Implant displacement, bad implant placement or will it get better with time? Help please. (Photo)
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Doctor Answers 10
Breast Implant Placement
Your muscle is tight and pushing your implant back against the chest wall. Since the pectoralis muscle crosses your chest obliquely this force is pushing the implant outward. As the muscle softens around the implant over the next few months that will improve.
You still have swelling over your breast bone which makes the space between your implants look wider than it will when the swelling is gone. Your surgeon is right in explaining that the implants can only be placed as far toward the muscle attachment to the breast bone allows. The only way to avoid this is to place the implants over the muscle or detach the muscle from the sternum which is never a good idea. It can lead to visible rippling and very distorted looking breasts when the muscle is flexed (worse that what you may already see). Exercises like push ups that tighten the pectoralis muscles are particularly bad in the early stages because of the extreme force that applies to the implant. Once the capsule is fully mature that won't be the case. When you are lying on your back gravity is added to the push the muscle exerts on the implant pulling your implants outward, especially smooth implants which do not grip the chest wall like textured ones do. I encourage my patients to hug their implants toward the center of the chest and to sleep on their side as soon as they can to stretch the muscle as quickly as possible.
The implant should ideally be centered behind your nipple or the nipple will either be on the inner or outer curve of the breast. If you chose an implant that is wider than your breast and you have a narrow chest it may not have been possible to center the implant because of the muscle attachment and there will be more volume on the sides.
It is possible that your implants are malpositioned, but that determination can't be made for 4-6 months after surgery. Chances are that many of these issues will resolve with waiting. If not, a capsulorraphy may be necessary, but not a larger implant. That would make the problem worse. Your surgeon wants you to be happy and I am sure he will make every effort to make you so, but you have to give the healing process time to settle out. Just be patient.
It is typical of submuscular implants
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Displacement or Bad Implant 6 Weeks Following Op
It's difficult to determine your possible situation with the photos provided and without an in-person exam.
During breast implant surgery a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. At times, the implants can move towards the patient’s armpit.
Treatment will generally require closing the space with a procedure called a #capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is closed with sutures and at times Acellular Dermis Matrix (#ADM) or other soft tissue substitutes would be used to further support this correction. However, it is still early into your healing and it can be up to one year see your final result which is why it's best to wait 6 to 12 months depending on the reason for #revision. Matters such as sagging or drooping and size change will not improve with time. You must have patience, but if there are any causes of concern, ask questions of the doctor or the nursing staff.
6 weeks post op
On the one hand, at 6 weeks post op your breasts will still soften and settle into place more over the next few months. However, the only way to truly assess if you have a placement problem right now is in person with your Plastic Surgeon. I recommend that you contact them and ask to be seen in person.
All the best
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.