38 year old, 130lbs, 5'6", augmentation 8 months ago & dent next to sternum? (Photos)

Dear JAC856,
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

Your breasts are wider than your chest wall. 485 cc implants weigh over 1 lb each, they will continue to stretch your skin envelope and will descend inferior and laterally. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Your implants have stretched and thinned your own tissue from the weight and have left an empty space near your sternum. It would be best to decrease the size of your implants and tighten the inferior and lateral pockets. A fat transfer to the thin area could also be tried. I would suggest placing the implants behind the muscle for better coverage in this area.

Pre-operative photos would aid in accurate answers.
It appears the depression may be from where your pectoralis muscle (chest muscle) inserts into the rib (a normal anatomical variant)
A revision may be able to release the band or it may not be fixable without a fat transfer to the depression.
Best wishes
Dr. Taranow

Dear Jac,
Breast augmentation although considered a "routine" operation these days with nearly 400,000 being performed in the US annually, is still surgery. Every surgery, no matter how routine, has risks and complications associated with it. Some of the risks are well known, more common and are discussed before surgery. Some of the risks are highly uncommon and unpredictable, not falling under the category of pre-operative discussion. It appears that your "dent" may be a disinsertion of your pectoral muscle exposing your ribs/sternum, assuming your implants are under the muscle. Sometimes minor chest wall deformities, like "dents" are present before surgery and become more visible after. An examination and review of your pre-operative photos coupled with the knowledge of the actual intraoperative events of your surgery will help your surgeon determine which factors are in play here. As outside observers without that critical knowledge, we do not have the information to give a definitive answer. See your surgeon. Good luck!