Tear-drop Implant Keeps Flipping Sideways?

After preventative mastecomies and DIEP reconstruction, one side failed and I now have an implant there. This tear-drop coehisve gel implant keeps flipping sideways so the fat part is on the inside and it looks funny and doesn't match the DIEP side at all. PS has put an implant under the DIEP side to try and match it and changed the implant twice with textured implants to stop flipping. It keeps doing it. I wear the strap for 2 months after each surgery. What can be done? I want matching breasts

Doctor Answers 8

Problems with implant flipping in position

The tear dropped shaped implants are textured and usually the texturing keeps the implant in place.  If the pocket for the implant is too wide and you have not developed a cohesion between the implant and the capsule then the implant position can change.  May consider either using round implants or a procedure to narrow the implant pocket.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Teardrop implant rotating within the breast

This is certainly one of the problems with the anatomical teardrop shaped implant.  Your surgeon may be able to revise the pocket with an acelullar dermal matrix so that the pocket perfectly matches the implant.  You could swithc to a round implant, but the upper pole of the breast may appear more hollow.

Dennis Dass, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 161 reviews

Flipping Tear Drop Implants

   If the flipping has continued, switch to a round is not an unreasonable compromise to prevent continued surgery.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Tear-drop Implant Keeps Flipping after Breast Reconstruction

I agree. You have really tried, with two attempts with a tear-drop shape. You can try again, closing off the pocket, but the tear-drop implant likes a fresh tissue interface to integrate with its textured surface and make it stick in place.

At this point, it might be best to go to round implants, match the sides for volume, adjust the skin on the DIEP side if indicated,  and try to get symmetry that way.

Robert M. Lowen, MD
Mountain View Plastic Surgeon
5.0 out of 5 stars 48 reviews

Tear-drop Implant Keeps Flipping Sideways?

After all the revisions, I would recommend switching out to a round gel implants. Sorry for your problems.  Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Tear-drop Implant Keeps Flipping Sideways?

Tear drop implants do have a tendency to flip or rotate

The pocket around the implant can be made smaller and re-inforced with mesh or the implant can be replaced with a smooth round silicone gel implant

Hilton Becker, MD
Boca Raton Plastic Surgeon
4.6 out of 5 stars 15 reviews

Tear drop implants

Hi, the pocket needs to be made smaller or switch the implant to a round one.

Shaped implants can flip.  

Michael A. Fiorillo, MD
New York Plastic Surgeon
4.8 out of 5 stars 94 reviews

Flipping implants

This is the main reason why I do not like tear drop shaped implants. I can not control the flipping and it can happen although not common. The only way to treat it, is by surgically removing it and exchanging it for a different shaped implant ( preferably round)

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.