Breast looks like it slides to the side (toward armpit) when laying on back (Photo)

Thank you for your pictures. The pocket that implants live always seems to get a little larger allowing breast implants to drift somewhat toward the armpit when one lays down. Your implant position while lying down looks reasonable. Natural breasts that are reasonably sizable also do the same thing when one lies down. I would not recommend any treatment for your concern.Best wishes.

I am sorry to hear about your concerns after breast augmentation surgery. You demonstrate your concerns nicely. Although some “falling to these sides” of breast implants is quite normal when you lie down, if this occurs “excessively”, it may be a concern to patients. This phenomenon is called lateral displacement of the breast implant. Surgical correction is an option.
Generally, the lateral breast implant displacement can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline.   In my practice, I use  a 2 layered suture technique to close off the space laterally (towards the axilla). The use of acellular dermal matrix is an option (although not usually necessary)  especially if significant implant rippling/palpability is present.  
 My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieved the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well. Working together you will come up with a good plan to achieve your goals. You may find the attached link helpful to you as you learn more.   Best wishes.

Dear Sarnoult21,

 

Recognize that whether a woman has had breast augmentation or not, it is natural for the breast tissue to fall to the side slightly when supine.  When it becomes excessive, this is because the pocket has stretched too far laterally, allowing the movement.  A surgical correction can be done most simply by Bovieing the inside of the capsule, although that can recur.  The other way is to close down the lateral extent of the pocket with sutures from the underside of the skin to the chest wall.  A final option would be to replace the smooth implant with a textured one and use a drainage tube for suction for one week to get it to adhere in place.  I hope this has been helpful.