I'm a 52 yr old female who had breast augmentation in 1992. The implants are textured silicone from DOW. Although the left breast has always seems a bit more full and very slightly larger, I've never had any problems until now. Virtually overnight, my left breast became visibly larger, fuller, more…
The most likely reason for the sudden swelling of your breast is a seroma (fluid around the implant). This type of seroma is usually caused by the textured surface of the implant tearing away from its previous attachments. This can seem like a capsule contracture; however, the rapid upset is most likely a seroma. Recommendations are as follows: 1) Ultrasound the breast in question. If there is a seroma, then some of the fluid needs to be removed and sent for CD30 immunohistochemistry, cell block cytology and culture. 2) If these tests are negative, which is the MOST likely outcome, then capsulectomy and implant exchange is recommended. I would also recommend a smooth walled implant to minimize, if not remove, this risk in the future.3) If the fluid is positive for CD30 ( which is EXTREMELY RARE), then you likely have Breast implant associated Anaplastic Large Cell Lymphoma. This is not a breast cancer. Treatment usually is total capsulectomy and implant removal on both sides. BEFORE any treatment is recommended, consultation with a plastic surgeon familiar with this entity and oncologist is recommended.
SUMMARY: Don't Panic. THIS IS PROBABLY BENIGN FLUID FROM TRAUMA TO THE BREAST. An operation can improve this condition. Get an ultrasound and fluid evaluation.
Plastic Surgeons around the world continue to collaborate on these exact issues and you should be able to find a colleague with the above knowledge.