Have my implants bowed out? (Photo)

Question

I had a lift and inplants 9 months ago. I just want to know if they look right or have it bowed out?

Semih Yildiz, MD, FEBOPRAS · Answer

I reviewed both photos. There appears to be some breast asymmetry and a somewhat wide/lateral implant position, but photos alone cannot confirm whether the implants have actually displaced, whether this is your natural chest shape, or whether the pockets have stretched after surgery. At 9 months, most swelling has settled, so if you feel the implants are drifting outward, this is worth an in-person exam with your surgeon.

The key is to compare your current appearance with your early post-op photos and to examine the implant pockets while you are standing and lying down. True lateral displacement can sometimes show as excessive movement of the implant toward the armpit, a widened cleavage gap, or a breast mound that sits off the planned footprint. Mild asymmetry, however, is very common after a lift with implants.

If the pockets are stable and you like the shape, observation and supportive bras may be enough. If there is clear pocket stretching or bothersome implant malposition, revision options can include internal pocket tightening, capsulorrhaphy, implant exchange, or additional soft-tissue support depending on your exam.

Jose A. Munoz, MD · Answer

Hi and welcome to our forum!From your photos, I note minimal breast size asymmetry. The nipple areolar complexes reside slightly high on the breast mounds. The transverse scars in the fold beneath the breasts appear somewhat reddened and reside slightly above the fold on the breast undersurface.If you find that you are limited in clothing choices or if you feel your appearance to be unsatisfactory, you may be a candidate for revisional surgery. 15% of cosmetic surgeries can be improved with revision.Revisit your plastic surgeon for evaluation and discussion.Best wishes...

Wess Cohen, MD · Answer

Thank you for your question. If you are happy with how your breast look, then I don’t see any reason based on those pictures for concern. I would note however that your nipples are slightly high on your breasts. This can be secondary to your implants dropping and causing the nipples to face upwards.

Daniel Barrett, MD · Answer

Dear Nicolelouw777,
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

Connie Hiers, MD, FACS · Answer

You have slightly bottomed out or dropped from your first photos, but still look good. do wear underwire bras, and when you exercise, wear a good fitting sports bra that holds the girls well in place.

Have my implants bowed out? (Photo)

Answers (5)

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