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Ask a Plastic Surgeon / Breast Augmentation-Lift-Reduction
Question 57
Question: I have saline implants that were put in about 15 years ago. A couple of months ago I noticed a lump in the right one, close to the nipple. My doctor sent me for a mammogram and an ultrasound and then an MRI, nothing showed up but then they realized it was the valve from the implant. They also noticed that from the MRI, there was some fluid under it, maybe a slow leak? My concern is the valve, it's really uncomfortable and how did it get up to the front of the breast? Isn't it suppose to be under the breast tissue? Should I be concerned, should I go back to see a plastic surgeon regarding this matter?
Thank You
From: kad, pa 05/30/2008
Response: The valve is always on the front of the implant. Usually, there is enough breast tissue to cover it so that it is imperceptable, however, as breasts age, there is less tissue and, especially if the implants are large, your breast tissue thins over the area of greastes pressure - which is in front of the implant. The fluid is likely between the implant and the capsule which has formed around it over the years. There also may be some calcification making the area more palpable. Depending upon the amount of breast drooping (ptosis) that you now how, it may be necessary to place the implants under the muscle so that this area is covered. There are a number of other options as well but you should talk to your plastic surgeon in order to determine the best one for you.
Submitted by: Dr. Gregory Caputy, Honolulu, HI Web site for Dr. Caputy
Posts by Dr. Caputy at "Ask A Platic Surgeon"
Breast Surgery Questions--Archive
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