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QUESTION

What are the Signs of Leaking Breast Implants

I've had my breast implants for about 4 years. When I lie down my implants sometimes feel like a misshapen, hard lump. I can also feel the implants and experience some soreness. Are these signs my breast implants are leaking? How can I tell?

ANSWER

Breast Implant Leaks

Good question - The first question is do you have silicone or saline implants. Generally saline implant leaks are easier to detect than silicone leaks. Signs can include: Change in shape Change in volume Associated trauma Findings on ultrasound Findings on MRI For individuals with silicone isolated lumps, redness and pain can be associated with local silicone leaking and the body's reaction to free silicone. It is important to realize that it is possible, even with strong signs of implant rupture that during surgical removal or replacement your surgeon may find that the implants are intact. In addition - and probably most importantly - any new breast mass needs to be evaluated for other possible causes like cancer. It may be nothing but follow-up with your doctor is very important. I hope this helps. Steven Williams, MD

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