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

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!

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!

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.

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

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.

Your implants are way too high and I feel that they may be too large for you as well.
You should at least have a revision to lower them. I'm curious which side has the larger implant. If it's the larger side, then you may want to consider a 400 cc replacement as well.
Dr. Taranow

Your implants are too large for your frame and are sitting somewhat high. You might also have a capsule making it sit somewhat high. I would suggest going smaller than fits your frame better.