Does it look like my implant has flipped? Will this need a revision? (Photos)

Question

My breast had been perfect even out of surgery So I’ve been pretty defeated to see one breast suddenly look so wonky It looks to me as if it has rotated or possibly flipped?

Donovan Rosas, MD · Answer

An implant flip/malrotation is a problem which may be corrected with physical manipulation. It can happen inadvertently and self correct. Surgery is not always necessary.

That being said, it can be an indicator of the need for tightening of the pocket (capsulorrhaphy) or upsize to better match pocket and implant. An implant with too much space to roam is more likely to move.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question.
Unfortunately, it is very difficult to determine whether your implant has "flipped" without a physical examination. Unfortunately,  the newer, highly cohesive implants with greater fill volumes tend to lead to a fairly noticeable change in breast shape when flipped. The anterior surface of the breast appears flatter  and less projected, particularly if the implants are above the muscle. My suggestion would be to see your plastic surgeon for an examination to determine the cause of the change  and what the next steps should be. Good luck. I hope this helps.

Ira H. Rex III, MD · Answer

It is very difficult to know exactly what is going on without doing a good exam.  It would be good for you to see your plastic surgeon and get their opinion.  There are a number of reasons why shape changes occur, and 1 of the more common ones is capsular contracture.  This is diagnosed mostly by examination.

Chet Mays, MD · Answer

Thank you for your inquiry!  Implants can sometimes change positions.  I would reach out to the surgeon for advice. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Daniel Barrett, MD · Answer

Dear Thrifty880001,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

David C. Yao, MD, FACS · Answer

Hello- sorry to hear you feel defeated but your implants might not be flipped. If it has however it should be able to flip back. A mild difference could also be from asymmetrical swelling changes. Be patient & check with your plastic surgeon. It can still improve with time! Best wishes!

Connie Hiers, MD, FACS · Answer

Your implant may have flipped or you may have developed a capsule. Please go visit with a plastic surgeon and be examined. Take your breast implant information with you.

Camille Cash, MD · Answer

It's difficult to determine without an examination if your implant has flipped or if there is something else causing the contour changes.  Visit with your surgeon who can advise you after an evaluation.  If it has flipped it may be able to be repositioned.

Mark Eberbach, MD · Answer

You asked a question about your implant and whether it had flipped. It does appear to have flipped over. That can usually be repositioned in the office without any surgery. Good luck.

Does it look like my implant has flipped? Will this need a revision? (Photos)

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