Lateral displacement while lying down (Photo)

Thank you for your inquiry! Breast will normally settle and typically follow the chest wall. We would be happy to meet with you and discuss your concerns and options. A couple of options would be to tighten the pocket or add an internal bra for additional support. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Dear Reliable330303,
I understand your concern. Based on your photos, it looks like there is no major issues. You might have some lateral displacement and it can be caused by big implant pockets. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! You do have some lateral displacement when laying down. My guess is that you have very soft capsules and that's causing it. You could always consider a capsulorrhaphy to tighten up the internal tissues (like an internal bra). I would suggest an in-person evaluation with your doctor. Good luck!

What is undeniable is that one of your implants moves around more than the other. When lying supine, it is also clear that one implant travels toward your axilla (the definition of lateral displacement), and the other doesn't. One would hope that the more mobile implant simply is sitting in a larger pocket, which is more easily correctable than one implant is sitting in a larger pocket and the other implant is surrounded by a capsule that is too tight, i.e. capsular contracture. The latter scenario is easily determined by how soft the non-offending implant feels. If the former scenario is correct, a capsulorrhaphy would correct the issue. What isn't part of the problem is implants that are too small for your frame. If that was an issue, you should have lateral displacement in both implants.

Thanks for your question. When standing, I think you have a very nice result. Your implant size seems approriate and your breast shape/implant position are very nice. With smooth round implants, virtually everyone has some lateral displacement of the implant when they lie down. Yours does appear a bit excessive, however, with a few centimeters of enlargement of the pocket to the side. You have a few options:
1: Do nothing and accept the somewhat less than ideal shape when lying down.
2: Perform a straightforward pocket tightening (capsulorrhaphy) with or without mesh, based on the nature of the soft tisue support. Leave the implants under the muscle.
3: Remove the implants and replace them in the subfascial plane. This will create a new pocket and remove the downward/outward pressure that the pec muscle exerts on the implants.
All of these options have various risks and rewards and should be discussed at length with your surgeon. I would avoid larger implants -- no lateral malposition has ever been improved by a larger implant!

Thank you you for posting your question hereMy answer will be based on the limited information and pictures provided , for a more bespoke/detailed plan please consult with your plastic surgeon.
By virtue of gravity , when you are lying down your breasts will be pulled laterally . But from the pictures you appear to have some lateral displacement of at least one of your implants, this can happen either from over dissection of the pocket laterally or from the muscle pushing the implant laterally overtime.
If this is bothering you it can be fixed by tightening the pocket laterally.
I hope this helps, Good luck!

I am sorry you are having lateral displacement..
I have not examined you, but your muscle appears to be the culprit
I would do a remove and replace on top of the muscle BUT under the fascia.
Done frequently for exercisers and weight lifters.
Sorry again.
Plenty of examples on our website.
Best of luck.
Dr. Joe

Thank you for your question and photos. Your breasts appear pretty and natural. All women’s breasts will displace laterally to some degree when a woman lies down, and some asymmetry is more the rule than the exception.

Clearly an examination in person would be required to properly advise you but if you have confidence in your original surgeon, discuss your concerns with him or her. Otherwise seek the advice of an experienced board certified plastic surgeon who routinely performs primary and revision breast augmentation.

Part of the issue may be the subpectoral placement (under the muscle) of your implants. If you have significant animation deformity (the muscle casing implant displacement) it may be advisable to revise your surgery with a subfascial (above the muscle) implant repositioning with re-attachment of your pectoral muscle to the chest wall where the muscle normally anatomically sits. Best of luck to you.

Hello,When lying down, each breast tilts to the side. In order to prevent this, a sufficiently large breast implant should be placed to stretch the breast tissue.

Normally, breasts should fall to the sides when laying down. Your front view shows the girls in a good position, and your supine position appears normal. However, if this movement is bothersome to you, your lateral pockets can be tightened. This will show that you have implants and not natural breasts when laying down.