Time and breast massage exercises best for you now

Stephen A. Goldstein, MD answers: Right breast implant takes longer to drop

I am three weeks and 2 days post op under muscle Mentor smooth round moderate profile saline implants of 225 cc filled to 250 cc. I was a full 34B but 41 years old and trying to fight gravity. My left breast implant has been sitting lower since week two and feels almost like it's not there (I mean it's beginning to feel like my own). My right one still looks close to where it was when I came home, and always feels like it's trying to go up further especially when I bend over to pick things up or pet the dog. I was told to only start massage at my two week mark which I have been doing religiously.

Why is the implant placed so high in the chest area in the first place when getting sub-muscular implant?

I am really concerned that the pocket was not made wide enough on the right and won't drop because it can't. I am constantly wondering if I should use my arm as I normally would or if I should try to use it as little as possible. Should I wear a strap or go braless?
I chose my plastic surgeon because all of the pictures on his website looked so natural. I did not want to look like I had implants. At the moment, I look like I have something shoved up into my chest on the right side. It's ugly! I am going to Hawaii with my Mother in Law in two months and can't even go bathing suit shopping.

PLEASE HELP!


Stephen A. Goldstein, MD
8 months ago

I’m sorry to hear about your issues. I must agree with the other physicians that time and breast massage are best for you now. Usually, it takes about 3-4 months before optimal results are seen. I would advise you to remain patient before considering any revision. Continue follow up with your plastic surgeon and inquire if he/she thinks if a mammary band may facilitate the descent of the implants. I hope you find this helpful.

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A: Hard to tell this early

Nick Slenkovich, MD
8 months ago

Others have suggested that time and massage are needed. I agree. From your picture, your breast tissue and skin appear to be of good quality and the skin envelope appears fairly tight. Presuming that your tissue envelope was not particularly deflated or sagging preoperatively, it is often the case that implants will take many weeks to "drop."

When placing an implant, I set the level of the pocket at a location at the bottom of the breast. From here the implant doesn't so much "drop" in position, but rather the breast tissue relaxes and accommodates the implant. As this happens, the lower pole of the breast rounds-out and the "too high" upper boder of the implant comes down.

It has been my experience that postoperative massage can play a critical role in a case such as yours. Our patients see our massage therapist at their preoperative visit and at a postoperative visit. In a case such as yours, I think it is reasonable to come out of any bra and use a band.

I'd suggest you call your surgeon's office, and see if they can recommend a perioperative massage therapist experienced in such cases. We've found that commonly, patients are much to "light" in their massage and that even one visit with the therapist can recalibrate this pressure and teach a patient and thier partner most effectively.

Bottom Line: Time will tell, but I'd step up the massage and recommend a perioperative massage therapy visit.

Hope this helps.

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