Breast Implants Move to the Side when Lying Down

Implants are held in position by the scar capsule that naturally forms around anything palced in the body. Larger implants will tend to stretch the scar pocket as it forms and one manifestation of that is when the implants slide laterally. Another one is bottoming out. Although sometimes repairing the capsule with internal stitches is successful, often the capsule needs reinforcement. Strattice is a very good option for that - info here: www.renewingyou.com.

This is a common problem that internal sutures can improve (capsulorrhaphy).  These internal sutures assist in centering the breast implants when standing and especially when lying down.  The use of permanent sutures are placed in the capsule to basically make a new pocket for better placement of the breast implants.  Post operative care is very important for this procedure as you need keep your elbows by your side and limit lifting for at least 3 months.   If you start activity too soon, this could cause the repair to be damaged and your implants will return to their original position.  Find someone who has experience with capsulorrhaphy and can show you many examples of his / her work. 

One of the most common concerns following breast augmentation is capsular contracture and hardening of the implants. Every once in a while the opposite problem occurs and the capsule is too loose allowing the implants to slide to the sides when lying down. Occasionally the use of a textured implants lowers this tendency but the trade off is a higher rupture rate. Alternatively a capsulorrhapy may help in combination  with nightly wearing of an underwire bra to hold the implants in place.