What is this Deformity when i lie down? Can this be fixed? (Photos)

Question

I had a Breast lift with implants 10 months ago, when i lied down my left breast gets deformed a bit. Are they Bottoming out?

Miguel Mota, MD · Answer

Hello and thank you for posting. This is not bottoming out and it is not a deformity. It is just your implant. The breast falls back when you are laying down but the implants stay in place because they are being kept in place by the muscle. Making your breast tissue tighter will help avoid the tissue displacement, but this would entail a breast lift. Another option is loosening the pocket. This will make it so the implants have more room to move with your breast tissue but this would mean a pocket revision and a wide or big pocket may increase the risk of implant displacement or bottoming out. 
These are your best options but if it doesn’t bother you too much it is ok to leave it as is. There’s really nothing wrong with the implant or the procedure. It is up to you.

Best of luck,
Dr. Miguel Mota

Alejandro Nogueira, MD · Answer

Your implants failed to attach to your chest because they are probably smooth in their shell or microtextured; you can consider moving to biovelcro featured polyurethane coated implants, they won't move when you are flat.

Not to be ruled out, due to the detachment the implant might have flipped upside down.

Not to be ruled out, due to the detachment the implant might have flipped upside down.

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Thanks for your question. It is very difficult to tell based on your photographs but it looks like the edge of the implant is visible in this area when you are lying down. This may be because there is a problem with the underling implant (for example rotation), or the soft tissues overlying the implant are not appropriately tailored and are falling off the implant, leading to visibility, meaning that you may benefit from tightening of the skin envelope via an uplift. See a plastic surgeon on the specialist register with a practice centred around aesthetic breast surgery.

Guler Gamze Eren, MD · Answer

Hi from İstanbul.Many thanks for your question.It is not possible to understand and comment clearly from the pictures, but as far as I can see, there is a possibility that the implant has rotated, so I recommend that you consult your own doctor and have a physical examination. Your own doctor will make a more accurate comment because he knows the technique he used during the surgery.
Best LuckDr. Güler Gamze Eren

Daniel Barrett, MD · Answer

Dear RealSelfMembe09344,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Wayne I. Yamahata, MD · Answer

Your photos do not suggest that you are bottoming out. If the breast looks normal when you are standing, then it is not likely you will need to do anything to address this. If the appearance you show lying down bothers you, there are likely options to address this. To provide a definitive diagnosis and treatment options would require a physical examination. I would suggest a return visit to your surgeon to discuss this.

Richard Baxter, MD · Answer

It is very difficult to tell what is going on from the photos, but in general when there is an indentation between the nipple and the bottom of the breast it is a double bubble.  If it appears worse when you tighten your pectoral muscle then it could be related to animation deformity, which often looks the same as double bubble.

Gary M. Horndeski, MD · Answer

Unfortunately, your photographs are limited.  However, it is most likely that your breast implant is at one level and the breast tissue is at another.  This will cause this deformity.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

When you lie down, your implant is poking through thin tissue. An upright photo is best to see if your are bottoming out. However, since you are thin inferiorly, I suspect you are.

Mats Hagstrom, MD (license on probation) · Answer

I’m not sure there’s an actual name for your breast concern, but I will attempt to give you an explanation of why this may be occurring.
First of all in order for us to make quality assessment we need quality information and that generally means always including proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
 we usually make assessments based on patients in an upright standing position.
My best guess on why your breast look the way they do when you lay on your back is the following.
I’m guessing that your breast were relatively small before the procedure and that you have fairly large implants relative to your breast size before surgery.
When surgeons use breast implants that are wider than the natural breast diameter the IMF or infra mammary fold needs to be opened up in order for the implant not to sit too high.
When you land your back, the implant is probably moving up slightly, and this causes the change in breast shape.
If you push the implant down with your hand by putting gentle pressure on the upper part of your breast, I’m guessing that your breast shape looks normal when you’re laying on your back.
My best guess is that this issue would be less likely had smaller implants than used.
I don’t think it is related to how the procedure was done other than the IMF was probably opened to accommodate the size implant used.
Anytime, excessively large implants are used the chance of undesirable side effects, complications and need for revision surgery will always go up.
I have no idea what size implants you have and I don’t know what your breast look like before.
 I suggest you follow up with your provider. I don’t think you should have any intervention for this.
I think it’s simply part of what happens when the procedure is done in certain ways especially using larger implants.
Best,
Mats Hagstrom MD.

What is this Deformity when i lie down? Can this be fixed? (Photos)

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