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Pockets Made Too Big Implants Move Around & Hang too Low, Can This Be Corrected Without an Uplift? (photo)

asked 4 months ago by marie22 in UK, Manchester
Latest answer by Armando Soto, MD
Question viewed 324 times
Tags: hanging, loose, placement, pocket

I had 450 implants 3 years ago and I have never been happy with them they are too big,and now move around but I dont really want an uplift due to scars. My surgeon has suggested new implants tightening the pockets as they have been made to big (when lay down they are under arm)and fat injections to the top of my chest area as they are bottom heavy. Can this work of do I need an uplift?? pls help

11 answers to Pockets Made Too Big Implants Move Around & Hang too Low, Can This Be Corrected Without an Uplift? (photo)

Adjust Breast Implants without Breast Lift?

Thank you for the question at pictures. Precise advice cannot be given without direct examination but I think you may be a good candidate for revisionary breast surgery; I think you may be able to have capsulorrhaphy performed ( permanent internal sutures to decrease the breast implant pocket space). For example, the capsulorrhaphy can be done to prevent the breast implants from moving laterally (into the axillary area). This procedure is likely what your plastic... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Long term results of Implants and options for revision

Hi there- You didn't mention, but it looks to me like your implants are on top of your muscle. The problems you are having with their appearance are characteristic and incredibly common for implants placed in this position. The fact that they often look good right after surgery (although I realize you have never been happy), there is less pain than with subpectoral placement, and many surgeons and patients view it as a way of avoiding a breast lift make it seem like an attractive... more

Armando Soto, MD
Orlando Plastic Surgeon

Too big implants too low and wanting revision

This is not an uncommon problem and does not have a simple and satisfactory solution for your concerns. I would agree with Dr. DeMars although this is not as simple as it sounds. I don't think your implants are too big, your breasts too low, and that the pocket for the implant was made too big. Your nipple position looks to be at the crease level (with the left side asymmetrically positioned) and the width of the implant fits the width of your breast. The problem is that the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Pockets Made Too Big Implants Move Around & Hang too Low, Can This Be Corrected Without an Uplift?

From your photos it appears that you have large implants and excessively overhanging breasts ("ptotic" breasts). Although your implant pockets may have stretched too much to the sides (allowing the implants to fall to the sides when you lie down) and possibly downward as well (which may be the only thing that has allowed those large implants to fill out your breasts that are very low on your chest), going to a smaller implant and closing off the implant pockets may move the... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

www.seattleplasticsurgery.com

TIghtening the breast pocket

It is possible that you would benefit from tightening of the implant pockets. If they are already too big, I would not recommend fat injections which will create an even larger appearance.

Robert L. Kraft, MD
New York Plastic Surgeon

Implant revision

If you decide to go smaller, you may need a lift. It is hard to say without an exam. The pocket may need to be tightened as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Pockets Made Too Big Implants Move Around & Hang too Low, Can This Be Corrected Without an Uplift? (photo)

Very hard even with your posted photos to give accurate answer. I think your surgeon might have a plan but I would add a donut lift to be sure.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Pocket revision will help with the implant moving to the arm pit

You have stated that your implants are too big and move. Capsule revision will help to some degree. You are better candidate for smaller implant,breast lift and far grafting to the upper pole of the breast. I understand that you do not want the lift scar, but your breast tissue position demands lift.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast Augmentation Revision

These questions are best answered through a consultation with the patient in front of the Dr and all information. But, if the implants are too large then the correction is smaller implants(or if saline some deflation can be done). If you have smaller implants you may get significant drooping that can only be corrected with a breast lift. An internal capsulorrhaphy (making the capsule smaller will help prevent the implants from moving around more but will not function as a lift. more

John P. Stratis, MD
Harrisburg Plastic Surgeon

Fixing bottom heavy breast implants

It is certainly your right to say that you want the implants exchanged and the pockets dealt with and no lift done at that time. After 4-6 months of healing it will be clear to you if you need a lift or not to be happy and can easily have it done then if you choose.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Replace Implants That Are Too Big

I frequently have patients come in for consultation with exactly your problem. I agree that the implants are too big and also have very little soft tissue cover whether due to your anatomy or to having been stretched out by the implants. I find this can generally be corrected fairly easily. I have not had the need to add stratice or other noncellular matrix material. We take out the large implants, tighten the pockets internally both at the bottom and on the sides, and replace new smaller... more