Among the most typical complications of augmentation mammoplasty and one of the causes motivating a revision mammoplasty procedure is the displacement of the breast implants or their malposition from their canonically ideal or planned location with the prosthesis maximum projection point centered beneath the nipple areola complex; reason why is the necessity of reoperating such migrated breast implant which may cause variable grades of eccentricity in relation to the nipple areola complex, cross eyed breasts, too lateral excess side boob, inner cleavage uniboob or symmastia, upper pole implants riding too high, lower pole bottoming out, waterfall effect, double bubble effect, etc, therefore if a persistent displacement malposition effect occurs to the breast implant it will have to be operated to be repositioned sooner or later.
Causes of breast implants displacement malposition are grouped in three kinds; firstly when the implant is eccentric from the nipple areola complex due to technical unawareness; secondly when any complication promotes the migration of the prosthesis, like a bottoming out or a capsular contracture; thirdly when the breast tissue, over the years due to aging and long after the operation, becomes droopy and moves down not followed by the well attached breast implant; in either of the cases the mammary mound does not match the breast implant position, creating a dissociated breast look.
Once the breast implants displacement malposition is confirmed and its irreversibility stated, the recommended treatment protocol will depend on the underlying causes, including some of capsulectomy, breast lift, breast implants renewal, breast pocket redefinition, capsulorrhaphy, etc.