Is my implant displaced? Should this be revised? (Photos)

Dear Princessy9685,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Transaxillary approach often results in implants dissecting inferiorly and laterally, which appears to be what happened in your case. Most physicians have stopped using this approach for that reason. I recommend you undergo re-implantation with an inframammary approach to reposition the implants more medial. You will also need the pockets repaired inferiorly and laterally to correct the displacement.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. I have been in practice for over 30 years and revision breast surgery is a large portion of my practice. Your native anatomy is slightly spread with less volume centrally. Transaxillary breast augmentation is notorious for less than optimal correction of the central portion of the breast. Oftentimes, when you place an implant, you are just augmenting your normal tissues. In your case, you do have a wide appearing breast with less than desired cleavage. Now that you have implants, you can use the capsule to suture the implants closer together. This technique is called capsulorrhaphy or internal bra. You are an excellent candidate for this. I wrote the original paper on this in 1999. You should be able have an excellent result. Best wishes To you.

You have a very nice result compared to your pre op photos.

Space between your breasts anatomy cannot be changed, but is improved.

In my opinion, revision is not indicated.

Close follow up with your plastic surgeon is recommended.

From the photos it does not seem that your implant is obviously displaced. The implants seem to have settled behind each nipple. You will have some natural movement of the implant as you move. Visit with your surgeon for an evaluation if you continue to be concerned.

Please resubmit your photos with a frontal view and arms by your sides and standing straight, plus side views.

Often the armpit approach to breast augmentation results in the implants falling back into the armpit (lateral displacement). This is why many surgeons choose not to use this technique. I would recommend seeing your plastic surgeon or getting a second opinion by a surgeon who uses an IMF (inferior mammary fold) approach.Hope this helps!
Eric W Anderson, MD