Drooping, Lateral Malposition, Wants Larger

Her implants were too narrow, the left was too far to the side, she was droopy, and she wanted more cleavage. Larger implants were moved towards the center and a donut lift was performed.

Drooping, Lateral Malposition, Wants Larger

Her implants were too narrow, the left was too far to the side, she was droopy, and she wanted more cleavage. Larger implants were moved towards the center and a donut lift was performed.

Capsular Contracture (Left), Lateral Malposition (R)

The right implant is low and outside. Strattice was used to strenghten the weak tissues in that area and move the implant inwards. The left had recurrent contractures, and Strattice was used to reduce the chance it would happen again.

Deflating (Right), Superior Malposition (L)

Her right saline implant started getting smaller because of a leak. The left was always too high because the pocket was made too high. The pockets were equalized and new silicone implants placed.

Inferior, Lateral Malposition, Wants Larger

Larger implants placed in the proper space have closed the gap between her breasts and made it much more attractive.

Lateral Malposition, Wants Smaller

Her implants have fallen down and out, leaving her upper inner breasts empty, her cleavage wide, and causing her breasts to rub against her arms. Even with smaller implants, by closing the outer pocket she achieves more upper fullness.

Inferior Malposition (R), Superior Malposition (L), Wants smaller

Note that in the preop the right nipple looks high and the left looks low. That is because a high implant pushes it down and a low implant tips it up. By equalizing the position, this is solved. She wanted to be natural without the R upper bulge.

Inferior Malposition (L), Rippling

The left implant is lower than the right and the pocket was closed off. Her implants are still too wide for her, which is why they are so close together. Rippling is visible on the sideways photo, and this was helped by changing from saline to silicone.

Symmastia, Inferior Malposition (L), Wants Smaller

This patient did not know exactly what was wrong. She just knew that they were too big and misshapen. The right was far inward, and the left was inward and low. The pockets were equalized and implants were placed which fit her body.

Superior Malposition (Left), Deflation Saline (L), Desires Larger

Her left breast was always too high and recently started leaking and getting smaller. She also wanted to be larger, so larger silicone implants were placed.

Lateral Malposition, Wants Bigger

The left implant was positioned too low and to the side. Moving that inwards would increase upper fill. But she also wanted the right to look more round but not too fake, so slightly larger implants were used.

Inferior Malposition, Wants Smaller

Her implants were positioned too down and in. They were also too big and fake for her very lean body. The implants were better centered under her nipples and smaller, less highly projecting implants were placed.

Symmastia

This poor woman developed symmastia because her implants were way too big and she has a concave breast bone. Her skin was so stretched for so many years that it did not snap back. If she wants to fix that she would get a lift.

Inferior Malposition, Capsular Contracture

Her implants were too low and were contracted. The scar tissue was removed, the implants raised, and new smaller implants were placed behind the muscle.

Medial/Inferior Malposition - Symmastia

Concave breast bone and large implants caused symmastia. Strattice was used to reduce and strengthen new pockets, and smaller implants were placed. The left implant was also too low.

Symmastia, Wants Smaller

It is obvious that her implants were simply too wide for her chest. They could not go anywhere but touch in the center. The central pocket was closed, reinforced with Strattice, and smaller implants were placed.

Symmastia, Wants Smaller

This patient developed symmastia immediately after surgery. Her implant pockets were actually connected. It is clear that her implants were wider than her chest. She was corrected with smaller implants and a neosubpectoral pocket.

Superior Malposition, Wants Larger

It is hard to know from a picture that this is not capsular contracture. But she was soft; the implants were just too high, and that is why she had the upper bulge. The lower pockets were adjusted and larger implants given as she wished.

Inferior Malposition

As her implants slid down, the nipple appears to rise up and the distance from the nipple to the bottom lengthened. She was repaired with a "neosubpectoral pocket", a new technique Dr. Teitelbaum has published and lectured about.

Medial and Superior Malposition (Right)

She has had multiple surgeries to even out her breasts, but the right remained high and to the center, so that it was touching the left breast. Her tissue is so damaged that the result is not perfect, but at least the implants are at the same height.

Superior Malposition

Her implants were placed via the armpit incision. Sometimes it is difficult to get the implant in the right position from that incision. Careful release of tissues allowed the implant to settle in a proper position.

Medial/Inferior Malposition - Symmastia and Wants Smaller

Her implants are wide, but they were also placed too close together. Note how that tips her nipples outwards. Strattice was used to reinforce the tissues and keep the implants more outwards, and smaller implants were placed.

Inferior Malposition - "Double Bubble"

Her implants slid downwards, beneath her breasts. The lowest bulge is the implant, and the upper bulge is her breast sitting on the implant. The lower pocket was precisely closed off, pushing the implants back up to the proper position.

Superior Malposition, Medial Malposition

The implants were inaccurately placed from a belly button approach, leaving the left implant too high and too much towards the center. Scar tissue was removed and accurate pockets created.

Inferior Malposition, Larger Implants

Whether due to surgeon error or weak tissues, her implants slid downwards. She also wanted to be larger. The lower pocket was closed off and new implants placed. Note the improved nipple orientation just from the implants being in the right place.

Inferior Malposition, Wants Larger

Her saline implants were low, which left her with very little fill of the upper breast. She also wanted them to be a bit fuller and larger. She wanted the smooth upper pole of the 410 breast implant.

Medial/Inferior Malposition - Symmastia and Wants Smaller

Her implants are too wide for her chest, and so they met in the center. The central pockets were closed off and smaller implants were placed.

Inferior Malposition and Rippling

As her left implant slid down and out, the tissue over it became thinner and the rippling of the saline became more visible. The outer pocket was closed off, moving the implant inwards. Saline was changed for silicone.

Drooping, Lateral Malposition, Wants Larger

Her implants were too narrow, the left was too far to the side, she was droopy, and she wanted more cleavage. Larger implants were moved towards the center and a donut lift was performed.