When I lay on my back, one stays up and the other falls towards the armpit. The one that falls towards the armpit, I can move it all around.
How Do I Know if my Breast Implant Fell out of Its Pocket?
Doctor Answers 6
Implant pocket correction
Sometimes, when implants fall into the armpit, there may be an indication for revisionary breast surgery to internally suture that breast pocket, so that the implant stays in place. You can choose to have this revisionary surgery if the implant placement bothers you.
Implants do not 'fall out' of their pocket
Patients may sometimes incorrectly feel that their implants have 'fallen out' of their pocket. The implants do not have anywhere else to go. When patients describe this, they are usually affected by an overly large pocket which may allow the implant to move outwards towards the underarm. This can often be corrected with internal sutures or a lateral capsulorraphy.
Breast Implant Pocket
There are two schools of thought in managing breast implants after surgery. The first is to avoid aggressively massaging the breast implants, and thus keeping the breast pocket unchanged. The second is to aggressively massage the breast implants, and thus keeping the breast implant pockets a little larger.
If the implant pocket is tighter, the implants will sit more upright . However, longer term you can have a potential higher incidence of capsular contracture. If you keep the implant pocket larger, there is a lower incidence of capsular contracture. However, the implants may be more mobile. Regardless, if your breast implants feel like they are too mobile and are migrating to your armpits, you can easily correct the issue by applying some internal sutures to re-tighten the breast pocket.
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Lateralization of breast implants
Over-Dissection Could Be Cause
It’s not normal for breast implants to fall into the armpit following breast augmentation.When this situation occurs in the immediate postoperative period, the most likely cause is over-dissection of the breast implant pocket.When this situation occurs late in the postoperative course, stretching of the implant pocket is the most likely cause.
Regardless of the cause, this type of severe lateral implant displacement requires surgical correction.In most cases, this requires a procedure known as a capsulorrhaphy.This operative procedure utilizes sutures to decrease the size of the lateral breast implant pocket and shift the implant in an inward direction.This procedure is associated with high success rates and high levels of patient satisfaction.
If you’re concerned about implant position, consultation with your plastic surgeon is appropriate.Your surgeon should be able to formulate a treatment plan that addresses your concerns.
Implant pocket problems
If the pocket is too large the implant will move around like you describe. You may need a capsulorrhaphy or correction of the capsule to keep the implant in the right place.
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.