When I Lay Down my Chest is Flat and Implants Fall to the Outsides - is That Normal?

Yes, this happens to many patients.... yes, it is fixable.  The procedure is called capsulorrhaphy (internal bra) when a surgeon would go in and place permanent sutures to improve the implant placement on the patient's chest wall.  Not all surgeon's do this procedure so please check the experience of the surgeon you go to.  You may be able to increase the implant size at the same time (1 surgical procedure) but without examination, it's difficult to say.  Recovery is key for this procedure as you will need to limit arm movement and lifting for a longer period of time so that the surgical repair heals.

Thank you for your question.  It is possible that overtime your breast pocket may expand allowing your implants to fall laterally.  The good news is that while it does require a procedure to correct, this lateralization of your implants is fixable!  Performing a pocket repair would most likely be necessary and involved the placement of permanent sutures to essentially create an internal bra and close the pocket where it has loosened.  This procedure will place your implants back in the correct position and prevent this 'falling' effect when laying down.  At the same time, it is possible to increase or reduce the size of a patients implants.  I would caution you from going too much bigger as you do not want to create extra stress on the newly repaired pockets, but a physical exam would be necessary to say for certain what is and is not advisable.  Please schedule a consultation with a board-certified plastic surgeon who is well-experienced in performing these pocket revision procedures.  Best of luck!

When a naturally full breasted person lays down the breasts normally move, or "drape" to the sides. However, implants should not move a great deal to the sides. A small amount of movement is fine, but you describe a significant amount of unnatural movement.Whatever the cause (and this is something that you almost certainly did NOT cause), the pocket containing the implant is far too big.This being the case, then you will need to have surgery to internally tighten your pockets so that they are less mobile and don't slide into your armpits when you lay down. This is not a major problem and any experienced plastic surgeon should be able to sort this out for you.Speak to your surgeon about your concerns so they can discuss the surgical details to you.