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4 Weeks Post-op. Implants Move to the Side When I Lay Down. Revision Needed?

I Had a BA 4 Weeks Ago, Subglandular 350cc Gel. When I Lay Flat my Implabts Move to the Side. 5 foot 1 inches 120 pounds.. Was a 34 deflated c due to 3 breasted children..

Doctor Answers (14)

Implants Move to the Side When I Lay Down. Revision needed?

+1

It all depends on how far they move.  It is normal for a breast to flatten out and move to the side when you lie on your back.  If the implants do not move and stay very prominent when you lie down, then that is unnatural.  But if they move too far to your side and that is bothersome to you, then you may ultimately benefit from having the lateral aspects of your pockets sutured closed.  If so, your surgeon may want to wait until your scar tissue capsule lining the pocket is well established so that it will hold the repair properly.  I have had success in patients whose pockets are unpredictably stretching too far laterally by having them wear a supportive sleep bra that holds the implants closer together when they are lying down.  I have seen lateral pockets close down over a few months, and since you are so early after surgery and your pockets are not yet mature, this might be worth a try. I would suggest wearing this for a few months, and in fact I now recommend that all my augmentation patients wear a sleep bra for a few months just in case their pockets may be prone to this lateral stretching effect.

Web reference: http://www.seattleplasticsurgery.com/breast-augmentation-surgery.html

Seattle Plastic Surgeon
5.0 out of 5 stars 66 reviews

Implants falling off to the side at 4 weeks.

+1

Assuming the problem is not just natural breast flattening and falling off to the side and is the implant moving out but not the breast, I would say this may well be a problem and I view it as one more common to subglandular placement of implants. 

I disagree with some of the responses. The capsule of scar tissue that heals around the implant is there by 10 days or so but like any scar tissue, can mature, stretch, or contract. I doubt that at four weeks a discrepancy between the implant and the pocket will correct itself by bra splinting or any external maneuvers.   

Subglandular placement of implants leaves very little control over the tissues containing the implant until the capsule is formed. If the pocket dissected for the implant was too wide for the implant or the implant placed was too narrow for the pocket, then the implant will float around in the pocket and not stay behind the breast like a foot that is too small for a shoe. Very stretchy tissues can do this over time even with subpectoral placement but it shouldn't be there at four weeks. 

The correction for this problem by altering the existing subglandular capsule is not an easy one and sometimes the best solution is to not alter the capsule but replace the implant with a wider one that fits the capsule space better. Another solution is to redo the capsule space (or part of it) by redoing the augmentation to a subpectoral placement of the implant. 

I would certainly wait at least to the three months point to be fairly certain the tissues are fully recovered and aren't going to change any further before making a decision on a revision.

Denver Plastic Surgeon
4.0 out of 5 stars 1 review

Implant movement 4 weeks after breast augmentation

+1

At 4 weeks post breast augmentation, you are still in the early healing phase and the problem you have described may improve as you body forms a scar capsule around your implants.  Check with your surgeon for specific advice, but in the meantime avoid excessive movement of the implants and wear a bra that helps keep the implants in proper position.  Best wishes.

Web reference: http://www.VincentLeporeMD.com

San Jose Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast Implants Moved to Side When Lying Down?

+1

Thank you for the question.

I would agree with the previous respondents, that it is too early to be concerned about the need for revisionary surgery and about the potential usefulness of a relatively snug  fitting bra ( keeping the breasts  implants immediately positioned).

 If the lateral displacement of the breast implants  does  become a long-term concern, then revisionary surgery may be necessary. This breast implant displacement can be corrected using an internal suture technique decreasing the size of the pockets and moving the implants toward the midline.

 I hope this helps.

Web reference: http://www.poustiplasticsurgery.com/Procedures/procedure_revisionarybreastsurgery.htm

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Implants moving to the side

+1

At just 4 weeks post op I wouldn't be too worried about your implants moving to the side when you lay down.  At this early stage your capsule hasn't completely formed yet.  I would highly recommend that you wear a really supportive bra for the next two months (the first three months post op) to help keep your implants in a good position while your capsule fully forms.  Beyond this you need to ask your surgeon for suggestions.  Best wishes to you!

Orange County Plastic Surgeon
5.0 out of 5 stars 7 reviews

Implants too to the side

+1

Four weeks after surgery is a little early to be convinced that the implants are too far to the side. Even if they are, at this time you might be able to salvage the position by wearing a good bra continuously for at least 6 weeks. Before anything you should return to your surgeon and discuss the situation. Good luck.

Web reference: http://www.cosmeticsurgerybaltimore.com/

Baltimore Plastic Surgeon
4.5 out of 5 stars 20 reviews

Breast Implant movement after augmentation

+1

In general, a good breast augmentation will look natural and feel soft.  Breast implants, if smooth, should have some space around them to keep that soft look and feel and this is part of the reason to create a pocket that has enough room to fit the implant nicely.  If the pocket is overdissected, or sometimes with trauma or unusual stretching of the tissues, the breast implant can have too much space to move and it can move to an unexpected position.  When a person with breast implants lies down, the implants should move to the side a small amount, as a natural breast would move, but not enough to leave the central breast area hollowed our looking or to cause discomfort under the arms.  When standing, the implants should be centered under the nipples,  You are relatively early in the post-operative period, but I'm sure your surgeon would be happy to address your concerns. 

San Antonio Plastic Surgeon
5.0 out of 5 stars 4 reviews

So do normal breasts

+1

Women who have breasts find that they move too --- when you lie down they go out to the sides. This can be a normal finding. Talk to your doctor

Web reference: http://www.wrmd.com

New York Plastic Surgeon
4.0 out of 5 stars 8 reviews

Implants fall to the side

+1

Its likely fine. I would not be thinking revision and you should make sure you communicate with your plastic surgeon. If they are in the correct position when you stand and do not fall to the side then there is little to worry about.

Tampa Plastic Surgeon
4.5 out of 5 stars 12 reviews

Implants Move to the Side When Laying Down, Revision Required?

+1

It is completely normal for an augmented breast to move somewhat to the outside when laying down. However, how far to the side is appropriate? You are still pretty early post-op so I wouldn't expect your implant to be especially mobile at this point. If, when you lie down your breast moves so far to the outside that when you look down your breast looks hollowed out or depressed along the inside, then the implant pocket may have been overdissected and you would need a revision. Ultimately it is impossible to say for sure without at least some good photos or examining you. This is something you should discuss with your surgeon.

Federal Way Plastic Surgeon
4.5 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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