Should I get an internal bra to correct implants dropping and shoulder / neck pain? (photos)

Thank you for your question. A large portion of my practice is dedicated to breast surgery and revision breast surgery. I have been in practice for over 28 years. In your case, you would benefit from an internal bra procedure - capsulorrhaphy. I wrote the very first paper on capsulorrhaphy over 20 years ago. I find that many surgeons are not skilled at this procedure and have high rate of recurrence. You should be able to have an excellent result. Best wishes to you

Your implants have been displaced inferiorly and laterally by contracture of the pectoralis major muscle. You will need an open approach, not trans axillary. At that time, the pocket can be modified, elevated higher and reinforced inferiorly and laterally to push the breast implant higher. You may need a circumareola incision to reposition the nipple-areola complex more centrally. I would also recommend smaller implants or if you want the same size implants then recommend a much higher profile.

Best Wishes,

Gary Horndeski, M.D.

Dear Ihavequestionsplease,
though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

With shoulder and neck pain, you need to go down in size because the implants are too heavy for your frame. With bottoming out, you also need to go down in size because your tissue is not supporting this weight. An internal bra of mesh could be very helpful to give your tissue more support. Please discuss this with your surgeon.

It appears that your implants are under the muscle which have become detached .
This may be the cause of your shoulder pain and drooping of your implants ,

Plastic surgeons, Forrest exclusively breast, augmentation surgery typically don’t do trans axillary augmentations. the procedure is technically difficult and doesn’t give good visualization, allowing the surgeon to have good control when creating the implant pocket.
This tends to lead to an increased complication and revision rate.
Your case is a perfect example.
Since your revision surgery can’t be done through the armpit you going to end up with the same scar and now have a condition that is going to be difficult to correct.
Correcting bottom implants is technically challenging and should only be done by plastic surgeons who have proven track record with this condition.
This can be done using internal sutures, which may or may not be reinforced with the use of mesh or cadaver dermal products.
Revising your breast is unlikely to improve your neck pain.Choosing excessively large implants also increases the chance of complications, undesirable side effects, and increases the need for revisions.
I suggest having multiple in person, consultations with plastic surgeons in your community who have a proven track record with correcting bottomed out implants.
Ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have corrected this Condition for.
Ask providers to show as many long-term outcomes as possible.
Ask providers what the chance of needing a second revision is, especially what their revision policy is, when correcting this deformity.
You may want to consider consulting with plastic surgeons who do a lot of breast cancer reconstruction surgery in your community.
Look for community breast centers that treat breast cancer patients and which plastic surgeons are involved with reconstruction at these centers.
Plastic surgeons who do a lot of breast cancer reconstruction? Also do a lot of cosmetic procedures since symmetry surgery is almost always included with breast cancer reconstruction.
They tend to be very familiar with, manipulating and altering implant pockets, including the use of mesh and cadaver dermal products.
In the end, what you’re looking for is someone who is treated this condition numerous times in the past with long-term success.
Best,
Mats Hagstrom, MD