18 months post op, are my implants sitting normally? Under the muscle (photos)

Question

It’s been a year and a half since I got implants and I’m worried that they aren’t sitting where they should be. There’s often a noticeable line between my natural breast and the implant which I’m embarrassed of. Implants are under the muscle. I attached photos of arms to the side and raised. Do they look correct?

Albert Ko, MD · Answer

Hi there, it appears as though your implants are starting to bottom out. I would reccomend scheduling a consult with your surgeon to discuss options to adjust your pocket so they sit in the correct position.

Gianfranco Frojo, MD · Answer

This is a double bubble deformity, due to poor planning/technique that causes the original breast fold to be transposed (moved up on to) the lower pole of the breast. This can be correct with tightening the breast pocket and using a piece of Galaflex to help support the lower pole tissues. I would highly recommend finding a highly trained aesthetic plastic surgeon (preferably 6 years of dedicated plastic surgery residency and 1 year of aesthetic fellowship). Best of luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Unfortunately you have had some lowering of your implant, bottoming out, causing the demarcation between your natural breast tissue and the lower portion of the implant.  This can be corrected but will require a revision surgery.

Daniel Barrett, MD · Answer

Dear Dogmomxx,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

From the submitted photos it appears you have a double bubble.  A surgical revision is needed to correct it.  Smaller implants are sometimes recommended to prevent this from happening again.  I encourage you to meet with your surgeon to discuss your options.

Connie Hiers, MD, FACS · Answer

You are bottoming out some from the weight of the implants. Please wear a good supporting bra during the day.

Hilton Becker, MD · Answer

When implants are placed under the muscle ,double bubble and animation deformity can occur
My treatment of choice is to place the implants above the muscle

Darryl J. Blinski, MD · Answer

Great series posted photos. Appears you have double bubble deformities. Would try open release with micro fat grafting operation. Fee $5,000+.. Best to virtual consult with...

18 months post op, are my implants sitting normally? Under the muscle (photos)

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