Is this lateral displacement? Can the lateral/inferior/medial border be secured w/ perm stitching? (Photos)

Thank you for your question. Based on your concerns and the photos you provided, it’s important to distinguish between normal lateral implant movement and a true widening of the pocket that may require surgical correction. Implants can naturally shift slightly outward when you are lying down, particularly in cases of over-the-muscle placement, because they are not supported by the pectoral muscle. If your implants slide significantly outward when sitting or standing, or if you notice tenting in the medial skin, asymmetry, or difficulty maintaining cleavage, this may indicate an excessively expanded lateral pocket. If an in-person evaluation confirms the widening of the lateral pocket, you might need capsulorrhaphy (internal permanent sutures) or reinforced sutures or mesh, such as GalaFLEX.

Hello. Thank you for your question.
It is not uncommon to repair the capsule with absorbable sutures. However, if the capsule is particularly thin, the repair may not be durable, regardless of what type of suture is utilized. In patients with compromised soft tissue support ( thin capsule and poor skin elasticity), it is often helpful to utilize absorbable mesh to help reinforce the capsular repair. I hope this helps. Good luck.

Dear Energetic425057,
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 or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery