I'm 31 5"4 140lbs. My breasts have dropped very low towards my abdomen and when I lay down they fall over under my arms which pull and cause pain in my upper breast and nipples. I have expressed my concerns to my ps and he only suggested moving my nipples to make them even but my breast will still look the same. When use arms it kind of looks like I have 4 boobs due to implant slipped down out of under muscle which my ps said was normal. Can this be corrected without detaching and moving my nipples?
Answer: I have saline implants. My breast seem to be getting lower and further apart. Can this can be fixed and how? I am sorry to hear about your concerns after breast augmentation surgery. Based on your description and photographs (which demonstrate your concerns nicely), it is likely that you are dealing with a breast implant displacement issue; the breast implants are moving too inferiorly when you stand and off to the sides when you lie down. The procedure that will likely improve your situation is called capsulorrhaphy; this procedure involves the use of sutures internally along the breast implant capsule, surrounding the breast implants. It involves decreasing the space surrounding the breast implants, by removing some of the capsule tissue and re-suturing the excised edges. In other words, the "volume" of the capsule (scar) tissue space surrounding the breast implant is decreased in size. This procedure is commonly performed to treat breast implant displacement or malposition concerns such as lateral displacement (breast implants “falling” off to the sides), bottoming out of breast implants, and/or symmastia. The procedure may also be helpful when patients are downsizing breast implants. I hope this, and the attached link (dedicated to revisionary breast surgery concerns, helps. Best wishes.
Helpful 2 people found this helpful
Answer: I have saline implants. My breast seem to be getting lower and further apart. Can this can be fixed and how? I am sorry to hear about your concerns after breast augmentation surgery. Based on your description and photographs (which demonstrate your concerns nicely), it is likely that you are dealing with a breast implant displacement issue; the breast implants are moving too inferiorly when you stand and off to the sides when you lie down. The procedure that will likely improve your situation is called capsulorrhaphy; this procedure involves the use of sutures internally along the breast implant capsule, surrounding the breast implants. It involves decreasing the space surrounding the breast implants, by removing some of the capsule tissue and re-suturing the excised edges. In other words, the "volume" of the capsule (scar) tissue space surrounding the breast implant is decreased in size. This procedure is commonly performed to treat breast implant displacement or malposition concerns such as lateral displacement (breast implants “falling” off to the sides), bottoming out of breast implants, and/or symmastia. The procedure may also be helpful when patients are downsizing breast implants. I hope this, and the attached link (dedicated to revisionary breast surgery concerns, helps. Best wishes.
Helpful 2 people found this helpful
Answer: Breast implant bottoming and lateralizing You most likely had the most common type of sub muscular implant placement, the dual plane technique. I have a problem with this in that over time, the pectoralis muscle pushes the implants down and laterally. I have seen this time and time again. The pectoralis muscle also tends to ride upwards, so that eventually very little of the implant is actually covered by muscle. My preference is the full muscle coverage technique, where a pocket is created under both the pectoralis muscle and the anterior serrated muscle laterally. The lateral muscular support keeps the implant centralized. The vast majority of my patients (though certainly not all) have remained centralized over many years with this technique. Fortunately, your condition can be corrected to a large extent by closing down the lateral pocket, preferably reinforcing the report with dermal matrix or the new silk mesh that has been developed for this purpose.
Helpful
Answer: Breast implant bottoming and lateralizing You most likely had the most common type of sub muscular implant placement, the dual plane technique. I have a problem with this in that over time, the pectoralis muscle pushes the implants down and laterally. I have seen this time and time again. The pectoralis muscle also tends to ride upwards, so that eventually very little of the implant is actually covered by muscle. My preference is the full muscle coverage technique, where a pocket is created under both the pectoralis muscle and the anterior serrated muscle laterally. The lateral muscular support keeps the implant centralized. The vast majority of my patients (though certainly not all) have remained centralized over many years with this technique. Fortunately, your condition can be corrected to a large extent by closing down the lateral pocket, preferably reinforcing the report with dermal matrix or the new silk mesh that has been developed for this purpose.
Helpful
November 11, 2014
Answer: Implant Exchange with Mini Ultimate Breast Lift™ In your before photograph, your breasts were too
Helpful
November 11, 2014
Answer: Implant Exchange with Mini Ultimate Breast Lift™ In your before photograph, your breasts were too
Helpful
September 30, 2014
Answer: Implants falling down and out can be fixed Saline implants are frequently smooth and do not adhere well to tissue. The chest is curved and so a smooth implant moves with gravity out and down. By tightening the pocket and changing the implant to textured gel implants will remedy your concern. Many women in my practice travel to see us because we specialize in revision implant work. Seek a BCPS that specializes in breast surgery as we do.
Helpful
September 30, 2014
Answer: Implants falling down and out can be fixed Saline implants are frequently smooth and do not adhere well to tissue. The chest is curved and so a smooth implant moves with gravity out and down. By tightening the pocket and changing the implant to textured gel implants will remedy your concern. Many women in my practice travel to see us because we specialize in revision implant work. Seek a BCPS that specializes in breast surgery as we do.
Helpful
September 29, 2014
Answer: Implant movement Thank you for your pictures. I think your presentation for almost an actual form and shape of your breast prior to surgery. As far as your breast falling toward your armpits, that's going to be what they do because they are fuller than your natural breasts so they will enhance on your armpits. In order not to have that volume you probably would need to have smaller implants and a lift.
Helpful
September 29, 2014
Answer: Implant movement Thank you for your pictures. I think your presentation for almost an actual form and shape of your breast prior to surgery. As far as your breast falling toward your armpits, that's going to be what they do because they are fuller than your natural breasts so they will enhance on your armpits. In order not to have that volume you probably would need to have smaller implants and a lift.
Helpful
September 29, 2014
Answer: Breast Implants lower and further apart The answer depends on what you want and what you will accept. Your nipple location is asymmetric (as it was preoperatively) and if you want to fix this you will need to move one of the nipples to match the other. If you don't want to fix this you will not need to move the nipples. The inframammary creases of your breasts have descended the same distance which has magnified your preoperative nipple asymmetry. Additionally, the lateral creases of your breasts have migrated laterally. Ideally you will need a crescent of tissue removed from the right inframammary crease, the right nipple lowered with another around the nipple incision and material such as ADM or Seri placed laterally in the breast cavity to push your implants more towards the center.
Helpful 1 person found this helpful
September 29, 2014
Answer: Breast Implants lower and further apart The answer depends on what you want and what you will accept. Your nipple location is asymmetric (as it was preoperatively) and if you want to fix this you will need to move one of the nipples to match the other. If you don't want to fix this you will not need to move the nipples. The inframammary creases of your breasts have descended the same distance which has magnified your preoperative nipple asymmetry. Additionally, the lateral creases of your breasts have migrated laterally. Ideally you will need a crescent of tissue removed from the right inframammary crease, the right nipple lowered with another around the nipple incision and material such as ADM or Seri placed laterally in the breast cavity to push your implants more towards the center.
Helpful 1 person found this helpful
