Breast Implant Malposition: How Dr. Leonard Tachmes Restores Breast Symmetry and Confidence

Breast augmentation is one of the most popular cosmetic procedures, but what happens when the results aren't right? A growing number of patients are seeking out breast implant revision surgery to fix problems from a previous operation. Implant removal and revision have become among the most in-demand corrective procedures in plastic surgery, reflecting a clear and ongoing need for specialized corrective work.

When issues like implant malposition cause asymmetry and dissatisfaction, patients need a highly specialized surgeon. That focused expertise is the foundation of the Miami Beach practice of Dr. Leonard Tachmes, a board-certified plastic surgeon with 32 years of experience.

What is Implant Malposition and How is it Corrected?

Implant malposition is what happens when a breast implant moves out of place. It can drop too low (a problem called "bottoming out"), shift toward the armpit, or ride too high on the chest. In some cases, implants can even move toward the center, creating a "uniboob" appearance known as symmastia.

Anatomical Expertise: A general surgeon handles many different operations. In contrast, a breast revision specialist like Dr. Tachmes lives and breathes the complex anatomy of the revised breast, knowing exactly how to work with the existing scar capsule. This focus is vital for tough cases like Baker Grade III–IV capsular contracture, a core part of his practice.
Surgical Toolkit: Revision specialists have a wider array of tools and techniques for these specific challenges. They are masters of advanced suturing methods and the use of biologic meshes, which a general surgeon may not use regularly.
Experience with Complications: A surgeon who focuses on corrective work sees it all. They develop an unmatched skill for anticipating and fixing tough problems like double bubble deformity, symmastia, and severe malposition, issues a general surgeon might rarely see.