Is crepitus 4 weeks after breast augmentation normal?

Question

I had 450cc HP natrelle implants placed under the muscle 4 weeks ago, I have had an uneventful post-operative period but I continue to have crepitus in my left breast when I move the implant around ( I have noticed it since the beginning of my recovery). I went from a 34 B to a D cup and I had previously breastfed 3 children, the implants suit my frame appropriately, and are settling and softening nicely. Is the crepitus normal and will it go away or am I likely to have issues with this breast?

Sheila S. Nazarian, MD · Answer

What you are describing is not uncommon and can sometimes continue into the second month of your recovery. However, I would definitely advise you to discuss your concerns with your surgeon. Best, Dr. Nazarian

Jerome Edelstein, MD · Answer

Hello,What you report is not uncommon and is related to a small amount of air/fluid moving around the implant. This is typically absorbed by 4 weeks post op but can persist in one or both breasts up to 2 months. I recommend that you ask your Plastic Suirgeon to see you in person if you have any concerns.All th ebest

Reza Momeni, MD, FACS · Answer

Sometimes the crepitus sound of saline implants can persist for a while into the second month.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.

Bradley Bengtson, MD, FACS · Answer

There are some pretty amazing sounds that can come out of your breast area following augmentation, aren't there?  Squeaking, sloshing, crackling etc...These are caused by either air or fluid or early rubbing of the implant and capsule with some fluid still in the pocket.These will resolve...if you still have issues after 8 weeks or so I would see your plastic surgeon,Best!Dr B

Peter D. Geldner, MD · Answer

Your question needs a little differentiation. Typically, crepitus referres to the popping sensation which occurs with air being under the tissues. It feels like a crunching sensation, like crushing cereal with milk. This is not uncommon but typically resolves quickly, within days. You may be feeling fluid around the implant with the sensation of something sloshing around space. This may represent an early seroma. This is often the body's reaction to the movement of the implant across the tissue plane. It produces a natural lubricant, not unlike what you get in a joint space. This could be the result of muscle pushing the implant with arm movement. Check with your surgeon. Typically, the sensation resolves, sometimes with some antiinflammatory drugs. But remember, your doctor has to be aware of what's happening. Anything that I say without examining you might be interesting, but it's not definative.

Is crepitus 4 weeks after breast augmentation normal?

Answers (10)