Why can a breast implant shift/rotate?
During the breast augmentation operation, the surgeon creates an implant pocket — the place where the implant will be inserted. These “implant houses” are created over or under the large chest muscle based on the anatomy of each patient and the size of the implant. The first stable scar tissue that holds the implant in its place and position is formed during the first three months after the surgery.
It is very important to follow the doctor's instructions carefully during these three months! It is MANDATORY to wear special sports and a comfortable bra both during the day and night — this ensures the necessary adjustment of the implant pocket. If the patient does not follow the provided recommendations, wears a bra that offers insufficient support, uses a too large or too loose bra, or even avoids wearing a bra, the implant’s own weight, under the influence of gravity, stretches the created pocket, preventing the tissues from wrapping around the implant.
During this time, as the internal threads are absorbed, the implant can freely move across the chest — sliding sideways and down, and even turning upside down.
In very rare cases, the body may not perceive the implant as a foreign body and may not form scar tissue around it at all. In this case, too, by absorbing the internal threads, the implant’s weight stretches the pocket and becomes movable.
What should you do in the case that you notice the first signs?
First of all, you should contact your surgeon. Be sure to wear a tight bra 24 hours a day. This will allow the scar tissue to grow around the implant as stably as possible. This is not a condition that needs to be followed for the rest of your life — we see how the breast responds or whether the condition improves over time. If the situation cannot be corrected non-invasively, the solution is a surgical correction, during which an implant pocket of appropriate size is created with non-absorbable sutures.
Formerly rough-textured shells were used for better adhesion of the tissue to implants, but nowadays new research has shown that rough textures can irritate tissues in the long term and, on the contrary, increase the risk of an intense tissue response taking the form of capsular fibrosis or seroma. There are also polyurethane foam-coated breast implants that get fused together with the tissue and the implant has absolutely no possibility to move, but these products can only be used in special cases. Dear ladies, I sincerely urge you to strictly follow the instructions of your surgeon and nurse! These beautiful transformations are a collaboration — the surgeon does his/her best for the surgery, but in such an important postoperative period, you are also responsible for your own health, the healing process and adherence to the set rules! The third factor is nature, as neither the surgeon nor the patient can control it, but what can be done is to control the situation and feelings as precisely as possible, and work together to achieve the best possible result!