My Implants Have Dropped and Separated. Is This my Surgeon's Fault?

I had breast enlargement about 6 months ago. I went from an A to C cup with saline implants placed under the muscle. They have seemed to bottom out and separate (4 finger gap)and one is now larger than the other. I discussed this with my surgeon who says its because of my muscles and I can achieve the results I want with a second surgery. She will; not charge me but I have to pay for the facility, anesthesia and for the implants. Is this her fault and does this sound fair?

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A cup gap saline implants bad bottom out drop

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6 Doctor Answers | Asked by 305976anon in Connecticut

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Implants have dropped and separated

Without an examination I can not say. but you are out long enough that you will probably see no more improvement. It can be you have capsular contracture, which moved the implants, you can have implants that are too small for your diameter of your breasts, the pockets could need to be modified. There are many possibilities, but without an good examination it is hard to tell. If uncomfortable with what you are being told, get a second opinion from another board certified plastic surgeon. more

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Surgeon meeting you half way after undesireable outcome seems fair

This is a difficult situtation to assess without a consultation. Surgery is not 100% predictable and I believe your surgeon has offered a reasonable option and willingness to improve your outcome.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast Revision Fees

No, I would say this is not your surgeons fault. The implants can often times settle down and out because the muscle has pushed them. Your surgeon’s fees for revision surgery are very fair. She is showing willingness to help you by waiving her own fees and charging you fees she cannot control.

Who pays for Revision Surgery

Regarding: "My Implants Have Dropped and Separated. Is This my Surgeon's Fault? I had breast enlargement about 6 months ago. I went from an A to C cup with saline implants placed under the muscle. They have seemed to bottom out and separate (4 finger gap)and one is now larger than the other. I discussed this with my surgeon who says its because of my muscles and I can achieve the results I want with a second surgery. She will; not charge me but I have to pay for the... more

Breast Implant Revision

This sounds very fair. Gravitational factors beyond a surgeon's control can affect results. Poor skin tone, preexisting sagging, too large of a size, a sloping chest wall, and a patient's non compliance with bra support can result in bottoming out (lateral displacement) or sagging. This can often be predicted ahead of time, based on anatomic factors. My revision policy is the same as your surgeon's. There are outside costs we cannot control, therefore these costs are your... more

Difficult To Assess Without All the Information

Unfortunately, in your situation, it is hard to know exactly why your results did not turn out the way you had anticipated. Without seeing your pre-and post op photos, knowing what went on during surgery, etc., it is impossible to tell. Sometimes the muscle pulls the implants over to the sides more. Sometimes the implants cannot get any closer because this is exactly where the muscle stops, and to weaken it would cause the potential for symmastia. The implants... more