Breast Augmentation: Q&A

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My Breasts Sag and Implants Flip Onto Sides? (photo)

I went from a 34B to a 34DD. My doctor said there was no sagging before and my implants would be saline under the muscle. After only 6 months they had already began to sag very low and the implants started flipping onto their sides. My doctor said it was nothing to worry about but they look nothing like they were suppose to and they are causing me extreme pain. I've just passed my 3 year mark and no one can tell they are even fake. Is any of this normal and if not, should he fix all of it?

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sagging B to DD cup saline implants 6 months post-op

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12 Doctor Answers | Asked by tl8880

Doctor Answers (12)
Community Comments (1)

Breast Implants

It appears from your 3 year post op photo that there is some ptosis (sagging) and asymmetry. Your left breast may be developing a capsule and may be the reason for your discomfort. Your right breast appears to have some volume loss and the sensation of "flipping" may be the saline moving from side to side in the implant. To improve the appearance of the breasts and alleviate your symptoms, I would suggest capsulotomies, breast lift, and possible replacement of saline... more

My Breasts Sag and Implants Flip Onto Sides?

Based on the posted photos you need exchange and a lifting operation. Seek in person evaluations from boarded PSs in your city.

Sagging breasts after augmentation

Thanks for your question. Unfortunately, this can be a "normal" occurrence after breast augmentation surgery. With very large implants, the skin stretches and over time the breast can "sag" over the implants. The larger the implants, the more the skin has to stretch and patients can develop the situation you are faced with. As far as the implant "flipping", this can happen if the pocket the implant sits in is too large. This can create some... more

Brian Reuben, MD

3 reviews

Salt Lake City Plastic Surgeon

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My Breasts Are Saggy And Painful - What Can Be Done?

The implant that you feel flipped onto its side is either a capsular contracture or you have anatomic textured implants. Round implants in a reasonable pocket cannot lie on their side. Also, your original pre op pictures show arms up which makes it very difficult to evaluate position of nipples, and therefore degree pre op ptosis (droop). A complete evaluation including chart review would be necessary to aid any surgeon in giving you assistance in determining why your... more

Possible problems with overfilling of saline filled implants

It appears that you had a nice shape to your breast prior to surgery. It appears that the excessive weight of your breast implants have created a clinically significant breast sagging. If you wish to remain the same size you are now but want more youthful appearance to your breast then you may consider a breast lift. If you had saline filled implants that were overfilled it is possible that the implants are rotating in the pocket. The implants have a front and a back... more

Breast sagging after breast augmentation

Thank you for your question. There are many factors that will affect the appearance of your breasts after breast augmentation. The most powerful factor is gravity. When standing, the gravitational forces cause pressure on the skin of the lower pole of the breast. When pressure is exerted on the skin for prolonged periods of time, the skin will grow which ultimately causes the breast to sag. When lying on your back, the gravitational forces causes pressure... more

History & Physical Necessary

Thank you for your question. Unfortunately a thorough history and physical examination is necessary to appropriately address your concerns.

Late Changes after Augmentation

For some patients the breast and body can change over a short period of time. Comparing your current photo to your preop photo shows an increase in native breast volume and a loss of support. Additional pregnancy, weight changes, smoking, gravity and aging can all have a negative effect on the breast. You may need to consider changing the size and/or type of implant. In addition you may want to consider a breast lift. Hope this helps. Good Luck more

Breast Implant Problems

Your pre-op picture show good breast volume. Your post op show quite of bit of skin stretch. Your implants may be too large. Solutions: (1) performing a lift over your existing implants; (2) downsizing implants and performing a lift; (3) removing your implant if they are painful and performing a lift immediately or at a later date if needed. Dr. ES

Implants flippinf and sagging

You may need a revison to improve the sag with a lift and correct the pockets if the implants are too mobile in the pocket.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Comments (1)

tl8880
27 Jan 2013

To help, I am only 24 now with no kids, no pregnancies. I always wear a bra, even a sports bra at night. I was told that would help from sagging faster. I was also told multiple times from breast examinations my implants are not under the muscle like I was reassured by the surgeon they were. I have plenty of friends who have been in horrible shape before implants with no reconstruction or breast lift who now have larger breasts that sit full and perky. I'm only 24 with lower breast than my own mother.

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