7 months post op and unhappy with results - could this be lateral displacement? (photos)

Question

Im female 5,3 inches and weigh 8stone 12. I had implant exchange with uplift in march originally my implant was much larger but the surgeon who performed this surgery said they were too big and he chose the size of current implant. I have no cleavage unless wearing a bra I do not feel good in a bikini and feel rather flat chested now. And it gets worse when laying flat I have a nice fullness on the outer side but no cleavage and it seems to be flat in between breasts and a gap.

M. Scott Haydon, MD · Answer

Thank you for your question. You look to have a great result from the photos. I tell my patients that great bras create great cleavage. Often times the shape of the breasts and the chest wall/sternum dictate how medial the implants can be placed. If the muscle release is too aggressive you can get symmastia (uniboob). It looks like your skin is fairly lax and so putting in larger implants to fill that out is a disaster waiting to happen. All breasts migrate laterally when lying down to an extent. I think that it is the laxity of your skin envelope that is what is keeping you from having the shape that you want. That unfortunately is not something that surgery can fix. It would be interesing to see your preop pic alongside.

Salvador Garcia, MD · Answer

Hello, I am Dr. Salvador Garcia from Guadalajara, Mexico, my recommendation is to change the implants and place them under the muscle, in addition to making an internal bra, so that the implants do not become lateralized and your cleavage is noticeable, it also requires repeating anchor mastopexy to remove excess skin

Connie Hiers, MD, FACS · Answer

Naturally, breast fall to the side when laying down. However, your lateral pocket could be tightened to minimize this movement. don't go bigger for this will become worse.

Mats Hagstrom, MD (license on probation) · Answer

Based on your pictures, there’s no evidence that anything was done incorrectly. You have skin laxity and stretched out breast tissue.
I suggest you follow up with your provider or schedule in person second opinion consultations.
It’s not really clear what your question is other than you’re not happy with your outcome. 
Mats Hagstrom MD

Douglas J. Raskin, MD (retired) · Answer

Greetings,
You are now 7 months after an implant exchange (with smaller implants) and breast lifts. With the larger implants you had prior to this surgery, your breast skin was stretched and required breast lifts. Now your breasts sit apart further than you desire when you are supine. Do you still have extra breast skin?  Is the old implant cavity larger than optimal?  Is the replacement implant too small?
A consultation and re-examination by your plastic surgeon could help you.  You both can discuss options for improving your appearance.  
Best Regards,

7 months post op and unhappy with results - could this be lateral displacement? (photos)

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7 months post op and unhappy with results - could this be lateral displacement? (photos)

Answers (5)

Answer: Breast augmentation outcome

Answer: Breast augmentation outcome

Answer: Post-op lift and implant replacement with concerns

Answer: Post-op lift and implant replacement with concerns

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Recommended reading

Everything you need to know about Breast Lift with Implants

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