Saline implants are great for most women, but over time they can feel and look somewhat unnatural in some women. In thin women particularly, the woman may “feel” the saline implant, which is simply a plastic bag filled with fluid, so it just feels like “a bag of water” and not a natural breast. Some women will bend over and will see rippling on the breasts, especially on the sides of their breasts, which is unsightly and an unwanted appearance for most women. Some may develop a “hardness” of the breasts or one or both breasts may start to sag.

Replacing the saline implants with silicone implants may resolve some of these concerns. Silicone implants “feel” more like natural breast tissue than saline implants, especially in very thin women. Silicone implants also keep their round form better, so they result in less rippling on the sides of the breasts, particularly when bending over. This video demonstrates how the old saline implants are removed and new silicone implants are replaced to help resolve these problems.

Time can also cause changes to the breasts. All breasts can sag naturally over time, and this can happen with implants too. Generally, one side sags more than the other, becoming obvious to the patient who prefers more symmetrical breasts. Although breasts should be considered “sisters” and not “identical twins”, there are adjustments that can be made to make them more symmetrical. This video demonstrates one of these adjustments to give the patient more symmetrical breasts.

After breast augmentation, the body develops a membrane around the implant. In most women, this membrane stays soft and pliable, like a natural breast. However, over time in some women, this membrane can develop a hardness that is felt and sometimes seen. The breasts could then start to look “puckered” or “dented” or even become painful, which is due to a contraction of this abnormal deep tissue called a capsular contraction. This unwanted potential problem occurs in around 16% of women over ten years after breast augmentation and may need further surgery for correction. The video demonstrates how this capsule can be dissected and removed to take care of this problem. Unfortunately, over years of time, another firm capsule may reform, but doing this procedure can be very therapeutic for most patients.

If you are having concerns about your implants, the way they look or feel, if they are becoming hard or painful, you may want to consider having them redone and adjustments made. Schedule an appointment with us and let’s see if we can help you get the breasts that you want. You can contact us via email, or call us at 817-399-8783. Dr. Robert L. True is board certified in cosmetic surgery, specializing in breast and body. Let us know if we can help you.