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When something changes in your breasts, even slightly, it is easy to spiral into worry. A soft contour looks a touch different in the mirror. A familiar bra no longer hugs quite the same way. Perhaps there is a new sense of tightness or tenderness that you cannot place. At Body by Ravi Plastic Surgery & Aesthetics, we meet that moment with clarity, compassion, and a plan.
Ruptured breast implants, often abbreviated as BIR, do not have to be a crisis. With careful evaluation and modern imaging, we can quickly determine what is happening and design a refined solution that restores balance, comfort, and confidence. Many patients tell us that what began as anxiety became an opportunity to improve proportion and harmony and that the experience felt surprisingly calm from start to finish.
Understanding rupture begins with understanding your device. Saline and silicone implants behave differently when the shell fails. Saline implants usually make themselves known with a gradual deflation as your body absorbs the sterile saltwater. One breast looks smaller and softer, sometimes within days. It is not harmful, but the change is visible and understandably unsettling.
Silicone implants are different. The cohesive gel is designed to hold its shape, so a breach in the shell may not change the way you look or feel right away. This is why you may hear the term silent rupture. A silicone implant can fail without obvious external signs. The first clue is often a whisper, not a shout. You might notice subtle asymmetry, a shift in softness, or a contour that seems slightly less smooth than it once was.
Silent does not mean dangerous, and it does not mean you should panic. It does mean the smartest way forward is methodical.
Dr. Ravi Somayazula, known to his patients simply as Dr. Ravi, believes the beginning of excellent care is listening. Your consultation starts with a conversation about your history, implant type, timing of any changes, and how those changes make you feel. He performs a focused exam to look for asymmetry, rippling, and signs of capsular contracture.
Then he recommends the right test at the right time. For many symptomatic patients, a targeted ultrasound is a comfortable and efficient first step. If a silicone rupture is suspected or if findings are uncertain, MRI without contrast provides the highest sensitivity for confirming rupture and mapping details that matter in surgery. This evidence-based approach avoids unnecessary steps, answers precise questions, and keeps the process steady and not stressful.
Not every late change is a rupture, and that matters. Breast changes years after augmentation can have several explanations. A firm, progressive tightness can be related to capsular contracture. New swelling might represent benign fluid. Very rarely, swelling may be associated with implant-related conditions that we evaluate in a thoughtful, stepwise way.
We begin with ultrasound when indicated and send any fluid for appropriate studies. The goal is balance. We are vigilant, but we do not alarm. You deserve clear answers based on facts, and a path that leads to relief rather than confusion.
When rupture is confirmed, treatment is tailored to the device, the capsule, your tissue, and your goals.
Saline ruptures are typically addressed by removing the empty shell and replacing it, often through the original incision. Many patients take this opportunity to fine-tune size or profile for better balance. Silicone ruptures require more choreography. If the gel remains within the capsule, we remove the implant carefully and decide whether the capsule needs partial or total capsulectomy. If gel has migrated outside the capsule, we remove it while preserving healthy tissue and nerve supply.
Dr. Ravi uses internal parenchymal shaping sutures and pillar sutures to reduce tension, improve support, and encourage a finer scar. In patients with thin tissue, fragile skin, or stretched lower poles, he may recommend an internal bra for long-term support. Every decision is guided by proportion, not trend, ensuring results that are natural, stable, and timeless.
Everything about your experience is designed to feel curated, efficient, and reassuring. Our QuadA-accredited operating suite is a controlled, meticulously sterile environment. Dr. Ravi operates with a board-certified anesthesiologist, skilled nurses, and a dedicated first assist with years of plastic surgery experience.
This harmony shows up in the way surgery feels organized, calm, and precise. The team works in quiet unison, ensuring your safety and comfort are central. We practice our CAPPT values Character, Accountability, Professionalism, Patient-focused care, and Team approach every day.
Recovery reflects the same philosophy. Luxury, to us, is a healing process that feels gentle and predictable.
We use enhanced recovery protocols that minimize opioid use and support a smooth return to daily life. Many patients are back to desk work within a few days. Scar care begins in the operating room and continues through healing with silicone therapy, microneedling, and other regenerative techniques as needed. The result is soft, natural-looking scars that fade beautifully with time.
