Are my implants falling too far to the side? (photos)

Question

When I lay flat there is a clear demarcation between my breast bone and the implant. When standing it almost looks as if one side of the implant is flat on the inside, making a “D” shape.

Amy T. Bandy, DO, FACS · Answer

Thank you for your question and the photos!  It would appear that you do need a revision and some capsule work would need to be done.  Please be sure that you consult with a board certified plastic surgeon for your revision!

Farbod Esmailian, MD · Answer

Thanks for the photos.  It does appear that your implants are shifting laterally and the demarcation is likley is the transition of where you muscle ends and starts.I would recommend you see your plastic surgeon or find a plastic surgeon that is board certified to discuss your surgical options.

Daniel Barrett, MD · Answer

Dear Keeks19,I get this problem all of the time.  Typically, its from women who went with high profile implants.  This is a problem because while they project more, they are narrow at the base and can have widening effect on cleavage.  The second most common problem is incomplete release of the pectoralis muscle medially. Many surgeons don't take the time to make this right.  If you're not happy with your results I would suggest you to discuss it with your plastic surgeon. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

and a capsulorrhaphy is needed to correct this.   I prefer to avoid the artificial materials out there but this procedure requires that you wear a bra 24/7 for 6-8 weeks post-op.  Its still unpredictable and recurrences can occur.  If having to go back (round 3), use of ADM's and scaffolding would then be done.

Marta Wilczynska, MD · Answer

The flatness is normal when you lay down as the implants would naturally fall to the armpit sides.It seems you do not have enough breast tissue which explains why the ridges of your implants are visible. The dimple that is clearly visible in your stand up position is due to your surgeon not cutting enough muscle. I would recommend you have a consultation with your surgeon regarding revision and also choose a wider implant next time.

Vasdev Rai, MD · Answer

Your observation is correct. Your breast implant pockets have over stretched. You will need revision of your breast implant pockets to fix this issue.

Jamie Moenster, DO · Answer

Thank you for your photos and question.  This can happen when patients have a wider breast bone and are thin. Some ways to fix it are to choose a wider based implant, release the cleavage edge of the capsule and release a little more of the pec muscle.  I recommend you see your PS or a PS with experience with breast revision. Best Wishes!

Arian Mowlavi, MD, FACS (license on probation) · Answer

What you are observing is called pocket lateralization; this occurs if you don't wear a bra at nights since your implants will fall laterally due to gravity or if you turn on your stomach, you will literally push them out. Correction requires lateral stitching of your pocket called capsulorrhaphy. Please make a skype or facetime consultation with a breast specialist to get more details.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem and I would see my surgeon or other expert in the area and have the problem corrected with a pocket revision if it is bothering you Dr Corbin

Are my implants falling too far to the side? (photos)

Answers (9)

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