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What is Wrong with my Implants?

asked 1 year ago by madfell3 in Lehi, UT
Latest answer by David Bogue, MD
Question viewed 1,804 times
Tags: 500-549cc, flexing, indentation

I got silicone 500cc implant 11 months ago, through the areola, under the muscle (because I was told that was the best way to go) so more and more this is bothering me. Its only when I flex I get an indentation across each breast, I can feel it kindof pulling. they have always been a bit lower than I had hoped. Please tell me whats wrong. I did not lift weights I followed all directions what is wrong with me?? were my muscles cut wrong or did my body heal wrong

13 answers to What is Wrong with my Implants?

Animation Deformities with Breast Implants Placed Under the Muscle: Expected or Extreme

Movement of the breast implant with muscle contraction is expected with an implant placed under the muscle. This is very commonly worse on one side, depending on muscle anatomy. Incomplete or over dissection of the pectoral muscle can cause predictable implant movements which are sometimes called animation deformities. It seems like you have window shading of your pectoralis muscle over a low riding implant, unlikely from over release considering it happens on both sides. Treatment options... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Implant Distortion With Movement

The problem you are having on the left breast is that your pectoralis major muscle is contracting and distorting the implant. This can be repaired in a revision surgery which releases the pectoralis muscle along the bottom to where it attaches to your breast bone so that it cannot distort the implant like it is doing. This is a simple outpatient surgery and will make a big difference for you. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Implant distortion from the pectoralis muscle.

What you are experiencing is very common in sub-muscular implants. When the implant is placed under the muscle, the capsule (scar) which forms is adherent to the muscle. When you flex that muscle, you can often see the implant rise up, a transverse or oblique ridge develop, and a distortion of the implant occur. There are several methods to treat this distortion. The simplest is to change the placement of the implant from under the muscle to on top of the muscle. Women sometimes have... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

I do not agree that moving to over the muscle is your best solution

I agree with the other Surgeons in that you do have "Animation deformity", and that the best way to correct it is to move your implants from under your muscle to above your muscle. But! I do not agree that this is the right thing to do. You ask what is wrong with you and your breasts. Nothing is wrong with you or your implants. Yes they do look funny when you flex and yes moving them to above your muscle will likely correct this, but there are... more

Daniel P. Markmann, MD
Baltimore Plastic Surgeon

DiscoverTheBeauty.com

Breast implant movement with muscle contraction

Breast implants can move with muscle contraction when placed in a subpectoral location, this does not necessarily mean anything went wrong with your surgery. If this really concerns you, you can have the implants placed into a subglandular (on top of or in front of the muscle). This is the only definitive way to prevent this movement of the breast implants. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Breast implants underneath the muscle cause distortion on flexing

When breast implants are placed underneath the chest muscle(pectoralis major), on flexing the muscles, you will see an indentation across the chest. When you do not have implants, you can flex(like in curling weights) and see how the muscle distorts the breasts. This is accentuated when the implant is placed in this position. If any of you watched the recent Oscar program and saw Jennifer Hudson,who looked fantastic after her tremendous weight loss, you may have noticed when she was... more

Edward J. Domanskis, MD
Orange County Plastic Surgeon

What is Wrong with my Implants?

Thanks for the posted photos. This is a very common result with submuscular placement of implants. The indentation is the perpendicular forces of the pectoralis muscle fibers causing the folding upon contraction. The only way to correct is further surgery. From MIAMI

Darryl J. Blinski, MD
Miami Plastic Surgeon

Distortion with subglangular implants

Your photos show a good result with implants in the appropriate position. All patients will have a degree of breast distortion during activities which produce contraction of the pectoralis muscle. Obviously, this is more prominent on the left.This could also represent "windowshading " of the left pectoralis muscle, characterized by a higher position of this muscle subsequent to the surgery. Three options exist. One, leaving them alone. Two, changing the plane to the... more

David A. Bottger, MD
Philadelphia Plastic Surgeon

Breast Augmentation, Breast Enlargement, Breast Implants

There are a few options for you. Leave it alone and do nothing. Have a revision and have the surgeon place Strattice or AlloDerm as a layer of tissue between your implant and the muscle tissue. This is usually very successful. Move the implants to the subglandular plain.

Jay H. Ross, MD
Tampa Plastic Surgeon

To correct this you will revision

The implant pocket should be changed to sub glandular position and your case shows the short comings of the periaerolar incision.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Submuscular implants

When patients have implants placed below the muscle, some do develop deformities with activation of hte muscle. This can be corrected by placing the implants above the muscle, but with the compromise that the implants may be more prone to rippling.

Steven Wallach, MD
Manhattan Plastic Surgeon

The drawback of under the muscle breast implants

The single greatest drawback of under the muscle breast implants is deformation of the breast when the chest muscle is flexed. The implant is covered by muscle only on the upper one half, sometimes less, of the implant. Muscle flexing will tend to push the implant down. The reason the submuscular placement is the 'best' is to avoid thinning of the upper breast and a rounded visible implant edge, and to reduce capsular contracture. For a few the submuscular pocket will not look and... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Animation deformity with breast implants: how to fix

Your pictures show what is called an animation deformity, which is caused by the muscle pulling up on the capsule around the implant. The good news is that it can be fixed. The reason it happens is because with the standard way of putting implants under the muscle, part of the muscle's attachment to the ribs is cut. This is necessary because it attaches above the level of the bottom of the breast and the implant would be too high otherwise. This free edge of muscle then rides up and... more