Dynamic Distortion (pectoral causing implant movement)
I usually just lurk here to keep up on what PS advances are being made so I'm up to date when I need another surgery. Implants make that inevitable at some point, hopefully, later, rather than sooner!
The Center For Restorative Breast Surgery has named the movement caused by the implant being placed under the pectoralis muscle, "Dynamic Distortion". On their website they discuss how this movement is rarely mentioned or discussed with patients prior to surgery. I know it was a surprise to me and not a good surprise since I am very active. Not even friends who had been through this journey before me, discussed it with me.
The link below for the page titled Alternatives, discusses Dynamic Distortion. On the page their is a link to a video clip of a woman tightening her pecs to show the movement. You probably will have to cut and past the link. No you don't. I just tried it and it works!
http://www.breastcenter.com/procedures/alternatives.php
Hope this is of help.
Susie
Comments
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Susie,
Thank you for the informative site. I am sitting here with 3 drains as I am typing this. Approximately 4 years ago, I gave TE/implant a try after waiting a year post-radiation. After 2 infections, it was decided to remove the TE because the breast was not expanding properly and the danger of the TE coming through the skin. My PS then performed a lat. flap with TE placement. The results were fairly good and I was excited. Two years later, capsular contrature started in that breast. I thought the lat. flap was the answer to everything. Unfortunately, I was wrong. My PS just went back into that breast, removed the implant and used Alloderm in 3 areas to strengthen the damaged muscle and skin. He also replaced the implant. I hope this works; but I guess in my heart, I feel that I will never be finished with reconstruction, even if it is just to replace the implant.
Thanks again for the information.
God bless,
Chris
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Chris,
I was happy when I found the information because it finally gave me a name for what was happening. Sorry you have had to have the lat flap sugery revisited. There are a couple of gals here that are presently having problems with that procedure. I think the use of Alloderm is enabling the PS's to work more successfully on radiated and thin skin. Hope you get the drains out in a short time.
Susie
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Hi Susie
Thanks for providing the link. When I read through your posts it sounds like this "dynamic distortion" is something that "happens" to you. Is it happening spontaneously?
I also have implants and I can contract my pects and make them move. I once showed it to my plastic surgeon and he was very surprised at what control I have over it. I can actually do them singly or together - on command. It does not just happen without me willing it to happen. I am also a very active person and feel like I have pretty good control over most of my muscle groups so I just figured that was the reason I could do it. I often do it when I find that people are looking at my chest when they know I have had a bilat. mx just to freak them out - I know that isn't very nice but a girl has to find entertainment where she can. :-)
Also, I have two good friends who have had breast augmentation and they both can do the same thing. Believe it or not my daughter who is completely natural but not very well endowed can contract and move her breasts also. So I am not sure that it is just a post mx. implant thing. I think if you have that kind of muscle control you can do it.
I like the fact that the website gives it a name but I think they are using the term to convey negativity toward implants because they are promoting DIEP and GAP procedures. I find that a little sad since some people are only eligible for implants and the website may make them question getting implants.
Just my two cents.
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I had bilat with implants and I also can 'flex my pecs'. Like you PT, I do it to 'freak' people out. I never thought of it as a problem, just shows what the muscles can do. I have had them involuntarily contract this winter when I got extremly cold and they spazamed. I couldn't afford DIEP or GAP and didn't want to travel to get it done. Again, as PT said, I think that they are using the term to convey negativity towards the implants.
Sheila
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I think the video is showing you what to expect. (weather its on NOLAs site or Another Drs website)
I had no idea before I got my Expanders/implants that that would happen. I laughed with it with the expanders. With the implants it was another story. I felt very self concious about my flexing boobs in public. Besides it being painful when I used my Muscles.
Too many things are kept from patients.
One should be told in advance that this will happen. Im sure almost every woman would go ahead with her plans. But at least she would know before hand.
My Gap breasts still flex some. That usually does not happen with a Flap surgery. But because I had implants before...I am still having mild flexing. I hope it goes away with time.
