My implants shift to the side, making it painful to sleep on my back. Do my issues seem correct and of concern? (photo)
Doctor Answers (13)
Lateral displacement of implant
My implants shift to the side, making it painful to sleep on my back. Do my issues seem correct and of concern?
Thank you for the question and pictures.
Although it is not possible to give you precise advice without direct examination and a full communication of your goals, it is likely that you will be a good candidate for revisionary surgery.
Generally, lateral breast implant displacement (and bottoming out) can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline. In my practice, this repair is done with a 2 layer suture technique. The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
I hope this (and the attached link, dedicated to revisionary breast surgery concerns) helps.
Implants shift to the side
Although surgical correction would involve making the capsule smaller, this is not simple or straightforward and there is one other solution that has worked in my experience that I don't see in the responses here.
Normally I am concerned with putting in breast implants that are too wide for the base of the breast and stretch or distort it. In this case the width/diameter of the implant may be fine but the capsule has stretched. If you don't mind going larger you can change your round, smooth surface implants for ones with a wider diameter (with or without changing the forward volume/profile). This can be done easily and doesn't involve doing anything to the capsule. The new implant should fit the width of the capsule better and not fall to the side as much. It may not change symptoms but again I don't usually see symptoms caused by implants falling to the side. In my experience it also doesn't cause the capsule to stretch further as it was not disturbed with the simple exchange for a wider implant.
Obviously you need an exam and a plastic surgeon who is experienced with implant changes and dimensions before confirming that this is a reasonable option for you.
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Best to see a surgeon who is familiar with implant revision surgery.
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Hawaii is a bit far from Toronto, but it would make a great holiday for you!
Implant space revision would be beneficial
correction of this is achieved by securely closing off the sides, and then wearing a protective garment to keep the repair from breaking apart during the initial 6 week healing period. It will be crucial that you avoid any physical activity that can damage the repair.