Patients often ask how a rupture affects future imaging. If you are due for a mammogram or have studies scheduled in the Texas Medical Center or other local imaging centers, we coordinate everything for you. We ensure the radiology team is aware of your implant history to avoid repeat testing.
If you have silicone implants, periodic imaging is a sensible way to avoid surprises. Silent rupture can happen without symptoms. A light-touch schedule for ultrasound or MRI over time gives you peace of mind and keeps your care proactive, not reactive.
A rupture diagnosis can also be an opportunity to recalibrate your look. Perhaps you prefer a smaller profile for an athletic lifestyle, or a refined contour that enhances your proportions.
Because Dr. Ravi is a specialist in both breast and body surgery, he designs your revision holistically. Sometimes this means small pocket adjustments or a subtle lift. Other times, he may combine your implant exchange with liposuction contouring along the bra line or upper abdomen for seamless transitions. These refinements make your results more elegant and complete.
Communication and coordination are integral to the experience. Our coordinators streamline scheduling for patients who travel from Katy, The Woodlands, Sugar Land, and beyond. When possible, we arrange same-week ultrasound nearby and fast-track MRI scheduling, so you avoid multiple trips and long waits.
We commonly work with Allergan and Motiva implants, tailoring every plan to maintain your preferred look and feel. During consultation, we take objective breast measurements and use them to guide implant selection, ensuring natural, proportionate results.
The day of surgery feels organized and calm. You will meet your anesthesiologist, review comfort measures, and confirm your plan with Dr. Ravi. During surgery, gentle tissue handling, precise technique, and meticulous control reduce swelling and support faster recovery.
Postoperative visits are scheduled thoughtfully. Our RISE Med Spa complements your recovery with regenerative treatments that promote skin health, lymphatic drainage, and natural radiance.
Life after repair feels lighter. Once the compromised implant is removed, the breast softens and regains its natural movement. For saline ruptures, symmetry returns immediately. We provide realistic timelines for driving, work, and exercise, plus long-term imaging guidance for silicone devices.
The goal is clear. You feel cared for, confident, and comfortable in your body again.
Our evaluations align with respected medical guidance. The FDA recommends periodic screening ultrasound or MRI for silicone gel implants because silent ruptures can occur without symptoms. The American College of Radiology supports starting with ultrasound for symptomatic patients and using MRI without contrast when needed for clarity.
Both the American Society of Plastic Surgeons (ASPS) and The Aesthetic Society continually update best practices on rupture management and rare implant-related conditions. We incorporate these guidelines into every patient’s plan to deliver precision and peace of mind.
Yes. Silent silicone ruptures can be hard to self-detect. We will complete a focused exam and arrange targeted ultrasound in the Memorial and Katy Freeway area to clarify what is happening without delay.
It does not limit your care. Bring any records you have. If you do not have them, we rebuild your history, confirm your implant type, and tailor imaging and treatment to today’s findings rather than where the surgery was done.
No. Tell the imaging team that you have implants and that an evaluation is underway. We coordinate implant-aware views and time any additional studies so you avoid repeat testing.
Light activity is usually fine, but pause chest-dominant or high-impact workouts until we examine you. A short break reduces inflammation and can make imaging more accurate.
It helps us plan. Knowing brand, fill, and profile guides imaging choices and surgical details, so your exchange or revision preserves the look and feel you prefer.
Yes. Late swelling can be benign fluid, capsular change, or rarely an implant-associated condition. We start with ultrasound, send fluid for the right tests when indicated, and move step by step so you receive clear answers without alarm.
We try to streamline your experience. After consultation and exam, we can often arrange same-week ultrasound nearby and, if needed, fast-track MRI scheduling so your plan comes together with minimal trips.
If you are concerned about a possible rupture, or if you simply want a precise check-in, we are here to help. Expect a boutique experience that feels welcoming and organized, and a clinical approach that is disciplined and evidence-based.
Expect a surgeon who values proportion over trends and natural over obvious. Expect a team that anticipates needs and communicates clearly.
The first step is simple. Contact our Houston office at 281-242-1061 or email front@bodybyravi.com. Visit us at 19135 Katy Freeway, Suite 110, Houston, TX 77094. Begin with a conversation with Dr. Ravi that replaces worry with a plan and a plan with results that feel beautifully and comfortably yours.
