Will My Implant Fall into the Empty Area? (photo)

I had 380 cc saline over the muscle taken out on May 15th. Then on June 7th I had 200 cc silicone under the muscle put in. I have scoliosis, so my right rib cage is wider. My doctor said he had to inset my implant so that I would have even cleavage but now I have a concave area on right bottom breast. I can pick up the loose skin and the breasts look pretty normal. Will the implant fall into the empty area and stretch that skin to normal. Is there a noninvasive way to fix this?

Doctor Answers 6

Your muscle will need to relax to allow the implant to form that area

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I have actually had a similar patient not too long ago.  If your subglandular pocket capsule is normal and not overtly restrictive then as your muscle relaxes your implant should fill out that area.  If it does not it will be because the muscle is under-released, the previous capsule is too tight, and/or the implant is a little too small.  Give it some time as it is early and take comfort in the fact that revision of the area if needed is relatively straight forward.

All the best,

Dr Remus Repta

Scottsdale Plastic Surgeon
4.9 out of 5 stars 171 reviews

Will Your Implant Fall into the Empty Area

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When #decreasing and #exchanging #breast #implants for a smaller #size, a Breast #Lift may also be required to #tighten loose skin and optimize the end result.

During breast implant surgery a pocket is created carefully to maintain certain folds on the sides and bottom of the breast. At times, 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. On rare occasion, the implants can move towards the patient’s #armpit.
Treatment to address this generally requires closing the space.  That procedure is 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 then closed with sutures and Acellular Dermis Matrix (#ADM) or other soft tissue substitutes may be used to further support this correction.

 Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome. Typically, it's best to wait 6 to12 months depending on the reason for #revision.  Matters such as sagging, drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Implant Dropping

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It can take 4 to 5 weeks for an implant to fully drop, and that can be expedited with proper downward breast massages.  If the implant does not drop and your symmetry does not improve, the only solution is additional surgery to revise that aspect of the implant pocket to allow the implant to sit properly.  Best wishes!

Brian Howard, MD (retired)
Alpharetta Plastic Surgeon

Bad Breast Asymmetry

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 I am sorry for your trouble with your implant surgery.  In my opinion, you needed a larger implant in the subpectoral pocket.  Implants can and do settle.  I feel that if your implants settle you will still have asymmetry.  There are no noninvasive methods to correct your asymmetry.


Dr. ES

What Does It Mean when a Nose Divet Appears Approx. 4 Months After Surgery?

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Thanks for the posted photos. Very hard to advise at 1 month only. But I might consider aggressive exercises of the right implant to allow the pocket to open more inferiorly. If this does not help than I might offer fat grafting to the "empty" space. 

Breast Implants Settling after Revisionary Breast Surgery?

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Thank you for the question and pictures.

It seems that the area of concern has improved from week 2 to week 4  postoperatively. This leads me to believe that continued improvement is probable. Implants do tend to “settle” for a few months after surgery, depending on exactly what type/size of breast implant “pocket” is dissected. Ask your surgeon if he advises massage to help the breast implant fill in the lower pole of the breast ( that is currently concave).  Otherwise there is no noninvasive way to improve this situation.

Hopefully you will be please with the final results of your revision breast surgery.

Best wishes.


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.