Extra skin on the sides and flat bottom 1 year post - how can this be fixed? (Photos)

Question

Hello! I am 1 year PO from UTM implant exchange with skin removal And mesh, no lift I was left with extra tissue on the sides and a flat look at the outer bottom How can this be fixed?

Yasemin Aydinli, MD · Answer

One likely explanation is that the implant has turned or flipped inside the pocket &mdash; so the base is now facing the wrong way rather than sitting flat. That can create exactly the kind of odd, uneven look you're describing, with fullness where you don't want it and flatness at the outer bottom.
A second possibility is that the implant has dropped lower in the pocket &mdash; this can happen even under the muscle &mdash; and if the breast tissue over it isn't very minimal, that descent can produce this unusual "double-bubble" type appearance. That said, the flat way it's sitting makes rotation the more likely of the two, and this is especially something that can happen with a microtextured implant.
The best way to tell them apart is imaging &mdash; I'd recommend an ultrasound and, ideally, an MRI, which show the implant's position and orientation clearly and confirm it's intact. Whatever the cause turns out to be, though, this looks like it will need a revision with new implants to put right.

Extra skin on the sides and flat bottom 1 year post - how can this be fixed? (Photos)

Answers (1)

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