Is my gel implant leaking? It has fallen significantly (Photos)

Your photos reveal an implant displacement on the left side with a double bubble or bottoming out. A diagnosis of implant leakage or failure cannot be made on a photograph. This would require imaging with either a high resolution ultrasound or MRI examination. As your implants are nearly 10 years old, it would be appropriate to undergo this imaging.

Both breasts have fallen. You can see the bottoming out and double bubble on the left side. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I would highly recommend removing the gel implants that you have in place right now, waiting 3 months and then proceeding with new implants and a breast lift. This is a complex revisionary procedure so please ensure that you see someone with lots of experience in this. I would love to help you. Please come see us at Virginia Plastic Surgery, Dr. Frojo

It looks like you got both kinds of dropout. One side has a loss of the inframammary fold adhesion to the chest wall, leading to double bubble, on the other side the inframammary fold position is intact, leading to rock in sock deformity. Neither of these issues are related to implant integrity.

Thank you for your question. Your left implant is obviously deformed, it could be capsular contracture but it is impossible to say with certainty if the implant is leaking. You would need an ultrasound or an MRI to know this before surgery. If it is leaking or ruptured, the warranty on the implant will likely cover the replacement of the implant itself depending on the manufacturer.Good luck

Dear jessicarubyrealty,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

If you are concerned about your implants leaking, then schedule an ultrasound or mammogram to check your implants.

Hi dear,
You seem like a good candidate for revision surgery. You need a breast lift and implant change. To be able to address your concerns, I strongly advise you to get an ultrasound to check what is going on inside your breasts. When the implant changes its place, it doesn't necessarily mean it's leaking. Implants are pretty durable and have been tested so many times. Leaking or bursting happens very very rarely. But of course, you should consider the revision surgery after you get your ultrasound. Keep that in mind, when it comes to health we should always be very attentive and careful. That's why you need to do tests before booking your surgery.
Be safe, be happy

The posted photos appears as a ruptured implant. Best to either obtain ultrasound examination or MRI ASAP. Surgery is needed to correct the issues. Best to virtual consult with.....