Pocket for implant created to wide? (Photos)

I know I have a wide sternum and that my nipples pointed to the outwards. I chose 350cc hp and 325cc mentor implants. Now that my implants have settled it seems that I have more side boob than anything else. When I lie down it's a bit uncomfortable and my implants really fall to my armpits. Front view I have no breasts it seems. My surgeon now tells me how I should wear an underwire bra at all times. Do you think the breast pockets were made too wide? Is this the misjudgment of my surgeon?

Doctor Answers 5

Not too wide?

Greetings! Your pocket stretched under the weight of the breast implants as gravity pulled them to the side when you're sleeping. The pocket was not made too wide, but it has stretched. Smooth implants are known for this problem and a textured device might have helped to reduce lateral malposition. Bra wearing now won't help and you're likely looking at revision if you want to improve lateral position problems. Textured breast implants are not ideal for everyone, especially thin women. Seek a second opinion or discuss your concerns with your plastic surgeon. Best wishes, Dr. ALDO

Scottsdale Plastic Surgeon
4.9 out of 5 stars 202 reviews

Pocket for implant created to wide?

Thank you for your question. You may have "lateral displacement" of your implants caused by too large a pocket created on the sides. If this is the case surgical revision is necessary. Discuss with your surgeon.

Lateral drift of breast implants when laying down

Based on reviewing your photographs, I have several suggestions.  First of all, I agree with your plastic surgeon about wearing good support - especially at night.  When I look at your photo in the upright position, the breasts look fine and the nipple seems to be appropriate relative to the breast implant.  A breast implant with a wider base diameter (meaning it is wider, probabaly a moderate plus profile) would probably give you more "cleavage" than you currently have now with your high profile implants because it is wider.  That is something that I would plan to discuss with you plastic surgeon.  It is also important to know that when any patient that has had breast implants lays down at night, the implants naturally want to "drift" to some degree to the sides.  That is the reason I recommend to my patients to always wear good support at night because it will resist that.  That is probably why you are feeling uncomfortable at night.  I hope this helps.  Good luck!

James F. Boynton, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 42 reviews

Pocket for implant created to wide?

Breast implants are fillers and are placed behind the nipple.  Since your nipples point outward, a minor mastopexy would be needed to correct the nipple placement.  At the same time, if the breast pockets are too large that can be corrected.  Discuss your concerns with your surgeon while evaluating your pre-operative photos.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

Pocket for implant created to wide?

 I am sorry to hear about your concerns after breast augmentation surgery. You demonstrate your concerns nicely. Although some “falling to these sides” of breast implants is quite normal when you lie down, if this occurs “excessively”, it may be a concern to patients.  This phenomenon is called lateral displacement of the breast implant;  it may be of concern from the visual and the discomfort standpoints. Surgical correction is an option.

Generally, the lateral breast implant displacement can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline.    In my practice, I use a 2  layered suture technique to close off the space laterally (towards the axilla). The use of acellular dermal matrix is an option ( although not usually necessary)  especially if significant implant rippling/palpability is present.  Also, the use of a larger/wider breast implant may help improve/decrease the space between the breast implants.   

Although frustrating, breast implant malpositions  are not necessarily the fault of the surgeon. Sometimes, the complication may occur because of “over dissection"  or poor surgical judgment;  sometimes, it results because of patient tissue quality/time/aging/changes with pregnancy/genetics/muscle contraction…

  I hope this, and the attached link (dedicated to this type of revisionary breast surgery concerns), helps.  Best wishes.  

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,502 reviews

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.