Detrimental to Wait After 3 Months for Breast Pocket Revision?

I had a Breast Augmentation on 2/13/09. My right breast implant will not drop. I've been massaging 4 times daily, wearing the strap (was advised to wear until my 3-month mark), and taking vitamin E. My surgeon has asked me not to see him until I am at the 3-month mark, stating that there's no problem going on with my breasts. I can see that the right breast's incision scar is lower than the left as far as where my crease is. I can also see that the pocket "squares out" on the bottom of the right breast. Is there a danger in waiting for 3 months before considering revision?

Doctor Answers (20)

Time is on Your Side!

+2

It is better to wait about 3 months, as advised by your surgeon.

This is quite commonplace, and we typically see the correction occur with time and without surgery!


Denver Plastic Surgeon
4.0 out of 5 stars 13 reviews

Waiting for breast pocket revision

+1
Thank you for the photos.  You are still early in the post operative course.  Please do make your surgeon aware of your concerns.  Please also be patient as the soft tissue is still healing.  One implant may descend faster than the other.  At the end they are usually similar, but not exact twins.  Please follow your surgeons instructions so as to help you get the best result.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Patience should pay off

+1
I would not even entertain a revision before 6 months.  It is normal for the breasts to fall at different rates.  The massage is important, and so is time and patience.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 21 reviews

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Asymmetry

+1
You have a mild asymmetry. The right breast is slightly higher but not significantly. I would wait for the healing to be complete and would suggest that you don't consider further surgery for this minor difference. Designveronique.com has a specialized garment that can push the implant downward and can be used on one side. I have used this with great success. Most important be patient and the asymmetry will most likely resolve.

Frank J. Ferraro, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 11 reviews

Wait At Least 6 Months Before Breast Revision

+1

The period of time immediately following breast augmentation surgery is characterized by rapid change. During this dynamic phase of healing, swelling, muscle spasm and the healing process itself all contribute to change in the appearance of a women’s breast. In some cases, swelling and muscle spasm can displace the breast implants in a superior direction.

                  When swelling and muscle spasm resolve, the implants will drop into a more normal position. This can be facilitated by performing implant displacement exercises and utilizing superior chest compression. Significant progress can be seen in 4 to 6 weeks, but changes can be expected up to six months following surgery.

                  For these reasons, we very rarely perform revisional pocket surgery for at least six months following breast augmentation. During this interval, many patients demonstrate significant improvement and are ultimately happy with their results. When surgery does prove necessary, the wound healing dynamics are more favorable at this time which translates into better results. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 86 reviews

Breast Augmentation Pocket Revision

+1
I do not think there is any problem with waiting at least three months to revise the breasts.  Due to the nature with which we heal, going in too early poses unnecessary risks and can make the problem worse.  If you trusted your surgeon to operate on you, then trust him to guide you through your recovery.  This is the first time you have been through this experience but I'm sure your surgeon has been through it with many patients.

Christopher J. Morea, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 54 reviews

Waiting is a good thing

+1
In this case, waiting can benefit you in the long run. Oftentimes, round smooth implants will appear high after surgery as your pectoral muscles contract. However, in the majority of cases the implants do come down and a natural breast shape is assumed without any additional procedures. Both wearing a strap, going braless, and massaging can aid in this process; however, I would recommend you to follow the instructions of your surgeon since they are most familiar with your case. As far as revisionary surgery is concerned, it is beneficial to wait until at least the 6 month mark before considering. At that point, you not only have an idea of what your final result will be, but your tissue will also be fully healed at that point. Performing revisionary procedures too soon post-operatively can cause other potential complications, and it is therefore advisable to avoid in the few months after your initial surgery.

Frank Campanile, MD
Denver Plastic Surgeon
4.5 out of 5 stars 15 reviews

Revision surgery should wait until six months or more after your first surgery.

+1

Although three months may feel like a long time, especially when you are back to your normal routine already, it is actually pretty short in the grand scheme of the healing process. I advise patients to wait at least six months after their breast augmentation before even considering revision surgery; some patients may not really see their final results until up to a year. There are a number of reasons why one breast looks slightly different, and there are just as many reasons why it may resolve quietly on its own without revision surgery.

David N. Sayah, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

Breast Asymmetry after Breast Augmentation

+1

Thank you for the question and picture.

I'm sure you're case will be instructive to other patients as well.

Implants tend to “settle” asymmetrically and may continue to do so for up to one year after surgery.

I would suggest continued follow-up with your plastic surgeon as you have planned.  Use massage of the breasts if so instructed.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

Time Frame for breast aug revision

+1

I wouldn't be in rush.  It is quite possible that your right implant will drop on its own.  Sometimes one side drops more quickly than the other.  I would advise waiting at least 6 months before considering a revision. If at the 6 month point it seems to be slowly improving, then consider waiting a full year. 

Laurence Weider, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.