Implants that shift too high, too low, or too far to the sides don't fix themselves. Dr. Tachmes surgically rebuilds the breast pocket — not just swaps the implant — for correction that lasts. Serving patients from across Florida and the Southeast.
Submit Your Case for ReviewOr text Dr. Tachmes directly: 786-603-9074 — no coordinators.
Breast implants are placed in a precisely defined anatomical pocket. When that pocket becomes disrupted — through surgical error, capsule stretching, trauma, or tissue weakness — the implant migrates out of position. This is called malposition.
Malposition can occur in any direction and often worsens over time without surgical correction. A mispositioned implant cannot be "pushed back" into place — the pocket itself must be surgically rebuilt.
This is one of the most technically demanding revisions in breast surgery. It requires not just repositioning the implant but permanently altering the pocket's boundaries using internal sutures and sometimes reinforcing tissue with biologic mesh (ADM).
Dr. Tachmes has treated hundreds of malposition cases including the most complex IMF (inframammary fold) disruptions, synmastia cases, and staged revisions after multiple prior failed attempts at correction.
Implant rides too high on the chest wall. Often occurs when the pocket was not dissected low enough or when the lower pole capsule contracts.
Implant descends below the natural fold, stretching the lower pole. The nipple appears "too high" relative to the implant mound.
Implant slides toward the armpit when lying down or standing. Creates excessive space between the breasts and loss of central fullness.
The inframammary fold — the anchor point for the breast — is disrupted during original surgery or by subsequent stretching. One of the most complex corrections.
• Implant appears to sit too high on the chest, especially visible in profile
• Implant drops below or sags past the natural breast crease
• Noticeable gap between breasts widens over time
• One breast looks noticeably different from the other (asymmetry worsening over time)
• Visible "double contour" where the natural breast fold and implant crease are both visible
• Implants migrate to the sides when lying flat
Malposition can result from factors present at the time of original surgery or develop gradually over years:
Important: malposition rarely stabilizes on its own. Most cases progress without surgical correction.
Correcting malposition requires reconstructing the breast pocket — not simply swapping the implant. The specific technique depends on the direction and severity of the malposition:
Recovery involves strict activity restriction for 6 weeks to allow the new pocket boundaries to heal. Post-operative positioning instructions are critical to outcome.
Many revision surgeons exchange the implant without addressing the underlying pocket problem. Without redefining the pocket boundaries, the new implant migrates into the same malpositioned location — often within months.
Dr. Tachmes treats the pocket, not just the implant. Every malposition case receives a comprehensive pocket assessment and repair plan before a replacement implant is selected.
Surgery duration: 2–4 hours depending on complexity
Activity restriction: 6 weeks strict (critical for pocket healing)
Compression garment: 6–8 weeks
Return to work: 1–2 weeks (sedentary)
Results visible: 3–6 months as swelling resolves and pocket stabilizes
Actual patients of Dr. Tachmes. Each required a unique pocket repair strategy based on the type and severity of malposition.
Dr. Tachmes personally reviews every submission — not a coordinator. Submit your case and receive a direct response about your correction options.
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