hey doctors! so i know that any implant placed behind the muscle will settle and get pushed down over time, leading to a lower placement of the implant (typically way below armpit level) over time. ive also been told that using a mesh/ internal bra prevents the muscle from pushing the implant down too much. however, i have seen cases where even without the mesh/ internal bra, the implants are still high (above armpit level) after years. why do you think that's the case for some people?
April 6, 2023
Answer: Implant Malposition - When the Implant Sits Too High There are a few reasons why an implant can be positioned too high. One can be because of incomplete pocket dissection - i.e. the surgeon didn't completely open the pocket inferiorly. This is more common with an areolar or axillary (arm pit) incision. Another reason for high implant position is capsular contracture; if the lining around the implant (capsule) contracts, it is common for the implant to look like it is sitting too high because it is contracted into a higher a chest wall position. A third reason would be noncompliance. When an implant is placed in a under-the-muscle pocket, it is common for the muscle to transiently "push" the implant up high because of the muscle fiber length. As the pectoralis muscle becomes accommodated to the new length, it will stop pushing the implant up so high on the chest wall. During this period, it is helpful to avoid activities that would prevent the muscle from relaxing (i.e. heavy lifting); if the muscle remains tight and continues to push the implant up high, it is possible that the previously opened inferior portion of the implant pocket would close off. Thus, the implant will maintain a high position.
Helpful 1 person found this helpful
April 6, 2023
Answer: Implant Malposition - When the Implant Sits Too High There are a few reasons why an implant can be positioned too high. One can be because of incomplete pocket dissection - i.e. the surgeon didn't completely open the pocket inferiorly. This is more common with an areolar or axillary (arm pit) incision. Another reason for high implant position is capsular contracture; if the lining around the implant (capsule) contracts, it is common for the implant to look like it is sitting too high because it is contracted into a higher a chest wall position. A third reason would be noncompliance. When an implant is placed in a under-the-muscle pocket, it is common for the muscle to transiently "push" the implant up high because of the muscle fiber length. As the pectoralis muscle becomes accommodated to the new length, it will stop pushing the implant up so high on the chest wall. During this period, it is helpful to avoid activities that would prevent the muscle from relaxing (i.e. heavy lifting); if the muscle remains tight and continues to push the implant up high, it is possible that the previously opened inferior portion of the implant pocket would close off. Thus, the implant will maintain a high position.
Helpful 1 person found this helpful
April 6, 2023
Answer: High implants There are many factors that can influence the way implants look over time. One of the major ones is genetics. Some people are born with better skin elasticity than others. Size of implant is a factor. Others can include weight loss/gain as well as pregnancy and breastfeeding.
Helpful 1 person found this helpful
April 6, 2023
Answer: High implants There are many factors that can influence the way implants look over time. One of the major ones is genetics. Some people are born with better skin elasticity than others. Size of implant is a factor. Others can include weight loss/gain as well as pregnancy and breastfeeding.
Helpful 1 person found this helpful