Lateral sliding of implant into the axillary region, can this problem be fixed? (Photos)

Question

I had implants/anchor lift done 10 weeks ago. My right implant has fallen out of the pocket & into my axillary region. It causes pain/discoloration/double bubble. my surgeon says this is my "natural breast tissue" & that he "even went in 2x in surgery to double check it wasn't the implant". When I voice my frustrations and ask about fixes (a textured implant - he says it doesn't work, or using a fake skin wall - he says it will cost as much as my initial surgery 8,000$) no help.What can I do?

Richard Hainer, MD · Answer

Based on your photos it appears that you had a combination of inverted T pattern mastopexy in conjunction with what appears to be submuscular breast augmentation. This is in many instances a very challenging operation. It appears that you have more than likely a submuscular implant which has displaced laterally due to the forces placed upon it by the pectoralis muscle. Several choices are available in terms of correcting this. Converting to a textured implant is one choice. This can be either a round or an anatomic textured implant. The other option is to reinforce the implant laterally with dermal matrix such as Strattice which will help support the implant and prevent lateral migration. One or both of these solutions would definitely correct your aesthetic concerns. Hope this helps

Anthony Deboni, MD · Answer

Thank you for your question and so sorry for your frustration. Based on your photos, you do have a lateral displacement of your implant. I don’t  know what type of implant you have, but perhaps the implant is somewhat wide for your breast diameter.  The strength of your pectoralis major muscle, may also contribute to lateral displacement.  Regardless, this is a fixable problem. Your skin does appear quite thin laterally, and lateral support may be of benefit. It is difficult to make any accurate comments without a full physical examination as well as a review of your operative reports.   It may be worthwhile seeking a second opinion from a surgeon wih experience in revisionary breast surgery. Best RegardsDr Deboni

Lateral sliding of implant into the axillary region, can this problem be fixed? (Photos)

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