After breast reconstruction with implants, a capsule forms around the implants. This is the body‘s normal response to the implant. If the capsule, which makes up the pocket of tissue around the implant, is weak or inadequately reinforced at the time of the original reconstruction, then the implants can become malpositioned.
Women coming to see me with implant malposition most commonly have implants that fall to the side, (especially when they are lying down), or they have implants that are too low on the chest.
In my practice, I routinely correct both of these problems with repair of the capsule which I then reinforce with AlloDerm in order to achieve an improved aesthetic outcome with a very low risk of recurrence.
Over the past 15 years, I have used my technique of capsular repair reinforced with AlloDerm to achieve a stable implant position in hundreds of cases.
If you would like to read a textbook chapter I wrote on this subject, please see the link in my bio. The chapter is titled “Acellular Dermal Matrix for Optimizing Outcomes in Implant-Based Breast Reconstruction: Primary and Revisionary Procedures.” The section about correcting implant malposition is in the second half of the chapter. Please be aware that the chapter includes photographs from surgery, so make sure that you are comfortable seeing these types of photos before you look at the chapter.