8mth post breast aug. went fr a 36b to 36d-dd. the results were and still awesome standing but lying down the breast tends to flatten and shift down twds armpit. I hv natrelle 15-492cc. I don't know is this bottoming out? Is it fixable? Did I do something wrong?
Answer: Shifting Implants Lying Down
From your description this is not bottoming out. Some lateral movement is normal with soft implants and an implant pocket of a certain size. Another surgery (to tighten the pocket laterally) should reduce this displacement. But I am not sure you want to do that. You describe the results as "awesome" when you are standing. You might consider accepting the lateral displacement if it doesn't increase further.
Do check with your plastic surgery! Best of luck,
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From your description this is not bottoming out. Some lateral movement is normal with soft implants and an implant pocket of a certain size. Another surgery (to tighten the pocket laterally) should reduce this displacement. But I am not sure you want to do that. You describe the results as "awesome" when you are standing. You might consider accepting the lateral displacement if it doesn't increase further.
Do check with your plastic surgery! Best of luck,
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CONTACT NOW Answer: Revise descent with smaller implants
At size 36 each 200 cc's of implant corresponds to 1 cup size change. You went up approximately 2 1/2 cup sizes from a B to a D-DD. However, these implants weigh about 1 lb each and after 8 months your breasts stretched laterally and will stretch inferiorly. These implants are too heavy and I predict further problems. Unfortunately, you have not provided any photographs or stated whether the implants are in front or behind the muscle. I recommend a new technique called Implant Exchange with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to exchange your implants for smaller ones, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant. Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable long term, less likely to ripple or have complications needing revision.
Best Wishes,
Gary Horndeski, M.D.
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CONTACT NOW Answer: Revise descent with smaller implants
At size 36 each 200 cc's of implant corresponds to 1 cup size change. You went up approximately 2 1/2 cup sizes from a B to a D-DD. However, these implants weigh about 1 lb each and after 8 months your breasts stretched laterally and will stretch inferiorly. These implants are too heavy and I predict further problems. Unfortunately, you have not provided any photographs or stated whether the implants are in front or behind the muscle. I recommend a new technique called Implant Exchange with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to exchange your implants for smaller ones, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant. Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable long term, less likely to ripple or have complications needing revision.
Best Wishes,
Gary Horndeski, M.D.
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April 11, 2017
Answer: Flattened breasts when lying down Thank you for your question. This is nothing to be alarmed about. Your implants have migrated too far to the outside of your chestwall and hence the position when you're lying down. This is not truly bottoming out, however surgical correction is warranted. This can be corrected by placing internal sutures to close this region and occasionally using Strattice to strengthen the repair in this region. Please see a board certified plastic surgeon with expertise in this area to help you with this procedure.
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Answer: Flattened breasts when lying down Thank you for your question. This is nothing to be alarmed about. Your implants have migrated too far to the outside of your chestwall and hence the position when you're lying down. This is not truly bottoming out, however surgical correction is warranted. This can be corrected by placing internal sutures to close this region and occasionally using Strattice to strengthen the repair in this region. Please see a board certified plastic surgeon with expertise in this area to help you with this procedure.
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January 21, 2015
Answer: Lateral displacement of implants 8 months postop can be improved
You did nothing wrong and your implants are not bottoming out. Laxity of breast tissue, large implants, and/or over-dissection of the outer pocket can contribute to the lateral displacement or shifting of your implants towards your armpits. This condition can be improved. But, unfortunately, it will require another operation involving placement of internal sutures (capsullorrhaphy). Best wishes.
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Answer: Lateral displacement of implants 8 months postop can be improved
You did nothing wrong and your implants are not bottoming out. Laxity of breast tissue, large implants, and/or over-dissection of the outer pocket can contribute to the lateral displacement or shifting of your implants towards your armpits. This condition can be improved. But, unfortunately, it will require another operation involving placement of internal sutures (capsullorrhaphy). Best wishes.
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August 17, 2013
Answer: Implants are Normal
Pictures would be helpful. Per your description, this not bottoming out. The outer pocket is a bit larger so the implants migrate that way when you lie down. This is normal. If you like the way that the look when standing then I would not mess with the result.
Dr. ES
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Answer: Implants are Normal
Pictures would be helpful. Per your description, this not bottoming out. The outer pocket is a bit larger so the implants migrate that way when you lie down. This is normal. If you like the way that the look when standing then I would not mess with the result.
Dr. ES
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