Help! Is it normal for under muscle implants to float around your chest? (Photo)

Question

I had a breast augmentation in 2001. My implants are under the muscle, saline. They never settled and float all over my chest. It's very embarrassing and uncomfortable when I lean over or lay on my back they go up to my clavicle. Could this be prevented? I need revision and a lift now but I'm afraid this will happen again.

William Andrade, MD · Answer

Hello, it is hard to distinguish your problem based on current photos alone.  Implants that appear to be too high can be due to several problems, such as hardening of the implant pocket (capsular contracture), sagging of the breasts over time, or insertion of the implants in a pocket that was too high at the time of surgery.  There is no way to guarantee that this problem will not recur but you could speak to a surgeon about the options.

Hilton Becker, MD · Answer

Sub-muscular implants  tend to ride high,ie sit high on the chestThey may settle with time, however if not ,I correct them by placing the implants in the sub-fascial position

Darryl J. Blinski, MD · Answer

Yes you have needed revision since 2001! Plus if you are obtain "free" surgery from BOTCHED TV show than what can we offer???

David Finkle, MD · Answer

In 1992 silicone breast implants were banned in the United States by the FDA because of a concern about health issues and implants breaking and leaking.  From 1992 until 2006 the only implants available were saline.  They were OK, but the silicone implants were more natural looking and feeling.In 2006, after 14 years of testing, new silicone implants were released by the FDA.  These implants had a thicker shell and the silicone was firm, not liquid, and not prone to leaking or breaking.  These implants have been on the market for 9 years and are the implant of choice for the majority of women, and yes, they are more natural feeling and looking than the saline.Based on your photos, there is some loose skin and the breasts seem to have "slid" off the breast implants.  I would recommend a remove and replace procedure.  Removing the old saline implants and replacing with new silicone implants.  Also, to address the loose skin and the wide pocket issue, switch to implants above the muscle.  This is a very frequent procedure that I perform at least twice/week.Please see a board certified plastic surgeon who performs these procedures frequently.Good Luck!

Francis (Frank) William Rieger, MD (retired) · Answer

Thanks for the question.  It would appear that your current implants are  not supported by your breast pockets  properly,and there is too much movement to the implants with the muscle movement.  It may be that your implants may also be too high  on the chest profile and the pectoralis muscle pocket may be too high to restrict the movement of the implants adequately.  This is all a guess, and only after a thorough examination by a Board Certified Plastic Surgeon( certainly you can use the advice of your operating Surgeon)You have some options available to you,but I would advise you to discuss this fully, and be sure your doctor is expert on dealing with this problem.Good luck to you.Frank Rieger M.D.  Tampa Plastic Surgeon

Help! Is it normal for under muscle implants to float around your chest? (Photo)

Answers (5)

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