Why does my under the muscle silicone breast implant stick out this way? (photos)

Question

9 month post op, breast augmentation with sicilone HP 400 cc left, 475 cc right, under the muscle. 5’2, 120 lbs. Why does my left breast take on this irregular slope, and stick out like a bump from certain views? It makes my breast look like a triangle / cone, especially with soft nipples. Back story: had mild tuberous aplasia, BF transfer, infection which gave me an asymmetry, got implants. Considering to exchange them with much smaller ones. Should anything else be done? Thx

Fernando Ovalle Jr., MD · Answer

Hello, in my opinion there could there several reasons given your more complex operative history. However, one common reason is the implant "flipped" inside of the pocket. Instead of the round part facing forward, the flat part is now facing forward. Ultimately, I would advise a physical exam and potentially an ultrasound by a board certified plastic surgeon who will be able to come up with a plan to help you!

Gianfranco Frojo, MD · Answer

The history of tuberous breast is the likely underlying problem. If the constricting ring of fascia (that is part of tuberous breast) is not adequately released, it will persistent and prevent the implant from sitting correctly in the pocket. You may require a revision surgery to release those bands of fascia. I would recommend seeing a board-certified or board-eligible plastic surgeon with aesthetic surgery training and experience to tackle this type of problem in a safe and efficient manner. Best of luck!

Camille Cash, MD · Answer

From your photos it appears your implants are too large and are sitting too high currently.  A revision with smaller implants and potentially a lower profile should give you a more natural appearance.  See a board certified plastic surgeon near you for a consultation.

Leopoldo Baccaro, MD · Answer

From the pictures and your description it’d appear you need a revision. The implant size seems to be quite asymmetric. You also have a waterfall deformity, which is when the breast tissue sits below the level of the implant. This may be due to the tuberous breast, or that the implants have not descended to the correct position, or both.

I’d agreed that smaller implants would help. You also would need a release of the lower portion of your pocket, or even potentially a breast lift.

Be sure to visit with your plastic surgeon for an in-person exam to get a better idea of your options.

Hope this helps. Best wishes.

Daniel Barrett, MD · Answer

Dear Montreal21,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a 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

Why does my under the muscle silicone breast implant stick out this way? (photos)

Answers (7)

Answer: Breast asymmetry

Answer: Breast asymmetry

Answer: BA results

Answer: BA results

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Why does my under the muscle silicone breast implant stick out this way? (photos)

Answers (7)

Answer: Breast asymmetry

Answer: Breast asymmetry

Answer: BA results

Answer: BA results

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.