My implants shift to the side, making it painful to sleep on my back. Do my issues seem correct and of concern? (photo)
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Doctor Answers 14
Lateral displacement of implant
My implants shift to the side, making it painful to sleep on my back. Do my issues seem correct and of concern?
Thank you for the question and pictures.
Although it is not possible to give you precise advice without direct examination and a full communication of your goals, it is likely that you will be a good candidate for revisionary surgery.
Generally, lateral breast implant displacement (and bottoming out) can be corrected using an internal suture technique, decreasing the size of the pockets and moving the implants toward the midline. In my practice, this repair is done with a 2 layer suture technique. The use of acellular dermal matrix is an option ( although not usually necessary) especially if significant implant rippling/palpability is present.
I hope this (and the attached link, dedicated to revisionary breast surgery concerns) helps.
Implants shift to the side
Although surgical correction would involve making the capsule smaller, this is not simple or straightforward and there is one other solution that has worked in my experience that I don't see in the responses here.
Normally I am concerned with putting in breast implants that are too wide for the base of the breast and stretch or distort it. In this case the width/diameter of the implant may be fine but the capsule has stretched. If you don't mind going larger you can change your round, smooth surface implants for ones with a wider diameter (with or without changing the forward volume/profile). This can be done easily and doesn't involve doing anything to the capsule. The new implant should fit the width of the capsule better and not fall to the side as much. It may not change symptoms but again I don't usually see symptoms caused by implants falling to the side. In my experience it also doesn't cause the capsule to stretch further as it was not disturbed with the simple exchange for a wider implant.
Obviously you need an exam and a plastic surgeon who is experienced with implant changes and dimensions before confirming that this is a reasonable option for you.
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Best to see a surgeon who is familiar with implant revision surgery.
About Breast Implant Displacement
During breast implant surgery a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. At times, the implants can move towards the patient’s armpit.
Treatment will generally require closing the space with a procedure called a #capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is closed with sutures and at times Acellular Dermis Matrix (#ADM) or other soft tissue substitutes would be used to further support this correction.
However, it is best to consult with your Plastic Surgeon to better determine with an in-person exam.
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Implant space revision would be beneficial
correction of this is achieved by securely closing off the sides, and then wearing a protective garment to keep the repair from breaking apart during the initial 6 week healing period. It will be crucial that you avoid any physical activity that can damage the repair.