Pam
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I also feel that this is a "negative" slant to what occurs naturally in the breast. Watch the normal breast, it also distorts when the muscle is flexed.
I think many women don't realized that this occurs to their breasts when the muscle is flexed as either the breast tissue masks the movement or the woman's lack of muscle flexibility and strength doesn't move the breast.
In my twenties, I studied Middle Eastern Folk Dancing (belly dancing). To dance properly, the dancer must be able to control all muscles at will. As a result, I could contract and expand my chest muscles to move my breasts up and down and from side to side. As I was well endowed, I would amuse myself by "waving" (move up and down) my breasts at any gentlemen who were staring at my chest. It usually caused them to turn bright red.
Since my mastectomies, I have worked hard to regain my flexibility and strength in my chest muscle to get rid of the iron bra feeling.
I had delayed reconstruction (2 1/2 years) with silicone implants (B cup size). Because of my muscle flexibility and my learned ability to control my chest muscles, I can still move my implants up and down. However, they do not move to side to side as I no longer have that fatty breast tissue to jiggle around.
So, I do not feel that having the implants under the muscles is causing a "distortion" that I didn't have before when moving my chest muscles. If any thing, it is less as my B cup size implants are much smaller and firmer than my pre-BC breasts.
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the Dancing pec muscles reminds me of the scene in 'South Pacific' where the sailor with the chest tattoo is able to make the ship 'sail' by flexing his pec muscles. And the Body Builders (Mr, Universe) flex their pecs as part of their poses to show off the muscle tone. You can see it better in the men as Sassa said, they don't have as much breast tissue there to cover the muscle structure.
If you read the whole page from the breast center, they seem to try to dissuade women from the implants by saying that they will need surgery later on to replace them due to wear and tear, I knew that from the start, and nothing good about implants. Then at the bottom after the descriptions of what surgeries they provide speak about how much the other surgeries have improved.
Sheila
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Sassa
I just rewatched the video. Are either one of the breasts "normal"? They both look like they have scars. It looks like whomever did them did not do a good job with making them symmetrical. It also looks like that poor woman has to really work to cause dynamic distortion. She uses her entire body to move her breasts. Amateur
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I will say that they could have termed it by a "nicer" name. Maybe they'll pretty it up at some later date! They could have worded some things about the lat surgery a little kinder, too. I don't know but, I think the movement is probably more noticeable on thin woman with smaller implants. The movement of my implants, when I fully tighten my pec muscles, is very noticable and causes some discomfort if I am naked. If I have a jog bra or tight camisole on, it quiets things down. I have recently gone back to my gym routine and have found that with more upper body weight work, things are getting better.
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"She uses her entire body to move her breasts. Amateur
"
I'm with you PT63. She's an amateur needing to use her entire body to move her breasts!!
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PT,
I thought the lower hanging breast was a "normal" breast without any type of lift done. It isn't clear if both side are reconstructed.
Just another side note on the benefit of the belly dancing: When I was pregnant, I was told that the use of an epidural would interfere with the ability to push and prolong labor. I didn't care, I wanted the epidural asap.
With the epidural, I couldn't feel the pain of the contraction, but I could feel the pressure of the contraction. I went ahead and pushed by contracting the top abs and worked down to the lower abs as the contraction progressed. My OB was surprised at my ability to push and the force of the push with an epidural until I explained my years of belly dancing. He laughed and said the belly dancing training was more useful than any Lamaze (sp?) training he had seen.
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Sassa,
They were doing a video of Dynamic Distortion. If the woman only had a sub pectoral implant on one side, they would have had her tighten up only that side. My breasts never moved like that before my mastectomies and reconstruction. I'm much younger and way more physically fit than the woman in the video. Is what you're telling us is that you had that movement before surgery?
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Yes, double-or-Nothing - they are saying their boobs flexed before bc.
I have lifted weights since I was a teen.
