I got breast implants a bit more then a year ago. The implants I had are 380cc motiva ergonomix dual plane. Since tonight 3 months after my surgery not only have I had constant pain in my left breast but my left nipple is also roughly 2cm lower then my right. My nipples to point out to the sides which i understand is just how my body is. I also have a gap which I think is too big. I also have no upper fullness ... Is the pain, lower nipple and big gap normal?
February 2, 2022
Answer: BA results Dear Sammyjp1987, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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February 2, 2022
Answer: BA results Dear Sammyjp1987, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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October 3, 2022
Answer: Breast asymmetry and pain after augmentation. Thank you for sharing! Differences in nipple position frequently exist before surgery. Many surgeons take measurements to determine nipple position before your operation. To obtain clarity, you can always ask your surgeon what your preoperative measurements were. Implants alone are rarely able to correct these differences and frequently make differences in nipple position more apparent. Usually, surgically changing nipple position with a lift is necessary to achieve vertical symmetry. For context, the degree of nipple position demonstrated in your photos is very common. Some patient's choose to have asymmetry like yours corrected, many do not because it requires additional scars. The distance between your breasts is related to the technique of breast augmentation you had, the shape of your rib cage, and your tissue type. Dual plane breast augmentations place the upper aspect of the implant under the muscle. The sternal origin of the pectoralis muscle varies from person to person in terms of how medial the muscle attaches to the bone. The muscle origin must be protected so that it doesn't tear of the sternum (breast bone) and cause a window shade deformity. I always tell patients who are going to have a dual plane augmentation that I can only give them as much cleavage as the pec muscle will allow. Persons with a V-shaped chest wall (pectus carinatum) often experience lateralization of their implants. This is because the implants tend to fall to the side due to the contraction of the muscle and gravity. Persons with poor skin and/or tissue quality don't tend to support implants well which can lead to malposition. Your implant position appears to be within the normal range. Breast pain after augmentation can occur because of muscle injury, nerve injury, rib irrigation or capsular contracture, implant rupture, excessively large implants among other causes. A detailed history and physical exam is necessary to determine the cause of pain.
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October 3, 2022
Answer: Breast asymmetry and pain after augmentation. Thank you for sharing! Differences in nipple position frequently exist before surgery. Many surgeons take measurements to determine nipple position before your operation. To obtain clarity, you can always ask your surgeon what your preoperative measurements were. Implants alone are rarely able to correct these differences and frequently make differences in nipple position more apparent. Usually, surgically changing nipple position with a lift is necessary to achieve vertical symmetry. For context, the degree of nipple position demonstrated in your photos is very common. Some patient's choose to have asymmetry like yours corrected, many do not because it requires additional scars. The distance between your breasts is related to the technique of breast augmentation you had, the shape of your rib cage, and your tissue type. Dual plane breast augmentations place the upper aspect of the implant under the muscle. The sternal origin of the pectoralis muscle varies from person to person in terms of how medial the muscle attaches to the bone. The muscle origin must be protected so that it doesn't tear of the sternum (breast bone) and cause a window shade deformity. I always tell patients who are going to have a dual plane augmentation that I can only give them as much cleavage as the pec muscle will allow. Persons with a V-shaped chest wall (pectus carinatum) often experience lateralization of their implants. This is because the implants tend to fall to the side due to the contraction of the muscle and gravity. Persons with poor skin and/or tissue quality don't tend to support implants well which can lead to malposition. Your implant position appears to be within the normal range. Breast pain after augmentation can occur because of muscle injury, nerve injury, rib irrigation or capsular contracture, implant rupture, excessively large implants among other causes. A detailed history and physical exam is necessary to determine the cause of pain.
Helpful 2 people found this helpful