Repta 

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 165 reviews

Problems with Implants after 2 Years

This is a difficult question to answer without an exam.  It appears from your photo that you have a scar band. It that is the case, you may benefit from a procedure to remove, or cut the scar band.  Discuss your options with a Board Certified Plastic Surgeon.  Best wishes!

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

Problems with implants after 2 years

This is a difficult question to answer without an exam. If this is a problem with a muscular issue, things will look worse or better with flexion or contraction of the pectoralis muscle. If the pectoralis muscle was over-dissected and no longer has the attachments to the sternum (breast bone), it might be a difficult issue to correct. Even though I really do not like implants placed in the subglandular position, moving your implants to an above-muscle position might make things look better. If the problem is rippling and thinning of your skin over the implant, moving the implant closer to the skin would be the worst thing to do. You really need to see a well respected, board certified plastic surgeon to do a thorough exam and determine what the issue is. Wish I could be more help.

Wm. Todd Stoeckel, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 84 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.