I would like a second opinion, is it normal for submuscular implants to migrate with arm movement early in recovery? (Photos)

Question

I’m 4 weeks post-op. My right breast is perfectly placed by my sternum for good cleavage. But I noticed my left implant is slightly further away from my sternum, and when I lift my arms up (as if making a “T”) only the left implant moves laterally and up. Is this normal or will it go away? Did I do anything to cause this? Is it permanent? I called my surgeon’s office; they told me they will look at it at my 6 week follow up. I’m worried if I’ll have to have another surgery or something.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. You are only 4 weeks out from surgery.....relax and be patient and stop worrying. It is going to take 6-12 weeks for things to settle and until then try to resist the urge to over-analyze the results and just follow the instructions of your plastic surgeon. Good things come to those who wait.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Kenneth Hughes, MD · Answer

Hello, thank you for your question. You are a early in your recovery. It can take 3 to 6 months for the breasts to drop, soften and settle. Wait to follow up with your surgeon, he/she will give you instructions and contact your surgeon with any other concerns.

Miguel Mota, MD · Answer

Hello. Unfortunately, it is some what common. It is called animation deformity and all patients with sub-pectoral implants experience some degree of animation deformity. In most cases it is minimal and considered normal, but in some cases it can lead to asymmetry, embarrassment and discomfort. This is not as bad as it sounds, and does get much better when the implants settle. This can take anywhere from several weeks to several months so please be patient.  Special massages or straps help this process go faster. Placing the implants in a dual plane pocket may help avoid animation and making sure the sub-pectoral muscle pocket is not to tight may also help avoid this deformity. But the only way to fully avoid it is by placing implants over the muscle. Your best option right now is to wear a strap that goes around your chest and over the muscle to push the implants downward. The breast stabilizer strap basically helps the implants settle faster. This plus massaging your upper pole will help push the implants down so they are not pulled up as much when your arm moves. In turn, limiting animation deformity. Please consult your surgeon before trying any of these options.Best of luck,Dr. Miguel Mota

Daniel Barrett, MD · Answer

Dear Nice969122,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Although concerning it is common for implants to settle and heal and different rates and I would recommend allowing more time to pass before assessing any differences.  Best wishes.

I would like a second opinion, is it normal for submuscular implants to migrate with arm movement early in recovery? (Photos)

Answers (5)