Implant malposition
Implant malposition refers to any condition that exists when the implant is not in its proper position relative to the breast. This change in the appearance of the breast may be obvious or subtle. Most women don’t notice changes over time because it happens slowly. For a trained eye like mine, it’s very obvious.
Most implants will have a tendency to move down and to the side under a woman’s arms because of gravity. Some implants that haven’t settled or “dropped” appear high relative to the breast. “Bottoming out” is an extreme example of malposition when an implant falls down on the chest. “Symmastia” is a form of implant malposition where the implants move toward the middle of the chest, touch and even appear more like one breast. Implant contracture is a different type of complication that can often cause implant malposition.
Treatment options involve modifications to the implant, implant pocket or the breast. A combination of procedures may be needed to adequately treat the problem. The most common and simplest treatment is an adjustment in the capsule around the implant so that the implant is secured in a more ideal position.
The best way to avoid implant malposition is appropriate surgery and implant selection, and the use of a supportive bra after surgery to help maintain the best position of your implants.
