Breast Augmentation - Ask a Surgeon

It could be capsular contracture, or scar tissue around the implant. You would likely need a corrective surgery in the operating room- but consult with your surgeon for a more detailed exam.

It's hard to answer this w/o an in person consult. Having said that, is the issue on the mastectomy side ? Were both breasts removed and reconstructed ? 6 months is not all that long depending on what was done. My suggestion is to return to your surgeon for an in depth conversation.

If the breasts were symmetrical immediately following your surgery and now one is larger than the other, then there is likely a fluid accumulation around one of the the implants. This could be either serum or blood. If the breast is under tension or continues to enlarge, then your doctor may have to deal with it surgically. If not, the fluid will likely resorb and the breasts will become similar. However, there is an increased chance of a capsular contracture in the affected breast if the fluid were blood.

Yes, breasts tend to 'bottom out' over 6-12 months following augmentation.

The likelihood of your 145lb boyfriend's dead weight being place on your back causing an implant rupture, or even a capsule tear is minimal...unless maybe he jumped on you. The "edge" and the "on and off" shooting pains are not uncommon, especially in a subglandular breast augmentation. There is really no such thing as a "minor rupture." An implant is ruptured, or not ruptured. Although MRI is the most sensitive radiologic study for identifying a damaged breast implant, maybe an ultrasound can help support or allay your concerns. Your surgeon might also want to speak to the radiologist that read the MRI for a more specific diagnosis. If damaged, the implant should be removed. Good luck!