3mo post mastopexy & implant exchange- lots up and out movement with activities and fall to side supine. (photos)
Doctor Answers 6
3 months postop
It is best to discuss your options in person, especially when you are discussion a movement related issue.
3mo post mastopexy & implant exchange- lots up and out movement with activities and fall to side supine.
Breast implant and mastopexy, breast revision surgery
I understand the situation you are describing. Under the muscle implants for active women may be a problem as you describe unfortunately. The lateral fall out when lying down etc has to do with a wide pocket generally speaking. In such cases, the usual approaches are to do capsulorraphy, a neopocket that is more medial and really limit lateral dissection, do a capsulectomy and make the pocket smaller and in some cases also use alloderm. Such decisions can only be made with a proper consultation. You may also need to downsize the implant in some cases.
Usually working out is fine, but I generally recommend that most patients who have had breast surgery, especially submuscular augmentation, avoid any chest exercises that activate the pectoralis (chest) muscles. I try and explain to them that there really is no need to work those muscles as it doesn't really serve any measurable purpose. You can certainly work out the rest of your body etc.
The pain with the underwire bra, may imporve with time.
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Breast Lift with Implants
I am sorry you are having some issues. Hard to say without seeing you moving, but it sounds like you have an "animation" issue with the implant under the muscle. You look great to my eye lying down, and not too far out to the sides, but would be best to compare to preop. I do not see a dent on the insides of your breasts lying down, so that is good, also. From the side you have some irregularities, but give it all a few more months for that. Some surgeons swear by Alloderm or the like, and others say they never use it, and it is unnecessary. I would return to your surgeon and talk all this through. Then come up with a future plan, and no harm in seeking other opinions. I wish you all the best, "Dr. Joe"
Breast Implant motion 3 months after breast lift with augmentation
However because your implants were placed under the muscle you are experiencing motion of the implant caused by muscle contraction when you place your hand on your hip. As your breast implants drop further this may become less noticeable. It is also not unusual that the breast implants are more widespread when the implants are placed beneath the chest muscle.
The visible depression or contour that you notice on the right breast may be the attachment between the chest muscle and the overlying breast tissue and skin. If this persists fat injection might help.
Another option if these difficulties persist after a few more months might be placing AlloDerm beneath your breast over the pectoralis muscle if muscle adherence is the problem diagnosed by your plastic surgeon.
Please follow-up with your plastic surgeon and express your concerns. For more information on combining breast augmentation with breast lift please read the following link:
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.