Fortunately most patients who have had breast augmentation are very happy with their results for many years. However, there is the occasional patient that will find that their implants have “bottomed out” or fallen to the side over time. Some patients will complain that their implants are now suddenly under their armpits, and they have developed a large space between their breast. In reality, this has been happening to them for many years because of skin stretch (loss of skin elasticity), and the effects of gravity, and the muscular contraction of the pectoralis muscle for those who have had their implants placed under the pectoralis muscle. Patients often think of the implants as “falling out of the pocket”.
Fixing the problem requires a surgical operation where a small incision is made in the crease of the breast, usually in the same incision that the implants were inserted. The scar tissue that surrounds the implants is now sutured back to the chest wall creating a “new shelf” for the implant to rest upon, there by lifting the breast giving the patient more cleavage. Think of it as an internal support bra that is created without making new scars on the breast.