My boobs Never flexed before bc. I was also able to cut carrots & open doors & jars without my boobs flexing.(or hurting) Never before bc did I feel self consious about people seeing my boobs flex. I have read many threads where women say this same thing.
I think the general population of womens boobs do not flex.
Pam
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Pam
I agree that it is probable that the general population of women are not able to flex their boobs and honestly why would you try unless of course you are in training to do something like belly dancing. I was actually surprised when my teenage daughter (with no surgery or implants) could mimic me when I flexed.
As far as the flexing and hurting with certain activities- that has actually decreased for me the longer out from surgery so hopefully it will be the same for you. For a long time after surgery I remember thinking - "these doors did not seem this heavy before surgery" especially the back of my van- but now they are back to being the same weight that they were before all of this happened. I still do all of the massaging and I also sleep on my stomach which is supposed to help stretch things out and avoid capsular contraction. The only thing I avoid at the gym is the bench press or any type of isolated pect. machine. The pect. muscles are already at a disadvantage from being abnormally stretched from the implant being placed under them so why annoy them more?
Take care
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Yes, I stopped doing the bench press too. I do miss that.
I took Belly Dancing years ago, but never was taught to flex my chest during my classes.
I no longer have my Implants. But a GAP flap. My Flexing is about 70% less then it was with implants & I am only 11 weeks out from surgery. So I hope it goes away completely.
I hope yours will continue to lesson with time also.
Pam
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Face it, nothing about these surgeries is normal, so expecting the body to react normally just isn't in the cards.
Pec muscles can flex under normal breasts. It's much more noticeable with smaller breasts--less volume over the muscle. I just think we were never really aware of it, because the breast tissue of real breasts hangs loosely and it was a feeling we got so used to--so wired in our brains.
Pam, I think the flexing post-flap surgery is due to scar tissue or areas of fat necrosis lying right on top of the muscle. One of my breasts feels "sticky" that way with pec flexing. The other doesn't. And the fat from the donor sites is not the same consistency as our real breast tissue was, so it still triggers a foreign sensation to our neurons.
At least with the implants out, I have regained pec strength, though not to where it was before bc. But that's okay. I am doing less weight lifting and more Pilates and climbing.
Anne
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My PS said it happens to some patients, sure didn't mention it before surgery. From the not completely disguised surprise on his face, I don't think he had seen the kind of flexing I can do. He just said I have a very strong muscle. It caused me a great deal of distress at first, but am trying to see it as more funny than tragic (the "new normal?"). It's really only logical when you think it through. If you put a very strong pec up there on top and not covered by anything but skin it's going to be visible when you use it. I take comfort in the realization that I'm not alone. On another thread, when we realized we could all do it we thought we'd form a chorus line..... step - kick - boob flex. The chorus line is getting pretty long.
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Fortunate1,
Sign me up for the chorus line! We could definitely be a hit on UTUBE. I don't feel that it's tragic either. Was just surprised at first. First thing I did when I discovered it was run out to the TV room bare chested to give my DH a showing. I knew he'd get a kick out of it. Deborah's implants, I think, are twice the size of mine and she says hers dance. So, it doesn't just happen with smaller implants.
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Bump
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Hi ladies ..
I know this is an old post but I'm 4 weeks out of my exchange surgery and the dynamic distortion is driving me crazy. I am a massage therapist and many of the techniques are constantly activating the pec and dynamic distortion
Unlike many of you, I am not happy with it at all. My questions are:
Does it get Better!?!? (How long after)?
Is there something I can do to help it go away???
Thanks!
P.s. The video no longer works
I also wish they had spent more time explaining this life altering surgery
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Any chance you are a candidate for moving the implants to above the muscle?
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I don’t know
I’m in Canada and when I originally told the surgeon at the renowned cancer hospital in toronto that I wanted direct to implant and above the pec, they said they don’t do that risky surgery. So TE and implants ..2 surgeries and I ess truly hoping to be done there. I will have to get a second opinion when I return but it’s not easy when it’s through public and not private health care. Thanks
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