Is the PS at Fault if my Implants Go to Far Towards/Under Armpits? (photo)

My implants are about 4mths old, When i lay down they move right under my armpit and sit down my ribs low. What can be done and did the PS make the pocket to big? should he fix it at cost?.

Doctor Answers (19)

Large implants falling towards armpit after breast augmentation

+2

Based on your after photos, it does appear as though you have inferior-lateral migration of your breast implants. A before photo is definitely needed to give you a more definitive diagnosis, but some conclusions can be drawn from the following observations:

  • Your augmentation was sub-glandular
  • Your prosthesis are relatively large
  • You appear to have laterally located nipple-areola complexes (NAC) which suggests that your breasts were somewhat far apart to begin with

Given that sub-glandular placement does not support breast prostheses as well as sub-pectoral and that breasts augmentation can amplify underlying characteristic after augmentation (e.g. breasts that laterally drift to the side prior to surgery will laterally drift to the side - or more so if the implant is too large), if your surgeon had placed the prostheses in a more medial position, the result would have been more lateral NAC positioning. In other words, the more the breast mound is pulled in towards the middle (via a capsulorrhaphy), the further out to the side your nipple areola complexes will end up.

I you do decide to have a revision, my recommendations would most likely be:

  • Switch to a sub muscular position (for support)
  • Utilize slightly smaller prostheses (to minimize further stretching of the skin tissue)
  • If recommended, agree to have a lift (to obtain better positioning and remove any sagging)


Albany Plastic Surgeon
5.0 out of 5 stars 105 reviews

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Implant pocket may be too big

+1

Hello,

It sounds and looks like your implant pocket is too big on both sides.  This can be repaired by a "capsullorhapy" or repair of the implant pocket/capsule.

All the best,

Dr Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
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Positioning of breast implants

+1

The implants can migrate outwards if the implants are too heavy, if the tissue does not provide enough support and if the pocket has been created too large.

Without seeing a 'before' picture it is difficult to know the exact cause of the problem, but you may need a revision with a smaller/tighter pocket and possibly a lift.

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon
5.0 out of 5 stars 5 reviews

Is the PS at Fault if my Implants Go to Far Towards/Under Armpits? (photo)

+1

Hi Jodyanne.

Your plastic surgeon must place your implants where Mother Nature has placed your breasts and nipples.

Your nipples sit far out in the direction of your sides. Therefore your implants sit out to the sides.  If they did not, and sat close together near the center of your chest, then your nipples would be way out on the outsides of your breasts pointing sideways.

I ALWAYS discuss these issues with my patients before surgery. There is no disappointment when people know exactly what to expect.

Finally, you don't tell us what type of implant you have. You probably know that saline implants are heavier than silicone gel devices and do have more of a tendency to fall out to the side over time.

 

Eric Pugash, MD
Vancouver Plastic Surgeon
5.0 out of 5 stars 46 reviews

Implant position

+1

Many times the pockets become larger due to the poor quality of tissues.  It can also happen with the pockets being created too large.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Did my Plastic Surgeon make the Breast Implant pockets too big?

+1

Hard to assign singular blame when we do not have all the facts and when it is obvious that your result could be due to your choice of large breast implants.

Despite everything you read here and other less reputable websites, there is a finite limit on how large an implant can be squeezed into the average woman's chest. We refer to the LAWS of Physics Gravity, Momentum Inertia as laws because they always occur and do not make exceptions. When you critically look at your chest, you have a narrow flat landing on which the implant can sit facing forward without sliding sideways). By picking implants which are significantly wider than this area, the implant base exceeds the flat area and tips sideways. This would happen even if you lived in a gravitation free environment. Add gravity to this situation and in addition to the wider implant base you now have a gravitational pull inferiorly and to the side caused by the implants resulting in the look you do not like. Bottom line - large implants in a petite feminine sloped chest will do it.

Your options - live with it, put up with it until the implants need to be changed or change it surgically. Correcting it surgically is more involved than the original operation and as a result more expensive.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 58 reviews

Is the PS at Fault if my Implants Go to Far Towards/Under Armpits? (photo)

+1

Very difficult to lay blame to the PS. You have lateral displacement and some bottoming out. Seek second opinions in person from boarded PSs in LA

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

Laterally projecting breasts after augmentation

+1

The shape of the normal breast is oftentimes off to the side of the chest when laying down.  The breast was created to fall this way to facilitate nursing.  Some augmented breasts have the same tendency.  In looking at your breast shape it appears that your areolae are pointing outward to some degree.  The augmented breast will do precisely the same thing.  A very full, enlarged breast will accentuate this tendency.

 

Please don't hesitate to ask your Plastic Surgeon if you have any concern about this, however.

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 41 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.