Breast Implant Malposition
If an implant is not properly positioned behind the breast, the breast will look very odd. If it is too high, there will be an upper bulge and the nipple will tip down. When they are too close together, it is called symmastia (or “uniboob.”) If the implants are placed too low, the upper breast will be empty and the nipples will tip up. If they are placed too far out to the sides, cleavage will be absent and the nipples may tip inwards.
Dr. Teitelbaum has corrected every type and every combination of these deformities, has written articles on it, and has taught new techniques for correcting them to many surgeons. One technique closes off the unwanted portion of the pocket in which the implant sits (“the capsule”) with special stitches; this is called a “capsulorraphy.” Another technique is the “neosubpectoral pocket” or “neosubglandular pocket”. This is a new technique which Dr. Teitelbaum has written about and taught to other surgeons, and it is based upon using the body’s own tissues to close off the pocket. If there is an instance when tissue is weak, Dr. Teitelbaum can reinforce it with an acellular dermal matrix (ADM), such as Alloderm or Strattice.