I am 69. I had breast augmentation 30 years ago; the implants were placed beneath muscle. A few years after the original surgery I returned for corrective surgery because the implants had moved too high on my chest. Now the implants seem too high again so that there is a lump rather high on my chest with the breasts now pointing downward. Women my age no longer have large breasts and I am self-conscious about the large size as well as the high lump. I would be happy with much smaller breasts!
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previous breast surgery
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Breast implants do not last forever and the breast can age over the breast implant. Breast sagging is referred to as breast ptosis. Lumpiness around the breast may be indicative of an intra-capsular rupture, though one must also be mindful of any risk of breast cancer. Prior to any decision regarding breast implants, a mammogram should be completed to clear the breast tissue of any potential risk, and then the decision for breast implant removal should take place with options for either replacement with new smaller implants, replacement with a breast lift or mastopexy augmentation, or just a mastopexy or breast lift alone. A breast lift will decrease cup size alone.
You did not mention which type of #BreastImplant you have. Saline or Silicone. If your implants are silicone, you may be experiencing a contracture. Capsular contracture occurs when the collagen-fiber capsule tightens and squeezes the breast implant; as such, it is a medical complication that can be very painful and discomforting, and might distort the aesthetics of the breast implant and the breast. I would recommend you follow up with a plastic surgeon in your area. A MRI will tell if there is contracture or a possible rupture of the implants.
first you have to get an ultrasound of your breast because the lump around the area may be because there is a capsular rupture, it is impiortant to know that the implants are not only for breast augmentation they are for breast reduction as well, i will suggest to have a mastopexy to take all the excess of skin and create a better shape on your breast it can be performed by adding implnats or not.
From your description it sounds as if you have a capsular contracture causing the breasts to raise to a higher position secondary to the capsular contracture. Since your implants are over 30 years old you probably have a leak which is causing the capsular contracture . A magnetic resonance imaging would be helpful but not absolutely necessary. The old implants need to be removed with a complete capsulectomy and new fifth-generation silicone gel implants placed into a new pocket and you may need a breast lift which would require incisions around the areola or incisions around the areola and extending inferiorly in the shape of a lollipop. These can be complicated reconstructions and you may require acellular dermal matrix such as Alloderm. What you need specifically can only be determined by a physical examination conducted by a board-certified plastic surgeon who is well-trained in breast surgery. Best of luck in your endeavors.
It would beneficial to seek a plastic surgery consultation. A MRI exam may be included as part of the workup. The silicone implants on the market are much different compared to those of 30 years ago. Your plastic surgeon will be able to discuss with you and offer various options to address the issues of concern.
There is a high likelihood that your implants are ruptured and that you have a capsular contracture. I strongly recommend that you have a consultation with a board certified plastic surgeon. He can discuss with you your very soft shins which will probably include implant removal including removal of the overlying capsule, replacement of your implants with smaller ones if desired and a breast lift if deemed most appropriate
You see a plastic surgeon who can examine you and discuss you options in detail. It is very likely that, if these implants are gel, that they are leaking and should be removed. If you feel like you are too big, you can have them removed without replacing them.