Breast implant malposition is a possible complication that can occur after breast augmentation surgery. It involves the displacement of the breast implants from their original, intended position. Malposition not only affects the aesthetic results of the surgery but can also cause pain and emotional distress. In this article from Executive Plastic Surgery, it’s essential for anyone considering breast augmentation or dealing with post-surgery complications to understand the potential causes of breast implant malposition.
Types of Breast Implant Malposition:
- Inferior Malposition: The implant drops too low on the chest wall.
- Lateral Malposition: The implant shifts too far to the side.
- Medial Malposition: The implant moves too close to the center of the chest.
- Superior Malposition: The implant is positioned too high on the chest.
Each type of malposition has distinct causes, though there are common factors that contribute to all forms of implant displacement.
Surgical Technique
The surgical technique used during breast augmentation plays a significant role in preventing or contributing to malposition. Inadequate creation of the implant pocket, where the implant is placed, is a primary factor. If the pocket is too large or not symmetrically created, the implant has more room to move, increasing the risk of displacement. Furthermore, improper placement of the implant relative to the breast tissue and muscle can lead to poor outcomes.
Size and Weight of the Implants
The size and weight of the breast implants are critical factors for malposition. Larger and heavier implants exert more pressure on the surrounding tissues, which can lead to stretching and eventual displacement. This is especially true if the patient’s natural breast tissue and skin are not sufficient to support the implant’s size. Over time, the excess weight can cause the implants to shift downward (inferior malposition) or sideways (lateral malposition).
Capsular Contracture
Capsular contracture is a condition in which the scar tissue that naturally forms around the implant tightens and hardens. This can distort the implant’s shape and displace it from its original position. The severity of capsular contracture can vary, but in significant cases, it requires surgical intervention to correct the malposition and alleviate discomfort.
Patient’s Anatomy
A patient’s unique anatomical characteristics influence the likelihood of implant malposition. Factors such as the elasticity and thickness of the skin, the quality of the breast tissue, and the positioning of the chest muscles all play a role. Patients with thinner skin or less breast tissue are more prone to experiencing malposition, as there is less natural support for the implants.
Post-Surgical Care and Activities
The post-surgical care regimen and the patient’s activities following breast augmentation surgery are crucial in ensuring proper healing and implant positioning. Strenuous activities or heavy lifting too soon after surgery can disrupt the healing process and cause the implants to shift. Patients must adhere strictly to their surgeon’s guidelines for post-operative care, including wearing supportive garments and avoiding certain physical activities.
Implant Type and Surface
The type of implant and its surface texture can increase the risk of malposition. Smooth implants are more prone to shifting compared to textured implants, which adhere better to the tissues. However, textured implants come with their own set of risks, including a rare form of lymphoma, which is why Dr. Khan advises against their use. In fact, Dr. Khan strongly advises against the use of implants in general because the risks are often too great to make them worth it.
Breast implant malposition is a multifaceted issue that can be caused by numerous factors, such as surgical techniques, implant characteristics, patient anatomy, and post-operative care. If you suspect you have implant malposition, consulting with a specialist at Executive Plastic Surgery like Dr. Shaher Khan can help you explore corrective options and achieve the best possible outcome.
