Is it Lateral Displacement or something else? (photos)

I am 6 weeks post op, saline submascular. When I compare my two pictures, one taken on post op day 6 and the other is taken at 6 weeks post op. It seems to me my left breast shifted towards my armpit. Am I experiencing Lateral displacement or it's looking like this because my left implant still has more dropping to do? Shall I be concerned and can it be fixed? Please help. Thank you

Doctor Answers 5

Something is happening

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as improvement is expected as you heal and not worsening.  Which incision was used in your procedure as armpit approaches can facilitate such movements.  Otherwise it would seem that you may be dealing with the contracture problem.  You should be discussing this with your surgeon who should be providing you any reassurances you need and letting you know what you may be looking at down the road.  Also some interventions short of surgery can still help so talk to your surgeon.


Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Is it Lateral Displacement or something else?

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It does appear that the left breast implant pocket is high and laterally placed.  In addition the implant on the right has not dropped.  If you have smooth-walled implants further dropping may be possible.  I urged you to see your plastic surgeon for an examination and consideration of a Bando in an attempt to get the implant to drop into a better position.  However you may ultimately need a revision.

Breast Deformity

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It appears that your implants have not dropped into place. If your implants are textured, then they will unfortunately stay where they are (and need revision). If they are smooth implants then there is a chance they will still drop sufficiently to look normal (providing that your surgeon completely cut the bottom of the pectoralis muscle). Your surgeon has hopefully recommended an upper pole strap to wear. Best wishes in your recovery.
Dr K 

Robert M. Kachenmeister, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast deformity

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You are demonstrating breast deformity caused by implant malposition. You will require revision of your breast pockets and I would consider a lift of your nipple complex. You basically need a breast augmentation revision to provide you aesthetically pleasing and symmetric breast mounds.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 106 reviews

Is It Lateral Displacement or Something Else

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Stretch #Deformity occurs when the breast fold is in the correct position, however, the length of the tissue between the nipple and the fold stretches. This may be due to the patient’s soft tissue inelasticity and/or the size or shape of the implant that is used. Skin laxity can change with age, pregnancy, weight changes, or heredity. 
Correction of this problem usually includes skin excision as part of a mastopexy (breast lift/reshaping). It may be necessary to use ADM to further support the breast tissue if too thin. 

Contact your plastic surgeon for an in-person #examination as soon as possible to better determine the cause. There are many possible reasons for this result. However, your surgeon would know best due to the surgical #techniques she or he applied during the procedure. Typically, it's best to wait 6  to 12 months depending on the reason for #revision.  Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

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.