My boobs go to the side when I lay and they're asymmetrical. What is causing this? (photo)

Question

Got my implants a few months ago and when I stand up they are okay but when I lay this happens and I think it is not normal. Plus one boob is bigger. I got anatomical implants above the muscle. What could be the cause for this?

Daniel Barrett, MD · Answer

Dear Khloe14109,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Gary M. Horndeski, MD · Answer

Your implants are in front of the muscle. The only thing holding up your breasts is the skin envelope. The anatomical implants are often textured to try and help them stay in position but sometimes that does not work. You will need the implants revised, probably smaller implants and suturing of the pockets laterally and inferiorly.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Brian Bassiri-Tehrani, MD · Answer

This is a good question. There are several factors that contribute to this problem known as implant mal-position. The implants are going too far off to the side and that can happen over time or immediately after surgery. Another contributing factor is the anatomy of the chest wall. Everyone's rib cage and chest wall is different, and sometimes the shape of the chest wall contributes to the way implants are situated on the chest wall, especially when you are laying on your back/supine. If your breast bone is prominent, then the implants will have a tendency to slide off to the side more when you are laying down.
To fix this, a procedure called a lateral capsulorrhaphy is done where the breast implant capsule is tightened to bring the implants more in the middle of your chest. Sometimes, a mesh can be used (off-label) to reinforce this to act as an internal bra to keep the implants in the proper position. The decision to use a mesh or not sometimes depends on your skin characteristics (ie skin quality and elasticity). Hope this helps!

Connie Hiers, MD, FACS · Answer

Your tissue has stretched and thinned and your pocket is somewhat wide from the weight of your breasts. If this bothers you, you can have your pockets tightened. You might need some internal support with a mesh or consider going down in size so this does not happen again.

My boobs go to the side when I lay and they're asymmetrical. What is causing this? (photo)

Answers (4)

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