I had BA and BL march 2011. From day 1 I could tell my breast werent going to look like I wanted them too. No matter if im laying down standing up sitting up my implants remain under my armpits giving me major side boob and leaving me with no fullness and flat chest. When i lay down my skins falls to the side also and leaves me a huge gap and saggy skin where my implant should be. my nipples are flat and it looks like my breast tissue is falling off my implant. I have 480cc in both under muslce.
Do I Have The Waterfall Effect? (photo)
Doctor Answers (7)
Concerns after Breast Augmentation/Lifting Surgery?
Thank you for the question and pictures.
Based on your pictures and description, I think you're dealing with a lateral breast implant displacement problem. Your breast implants move off to the side, especially when you lie down. Correction would involve an internal suture repair of the breast implant pocket ( capsulorraphy), decreasing the size of the pockets and moving the implants toward the midline. In my practice, this repair is done with a 2 layered permanent suture technique. The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
If “saggy” skin is also an issue, revisionary mastopexy surgery may also be indicated.
I would suggest that you express your questions/concerns with your plastic surgeon in a calm and constructive fashion.
Problems after Lift/Aug
After reviewing your images it appears that you have two issues. First, your implants are becoming displaced towards your armpit when you are upright and laying on you back. This is caused by the size of the pocket with it being to large towards the armpit and gravity pulling the implant in that direction. The remedy is to make the pocket more narrow and it does require more surgery with internal sutures. Second, on the side view the breast tissue is sagging still and you would benefit from more tightening of the skin to correct this issue. I would revisit this with your surgeon and see what they have to say.
Do I Have The Waterfall Effect?
Sorry for your issues but the posted photos are of little aid. Best to see second opinions in person. But you seem to have lateral implant displacement. Only further surgery can correct.
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Displacement of breast implant
I agree with you that your implant has shifted out of position. This is usually due to over dissection creating too large a space for the implant. Sometimes it can also be due to too much use of the arms in the early post op period, if the implant is put beneath the muscle. As the muscle is tightened it can push the implant down and outward. Return to your surgeon to discuss treatment options. It is usually not hard to fix.
Lateral breast displacement
Just based solely on the photos and your description, it sounds like your implants are falling off to the sides. You may need a revision.
Revision breast augmentation should give you perkier shape.
Hard to be sure from pictures, but it looks like the implant pockets are too large and the implants do not stay under the nipples. This should be correctable.