My implants go flat and fall into my armpits, leaving loose skin. What can be done? (Photos)

Dear New Yorker,    Thanks for submitting your pictures.   From observing your pictures, the following is noticed:  1. Left breast bigger.  2. Implants are displaced laterally (under the arms pit).  3. Wide cleavage.  4. Level 2 ptosis.  5. large areolas.  6. Flat upper chest. To correct the above mentioned findings, the followings will have to be done:  1. Adjust implants size for symmetry.  2. Lateral capsulorrhaphy (internal bra) , to reduce the lateral fullness of the breasts and narrow the pockets size, moving the implants medially, which will give you a nice cleavage and fullness of the upper poles.  3. Medial capsulotomy (scar release) for creation of nice cleavage.  4 + 5. Mini lift (donut). Will give you perky breasts, tighter and more youthful skin  with smaller and more attractive areolas.  6. The previous maneuvers plus larger implants.  You have to realize that not all results are the same(as you'v already experienced) , because experience , skills and aesthetic eye are critical for good outcome.   So, do your due diligence carefully and choose wisely.   Always, consult with experienced board certified plastic surgeons , who do lots of redo breasts augmentation in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery. to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Check also the reviews on 'Realself' for rating and positive experience reports.                               Best of luck,                                                  Dr Widder

Some breast and implant movement is more natural. If they are not the way you wanted, follow up and discuss with your plastic surgeon.

Thank you for your question and photographs and I am sorry that your results have not been what you anticipated.  Based on your narrative you are likely experiencing a combination of implant malposition and breast ptosis, or sagging.  Though nothing replaces an in-person examination you would likely need a revision procedure to narrow your implant pocket while having a more powerful lift to remove the extra breast skin and elevate your nipple into a more youthful position.  Hope this helps.

The breasts may lose their
elasticity and firmness which can be caused by different factors such as
pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts
and restore the natural look your surgeon can perform a mastopexy or breast
lift. A breast lift restores a firmer, perkier, and more
aesthetically pleasing shape to sagging breasts. This not only can improve
a patient’s appearance by restoring her youthful, feminine proportions,
but also help bras and swimsuits fit more comfortably and attractively. By
removing excess, stretched out skin, reshaping the breast tissue, and raising
the nipple & areola into a more forward position, a cosmetic surgeon can create
a more youthful breast contour. Stretched, large areolae can also be
reduced during breast lift surgery, creating an overall better proportioned,
natural looking breast, Actually the perkiness on a person or another, depends
on patients skin and breast tissue for the first 3 to 4
months! 

Thank you for posting your photos with your interesting question. Judging from your post operative photographs and surgical history, it appears that you have high riding implants that are displaced laterally. This can be corrected using a peri-areaolar approach. The scar tissue in the lower breast pocket, as well as the lower and inner fibers of the pectorals major muscle, must be released to allow the breast implant to settle inferiorly. The lateral or outer pocket can be sutured to prevent the implant falling into the arm pit and going flat. You will have to discuss the new size of the breast implants required for the implant exchange. A peri-areolar or doughnut mastopexy will remove the loose skin and can help move the areola higher and more medially. I recommend that you return to your Board Certified Plastic Surgeon to discuss your concerns and they will help you. Best wishes, Dr. Richard Swift

An in person exam ins critical.  Your implants on the right photo do not look laterally displaced.  You have some flexion issues and skin issues that need to be evaluated during exam. Best of luck.

 I am sorry to hear about your concerns after breast augmentation/lifting surgery. Although some “falling to these sides” of breast implants is quite normal when you lie down, if this occurs “excessively”, it may be a concern to patients. This phenomenon is called lateral displacement of the breast implant; it may be of concern from the visual and the discomfort standpoints. Surgical correction  of the breast implant displacement is an option.  In your case, additional breast lifting may also be indicated.
Generally, the lateral breast implant displacement can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline. In my practice, I use a 2 layered suture technique to close off the space laterally (towards the axilla). The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present. Also, the use of a larger/wider breast implant may help improve/decrease the space between the breast implants. 
I hope this, and the attached link (dedicated to revisionary breast surgery concerns), helps. Best wishes.

here i see that the implant is high up your breastyou have some scar contracture below within your breast capsule and so your implant will not fill your breast you need surgery to release the scar capsule to allow the implant to go down and the side near the arm pit need some sutures to close the armpit pocketgood luck

I would suggest going back to your surgeon and discussing all your concerns. The pockets could be tighten, possibly relift the breasts, remove more skin, or add a larger implant. There are several options depending upon what your surgeon finds upon examination.

You need to be seen in person to know why you are having these problems -- the implants are moving and the skin is wrinkling -- perhaps larger implants or a minor revision of the lift is needed.