Summary: Modern developments in breast augmentation mean that women who get breast implants today can enjoy results that are, on average, longer lasting than ever before. However, breast implants are still not considered lifetime devices, and if you’ve had breast augmentation, there is a good chance that you will need breast implant revision surgery at some point in your life. Here are 5 of the most common reasons women consider breast implant revision surgery to improve their augmentation results.

1. Synmastia

iStock_000015596983XSmallSynmastia is an implant displacement issue in which the breast implants migrate toward the center of the chest, sometimes to the point that the breasts touch and the skin across the breastbone becomes lifted. Because of the displacement of the implants, women with synmastia may have nipples that point slightly outward. Synmastia can be caused by improperly sized implant pockets and is easily resolved with breast implant revision. During revision surgery to correct synmastia, the surgeon moves the implants to their intended location and closes the implant pocket around them with sutures to prevent the implants from moving again.

2. Lateral Displacement

Lateral displacement is essentially the same issue as synmastia, but instead of moving toward the center of the chest, the implants move outward toward the side of the body. Women exhibiting signs of lateral displacement may have nipples that point inward and a wider than normal gap between the breasts. Like synmastia, lateral displacement can be corrected by a resizing of the implant pocket after the breast implant revision surgeon shifts the implants back to their proper position.

3. Bottoming Out

Bottoming out is slightly more common than synmastia or lateral displacement. Sometimes referred to as the “double bubble,” bottoming out occurs when the breast implants slip to a lower position on the torso. This can cause the breast implants to be visible below the breasts. Occasionally, bottoming out happens shortly after getting breast augmentation, which usually means the breast implant pocket was improperly sized. In other cases, however, bottoming out occurs years after the initial augmentation procedure. In these instances, the condition is usually caused by the weight of the implants. Bottoming out is more common among women with large implants.

4. Wrinkling

Wrinkling, also referred to as folding or implant collapse, occurs when the structure of the implant is compromised, resulting in a ripple that may be visible on the breast. Wrinkling is more common among women with naturally small breasts who have implants placed above the pectoral muscles. Choosing silicone or gummy bear breast implants rather than saline implants can greatly reduce your chances of implant rippling. Most breast implant revision surgeries to address this issue involve changing the breast implants to a type that is less prone to developing ripples or changing implant placement.

5. Updating Your Look

One of the most common reasons that women have breast implant revision surgery is to update their augmentation results as they move forward in life. Sometimes, a larger or smaller implant size might better suit a new life phase. Women who had their initial breast augmentation before newer implant types were available may choose to swap out their implants for anatomically-shaped gummy bear implants or silicone implants. Finally, some women choose to have their breast implants removed altogether. Working with a skilled breast implants revision surgeon is the best way to ensure that you achieve your ideal results no matter what your appearance concerns may be.