They Are Still Really Nice Standing but Lying Down the Breast Shifts Down and Towards my Underarm. Should I Be Alarmed?

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,

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.

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.

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

Normal breasts usually will move toward the armpit when the woman lies down.  Normal vs. abnormal is a matter of degree.  If they move far too much, the pocket may have stretched out laterally.  Best to see your plastic surgeon and see what he/she thinks.