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Is There A Chance My Breast Implant Could Still Drop Even After 9 Months? They're Still Not Even.

asked 8 months ago by San Antonio1220
Latest answer by Robert Heck, MD
Question viewed 646 times
Tags: 7 months post-op, drop, final result, uneven

Surgery 1-27-11, Silicone Gel Submuscular 450cc.Singular for 2.25 mos for firm right breast - breast are equally soft now. Vit E @1000mg taken daily w/singular 10mg. Will my breast drop down, or is this a pocket issue?Massage several times day & implant moves, almost as well as the left.Note the side photos show the upper pole fullness in the right breast & the "side" fullness of the left.Is the right needing to drop, or the left needing to be lifted? Recovery time of a revision? Thanks!

12 answers to Is There A Chance My Breast Implant Could Still Drop Even After 9 Months? They're Still Not Even.

Breast Augmentation and Malposition

Hello San Antonio 1220, You had a breast augmentation complicated by capsular contracture, the most common complication of breast augmentation surgery, with a 20% risk in the general population within the first two years after surgery. Although vitamin E and Singulair have shown no clinically significant effect on the treatment of capsular contracture, there are occasional reports of it softening the feel of the implant. However, the pocket is sealed with the implant in a... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Breast Implant "dropping" into the pocket

I ask patient to give it at least 12 months for the settling of the implants into the pocket. I have seen changes up to that time frame with very aggressive massage. I would tell you to continue with aggressive massage of the right breast to assist it in dropping into the pocket. IF after 12 months it does not settle any further, you can discuss revisionary surgery with your surgeon - but I agree with the other surgeon's who state that you need to understand that no... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Will my implant drop after 9 months

I agree with the other surgeons. I would say that it can take a year or even 18 months for things to finally settle, but I think you will probably be left with some asymmetry. I have to say that your asymmetry is mild and in keeping with the natural degree of asymmetry that is present in the general population. I think that there is a good argument to leave things alone and try to learn to live with it. However, it is your body, so if it really bothers you,... more

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Breast asymmetry after breast augmentation-Real Self Question

First of all, you should stop taking the Singulair. This medication is not proven to be of benefit for capsular contractures and this medication can have various side effects. Secondly, 9 months after surgery is a time period in which the capsule is very developed and strong. Massage does not usually alter the results at this time. You should talk to your plastic surgeon. If you are disatisfied with your results then maybe another surgery may be needed. more

Elizabeth S. Harris, MD
San Antonio Plastic Surgeon

www.eharrismd.com

Breast asymmetry after breast implants

The issue is not one of your implant dropping. Often the cause of asymmetry after breast augmentation is asymmetry before the procedure. Your photo shows a difference in your breast size right to left, and a difference in the breast envelope right to left. Your result is very good, not perfect due to symmetry issues, but the best is leave things alone for now. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Some asymmetry of breasts to be expected.

It is normal to have some degree of asymmetry to one's breasts even after breast augmentation. However, if one side appears to be significantly higher than the other, I recommend continue massaging of the higher side to try to get the muscle and skin to relax more on the lower part of your breast, allowing the implant to come down. I don't think that a reoperation is necessary at this point.

James Tang, MD
Houston Plastic Surgeon

Can an implant drop 9 months after surgery?

Hello, The majority of the healing and stretching of tissue in yor breast following breast augmentation tends to stabilize earlier than 9 months. If you are not seeing any more progress in terms of the right breast implant descending down then it will not likely change to an appreciable extent further down the road. Correction may involve opening the pocket further inferiorily (near your breast fold) and possibly a larger implant on the right since at least from the... more

Remus Repta, MD
Phoenix Plastic Surgeon

Implant Drop

Although you have some very minor differences between your breasts, it appears you have a very nice result. Were any of these differences apparent on your pre operative photos? I would doubt that your breasts will change any further but I also think it is premature to consider a revision at this early date and would wait at least a year. You may have had some early firmness of your right breast but this seems to have responded nicely.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Will implant drop after 9 months.

You do have minor asymmetry. It sounds like your surgeon is currently doing everything possible to get that breast to drop without surgery. I would usually give my patients up to a year before I decide to re-operate.

Robert Heck, MD
Columbus Plastic Surgeon

Breast Asymmetry After Augmentation

I tend to agree with Dr. Johnson and also feel that your result is quite good. I too suspect that you probably had a good bit of pre-op asymmetry but you failed to include your pre-op photos. Many women who have never had nor never intend to have surgery have more asymmetry than you. Your nipples are certainly at the same level. Sometimes perfection is the enemy of good.

John Whitt, MD
Louisville Plastic Surgeon

It is easier to lower an implant than raise one

Overall I think you look great. But I know too that this is at times the worst thing a Plastic Surgeon can say to a patient, as that is NOT what they want to hear!! But seriously, I do see a bit more fullness in the upper pole on the right and more lateral fullness on the left. You indicate that they are both soft and move so I would stop the medications and if things really bother you (bugs you once a day, fix it, once a month, ignore it!) then it is easier to lower an implant than raise... more

John J. Corey, MD
Phoenix Plastic Surgeon

Will implant drop after 9 months

I would want more information before making any definitive recommendations. Since we don't have your pre-op photos, we don't know what kind of asymmetry you bring to the table. It is possible that your skin envelope on the right side was tighter? Was your right breast smaller, requiring a larger implant? If the breast were symmetrical pre-operatively, then it is likely you will need an operation to lower the pocket on the right side. Usually the recovery from... more