How to Correct Lateral Breast Implant Displacement

Updated for 2026

Lateral displacement of breast implants – when one or both implants shift too far toward the outer chest or underarm area – is a frustrating but fixable issue. If you’ve noticed your implants sitting wider apart than expected or “falling” into your armpits when you lie down, you may be dealing with lateral displacement. The good news is that breast revision surgery can reliably restore a more centered, natural-looking result.

What Causes Lateral Breast Implant Displacement?

In most cases, lateral displacement comes down to the implant pocket. If the pocket created during your original breast augmentation extends too far to the side, the implant naturally settles into that space over time.

That said, there are a few other contributing factors that can make this more likely:

• Implants that are too large or heavy for your natural tissue support
• Thin breast tissue or weaker lateral support structures
• Over-dissection during the initial surgery
• Early or excessive upper body movement during recovery
• Gravity and natural tissue stretching over time

One of the most noticeable signs is a lack of cleavage, especially when standing. You may also see or feel the implants sitting too far apart or shifting outward when you lie down.

For women with subglandular (over-the-muscle) implants, simply converting to a submuscular (under-the-muscle) placement can sometimes correct the issue without more complex reconstruction.

When Does Lateral Displacement Occur?

Lateral displacement can happen at different points depending on the cause. In some cases, it occurs early on, within the first few weeks or months after surgery, especially if the implant pocket was created too wide from the start. Other times, gradual shifting occurs over the years as the tissues relax or stretch, which can eventually lead to lateral displacement.

Correcting Lateral Displacement

When implants have shifted laterally, revision surgery is typically required to reposition them properly. The right approach depends on your anatomy, implant position and the severity of the displacement.

There are two primary options for correcting lateral displacement for submuscular implants:

1. Capsulorrhaphy – This is the most common solution. During a capsulorrhaphy, the existing implant capsule is surgically tightened to close off the outer portion of the pocket and prevent the implant from drifting sideways again. For those with thinner tissue or higher risk of recurrence, Dr. Campanile may reinforce the repair with a soft tissue matrix such as AlloDerm® or Strattice® for added internal support.
2. Neopectoral Pocket – In more complex or recurrent cases, a neopectoral pocket may be created. This involves removing the implant entirely, then replacing it into a completely new pocket, typically in a more controlled and anatomically ideal position. This technique is especially helpful when the original capsule is too stretched or unreliable to repair alone.

Recovery after Breast Revision Surgery

Recovery after revision surgery is often very similar to your original breast augmentation, though it can vary slightly depending on the complexity of the repair. Most women can expect some soreness and swelling for the first 1 to 2 weeks. Dr. Campanile will ask that you wear a supportive surgical bra to help maintain implant position, and you will need to avoid heavy lifting and strenuous activity for several weeks.

Can Lateral Displacement Be Prevented?

While not every case is preventable, the risk of lateral displacement can be significantly reduced with the right surgical planning and aftercare, including:

• Choosing appropriately sized implants for your frame
• Precise pocket creation and control during surgery
• Selecting the right implant placement (submuscular vs. subglandular)

After surgery, following activity restrictions, wearing recommended support garments and avoiding early strenuous movement can also help to optimize your long-term results.

Bottom Line

The important thing to remember is that you don’t have to live with breast augmentation results that you don’t love. If you notice that your implants have shifted in placement or you are otherwise dissatisfied with your new look, schedule a consultation with Dr. Campanile, a board-certified plastic surgeon with years of experience in breast revision surgery to learn more about your options.

To get started, call our Denver office at 303-345-7476 or contact us online today.