6 mos.ago, I had 371cc silicone implants placed. Now my implants seem to be widely spaced-the right more so than the left. My surgeon has told me that he can remove the implants, put stitches into the lateral sides of the pockets to move them closer together and reinsert them. He said he would also like to move my right nipple upward to align with the left side (although I'm really not interested in that). I would like to have more cleavage-should I have this done? How long to heal?
Answer: Do not move your implants toward the midline
In this case, do not move your implants toward the midline. Although it is possible to move an implant to the left or right by suturing the implant pocket, implants should be centered underneath the breast mound and nipple-areolar complex. If you move your current implants too far medially in order to achieve more cleavage, you will be creating implant malposition. You may be a candidate for a wider based implant to help fill in the medial breast tissue.
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Answer: Do not move your implants toward the midline
In this case, do not move your implants toward the midline. Although it is possible to move an implant to the left or right by suturing the implant pocket, implants should be centered underneath the breast mound and nipple-areolar complex. If you move your current implants too far medially in order to achieve more cleavage, you will be creating implant malposition. You may be a candidate for a wider based implant to help fill in the medial breast tissue.
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Answer: Revision Hi, for your guidance, over time, the implants may shift in any direction causing the need for a revision. In rare cases, a “bottoming out” effect occurs, in which, the implant sinks too low in the chest wall causing the nipple to appear to point upward or be position too high. Generally speaking, if the implant is larger (i.e. heavier) and if a bra is not used regularly during wake time hours there is a greater change toward displacement.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. Best of luck! #RealSelf100
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Answer: Revision Hi, for your guidance, over time, the implants may shift in any direction causing the need for a revision. In rare cases, a “bottoming out” effect occurs, in which, the implant sinks too low in the chest wall causing the nipple to appear to point upward or be position too high. Generally speaking, if the implant is larger (i.e. heavier) and if a bra is not used regularly during wake time hours there is a greater change toward displacement.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. Best of luck! #RealSelf100
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August 9, 2014
Answer: Evening Out the Girls
It would be nice to see a before photo because you may naturally have wide set breasts. If this is the case then moving them closer may not be possible. If the your breasts were closer and now have migrated outward then surgery would be helpful.
Dr. ES
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August 9, 2014
Answer: Evening Out the Girls
It would be nice to see a before photo because you may naturally have wide set breasts. If this is the case then moving them closer may not be possible. If the your breasts were closer and now have migrated outward then surgery would be helpful.
Dr. ES
Helpful 1 person found this helpful
December 7, 2011
Answer: Breast Implant Malposition?
Thank you for the question and pictures.
One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
if you feel that the breasts sit too far laterally ( and drift off to the side when you lie down) you may be a good candidate for lateral capsulorrhaphy ( placement of permanent sutures along the lateral aspect of each breast implant pocket) to prevent the movement of the implants to the side.
I would suggest that you ask your surgeon to show you that he has significant experience with this procedure.
Best wishes.
Helpful
December 7, 2011
Answer: Breast Implant Malposition?
Thank you for the question and pictures.
One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
if you feel that the breasts sit too far laterally ( and drift off to the side when you lie down) you may be a good candidate for lateral capsulorrhaphy ( placement of permanent sutures along the lateral aspect of each breast implant pocket) to prevent the movement of the implants to the side.
I would suggest that you ask your surgeon to show you that he has significant experience with this procedure.
Best wishes.
Helpful
December 9, 2011
Answer: Breast Augmentation Revision For Cleavage
While your breast augmentation result may not be perfect, there are risks and potential complications from a revision just like the original procedure. Moving implants closer toward the midline is not always easy or stable after it is done so you would have to accept the aesthetic risk of a revision that might not work or be stable long-term. I would find that improving the left breast via more volume and pocket adjustment to try and match the right breast better a more prudent approach. I would not be encouraging to do a revision if the main goal is to try and improve cleavage.
Helpful
December 9, 2011
Answer: Breast Augmentation Revision For Cleavage
While your breast augmentation result may not be perfect, there are risks and potential complications from a revision just like the original procedure. Moving implants closer toward the midline is not always easy or stable after it is done so you would have to accept the aesthetic risk of a revision that might not work or be stable long-term. I would find that improving the left breast via more volume and pocket adjustment to try and match the right breast better a more prudent approach. I would not be encouraging to do a revision if the main goal is to try and improve cleavage.
Helpful