Jeffrey Zwiren, MD

Your breast implants are have definately drifted laterally. This can be due to several factors. In general the weak spot, when implants are placed under the muscle, is the lower outer quadrant. Time, weight, gravity and the constant action of the muscle can force the implant in that direction. Obviously your breast implant pocket is too small and you may need an implant with a larger base. The slope of your chest wall also contributes to this deformity. A revision of your augmentation may include the creation of a new pocket along with moving the pocket more medially. If your tissue is extremely weak laterally then the use of an acellular dermal product may be considered.