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

Question

I had a trans auxiliary breast argumentation done on August 2023 about six months ago. I was very happy with the results but within the last 2 to 3 months, I’ve noticed my implants dropping more and I have right shoulder and neck pain that has been present since after my procedure, and has only gotten worse chronically. It seems OK but when I lift my arms, it looks horrible. I’m thinking I should get an internal bra? I believe it’s 425 cc medium profile.

Paul E. Chasan, MD, FACS · Answer

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

Gary M. Horndeski, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Connie Hiers, MD, FACS · Answer

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.

Hilton Becker, MD · Answer

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 ,

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

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Answer: Implants

Answer: Implants

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

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

Answers (6)

Answer: Implants

Answer: Implants

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

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

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.