Is it necessary to fix lateral displacement?

Question

I think they look fine when I'm standing up with my arms down. When I put my arms on my hips and lay down the LD is very visable. Is it necessary to fix? Is there a way to slow it down? Is it supposed to be painful? Sometimes when I run my right right side crease stings. Is this because of the LD? Thanks!

Jed H. Horowitz, MD, FACS · Answer

During breast implant surgery a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. At times, the implants can move towards the patient’s armpit.
Treatment will generally require closing the space with a procedure called a #capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is closed with sutures and at times Acellular Dermis Matrix (#ADM) or other soft tissue substitutes would be used to further support this correction.Additional elective cosmetic #surgery is a personal choice. Your procedures should always be performed by a #Plastic Surgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for further revision surgeries.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question.  While there is no immediate urgency to repairing a laterally displaced implant, it sounds like it may be causing you some problems. Sometimes lateral displacement can cause pressure or pulling on the nerves that give sensation to the nipple. This may explain some of your discomfort.  Repositioning the implant and tightening the capsule may help improve your symptoms.  Consider discussing further with your surgeon. Best wishes.

Bryson G. Richards, MD · Answer

Thank you for your question. It is natural for the breasts to fall slightly lateral when you lay supine. If you are unhappy, a lateral capsule tightening can be performed to hold the implants in a more medial (central) position. Be sure to consult with your surgeon or a board certified/eligible plastic surgeon.Best of luck!- Dr. Bryson Richards

Martin Jugenburg, MD · Answer

When you lay down your breasts will fall off to the side naturally to some degree. The degree at which it does and or how much it bothers you will be an indicator to have it fixed. See your chosen surgeon for an in person evaluation.

William Andrade, MD · Answer

Thanks for your question.  Lateral displacement of an implant does not necessarily have to be fixed. If it is either a significant cosmetic concern or causing symptoms, you could speak to your PS about options to change the implant position.

Is it necessary to fix lateral displacement?

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Answer: Is it necessary to fix lateral displacement?

Answer: Is it necessary to fix lateral displacement?

Answer: Lateral displacement

Answer: Lateral displacement

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Is it necessary to fix lateral displacement?

Answers (8)

Answer: Is it necessary to fix lateral displacement?

Answer: Is it necessary to fix lateral displacement?

Answer: Lateral displacement

Answer: Lateral displacement

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.