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Breast Implants That Do Not Settle

asked 3 years ago by gidget12 in north port, fl. USA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 9,128 times
Tags: 9 months post-op, high, position

I had breast implants revision 9 months ago. After having silcone implants for 20 years, I decided to go with saline. My surgeon suggested to put the implants under the muscle since the last ones I had were placed over the muschle. The problem is that since I had them done, they're no longer as big as the ones before (even though my surgeon says they're bigger) and they're not settling and their position is too high. I have done all the massaging and wore bands above the breasts but none has helped. Do I have to go back to this doctor and pay for him to fix this poor job? What else can I do?

15 answers to Breast Implants That Do Not Settle

+3

Breast implant position

Your breast implants seem to be positioned too high. I don't believe that they are going to settle much without surgical intervention. Unfortunately, you will most likely need to have revision breast augmentation surgery.
S. Sean Younai, MD

Beverly Hills Plastic Surgeon

www.beautifulself.com

+4

Breast implants should look great immediately.

Hi. I am sorry to tell you that the notion that breast implants have to settle is a myth. Your breasts should look great right after surgery. You will need a revision in six months.
George J. Beraka, MD

Manhattan Plastic Surgeon
+3

Breast Implants Not Settling Caused by Submuscular Placement and Ptosis or Breast Sag

Thank you for your question. Breast Implants do settle and are often high for the first 6 weeks after breast Augmentation. This is especially true with submuscular implants. Because your breasts have aged since your original implant, the breast has sagged down, a condition called Ptosis. Placing the new implants under the muscle is an appropriate choice. However because the breasts have sagged, a breast lift will likely be necessary since the implants have not come down after 9... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+3

At 9 Months, Revision is Advisable

Your photograph shows excessive upper pole fullness. This can be corrected with a surgical release of the capsule to allow the implants to "settle." Discuss with your surgeon.  Each practice has a different policy regarding costs for revision.
Paul C. Zwiebel, MD

Denver Plastic Surgeon
+2

Breast Implants that are "High"

  The  typical  reasons for "high riding implants"  are capsular contracture or malposition of implants.  Physical examination can determine the cause and that will determine the method for correction.  High riding implants at 9 months following surgery will require additional surgery for correction. For more information see drmezrow.com
Craig Mezrow, MS, MD

Philadelphia Plastic Surgeon
+2

Breasy Implant position issue

I am sorry to hear that you are having problems with your implants. You may have a capsular contracture, or the pocket was not opened up enough or the muscle adequately divided inferomedially. Needless to say, they should be corrected.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Please visit your surgeon

Either you have an early bilateral capsular contracture (unlikely) or your implants are too high or too high in profile. One of these is an explanation of why your result is currently not satisfactory. Start with your surgeon and see what they have to offer you. If you are not satisfied with the answer, go to other surgeons and get their opinions. Don't have any more surgery until you are confident with the doctor.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

www.randcosmeticsurgery.com

+1

Revision should be explored

After 9 months, you will generally have an understanding of the outcome. Consult with your surgeon about your options. If his/her response is not sufficient, then you should consult with 2 - 3 other surgeons to explore your options.
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon
+1

Breast implant settling

I tell my patients that, if their implants are above the muscle, they should see their final results in about two or three weeks. When they are below the muscle, they should see their final results in about two or three months. I would guess that about 98% of my patients have reached their final result by three months. You said that you are now nine months out from your surgery. Your picture looks like it was taken immediately after the surgery, however, if your... more
Edwin C. Pound, III, MD

Atlanta Plastic Surgeon
+1

High, "Unsettled" Breast Implants

To be fair, I cannot tell where you started from since you did not post your Before pictures. But I agree with most of my colleagues. Your breast implants are too high and 9 months after your surgery they are not likely to come down further. Your upper poles of the breasts are overly full. Your nipple complexes are pointing down instead of forward but interestingly there is a straight line along the bottom of the breast from the mid-fold to the lower portion of the nipple suggesting a mild... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Breast Implants Too High?

Thank you for the question and picture. Revisionary surgery may be helpful to lower the breast implants by releasing scar tissue and/or muscle. Capsule work may also be necessary if encapsulation is present. Charges related to the surgery will be dependent on each offices' policy. Best wishes.
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Breast Implant Malposition

9 months after surgery it is unlikely that your implants will "drop". Both implants deserve to be surgically lowered by releasing the implant capsule below.
Stephan Baker, MD

Miami Plastic Surgeon
+1

Breast Implant revision

Based on your photos, and the fact that your surgery was 9 months ago, you will likely require a revision surgery.  You either have a capsular contracture or the muscle is holding the implants up.  A revision surgery however should correct this problem for you.
Andrew P. Giacobbe, MD

Buffalo Plastic Surgeon
+1

#breastsugmentation, #revisionsurgery, #breastimplants

Dear gidget12 in north port, fl. USA Thank you for your question and photos.  At 9 months after surgery- you may under go a revision to - either remove the capsular contracture and/or position the implants so the breast shape is corrected- by releasing the the tissues ( muscle, skin, breast tissue) that are holding the implant in a high position. With Warm Regards, Trevor M Born MD
Trevor M. Born, MD

Toronto Plastic Surgeon
+1

Encapsulation happens.....

Hi there- It looks like you've experienced early encapsulation of your implants. I'm sure that your surgeon is no more pleased that this happened to you than you are, and would love to help you achieve improvement. Usually the procedure to improve this situation involves removal of the scar tissue holding your implants in this unnaturally high position- and because the implant pocket is already under your muscle, the recovery should be much easier for you than your first procedure. Pay... more
Armando Soto, MD

Orlando Plastic Surgeon

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