My new implants might be laterally displaced - should I get a revision? (Photos)

Dear nursej2,
I understand your concern. Based on your photos, it looks like you might need pocket revision. However, without a proper assessment, it would be difficult to determine what went 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your implants are too low on the chest wall, too lateral and asymmetrical medial as well. You will need the breasts moved higher and more medially. You will probably need a circumareola approach to move the nipple-areola complex as well.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. A large portion of my practice is dedicated to breast revision. Although your pictures are somewhat limited, it appears that you would need a significant pocket modification which would include an internal bra, otherwise known as capsulorrhaphy. In fact, I wrote the very first paper on this topic over 20 years ago. Make sure that you seek out experienced plastic surgeon in breast revision. Best wishes to you.

Hello,

Thank you for your question. You are right. It seems that your implants moving more laterally, may be lower as well. It is up to you to revise it but waiting longer would not improve the results. The wait time for revision/pocket repair is usually 6 months from previous operation. You can also discuss with your surgeon about the implant size. I do not recommend to go much larger. Good Luck!

This is a complex problem to fix that depends on where the implants are currently (below or above the muscle). This is usually a problem related to overdissection of the pocket at the initial surgery, placing too large of implants, or usually both. I would recommend performing a revision with a small implant and supporting the new tightened pocket with Galaflex scaffold. I would recommend finding a board-eligible or board-certified plastic surgeon with aesthetic surgery fellowship training (a total of 7 years of plastic surgery training). In addition, it helps to have a 3D simulation to see what the potential results are.

I would recommend pocket repair to close down the lateral pocket and bring the breasts closer together. I would also recommend implant exchange to moderate profile. Please visit with a board-certified plastic surgeon. Good luck!

What you are doing with your hand is done with a bra. However, your pockets can be tightened if you want. What you are doing with your hand is not a natural look, and your position now is not bad. Please discuss your concerns with your surgeon.

Dear Nurse J,
I would like to request better breast photos without a selfie, as these cause the pectoralis muscles to contract and cause displacement (animation defect). If possible, have a companion take frontal, and 3/4 side pictures alternately, you may stand the phone up and use the time delay feature. Lastly, lying down pictures frontal and sides would be immensely helpful.
Thanks,
Dr. Taranow