When breast implants are placed submuscular (under the muscle) there is a possibility that the pectoralis muscle will be cut allowing breast tissue and the breast implants to fall towards the sternum at the center of the chest. This happens when the breast pocket is overly dissected towards the center and releases the pectoralis muscle too much resulting in the implants being too close to center with unnatural looking cleavage and a uniboob or bread-loafing effect.
This is detected usually a few days after surgery whereas the post-operative swelling of the breasts lifts the breast tissue away letting the implants slide towards the cleavage area. This problem is usually difficult to detect during or immeadiately after surgery.
There are many techniques to correct or repair uniboob or symmastia. Some techniques are better than others, and some techniques are just plainly wrong. The practice of using external sutures for example is a terrible option. The correct repair uses internal sutures to reattach and reinforce the cleavage area from the breast implants. It is absolutely imperative that you take the time to find and evaluate the right plastic surgeon for your breast revision surgery.
Patients with saline implants who aren't happy with the volume or size of their breasts can elect to have revision surgery to add or remove saline from their implants. Silicone patients would have to purchase a new silicone implant in the desired size.
This is the most common complication for breast implant patients. A capsule is the fibrous tissue that grows around the breast implant (as with any foreign object placed in the body).
The breasts appear too close at the center and the implants can appear to be touching each other. Symmastia (aka - uniboob, breadloafing) occurs only when an implant is placed under the muscle (submuscular) and the pectoralis muscle is severed from the sternum.
Breast implants that have bottomed out can have nipples that appear too high or an inframammary fold that appears unnaturally low.
Decreased breast size, uneven breasts, pain or swelling can indicate a ruptured breast implant (saline or silicone breast implants). Most ruptures are covered by the implant manufacturer, although surgical costs for replacing the damaged implant are still incurred.
When tissue hangs beneath an implant which has been placed submuscular, this is referred to as a double bubble or high-riding implant. This usually occurs with an individual who has sagging breasts before their breast augmentation surgery.