Breast Augmentation: Q&A

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Breasts Too High After Augmentation

I had a breast augmentation three weeks ago (Mentor high profile silicone texturized implants, 350 CC's). I am a little worried because they are too high, and I do not see the breast fold. I wonder, will they come down eventually? Should I consider a revision, and if so, when? I have read that breast massages are very good to let them down, but I also read this is not recommended in texturized implants. Can you give me an advice?

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17 Doctor Answers | Asked by mexmeva in Mexico

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Breasts Too High After Augmentation

I think this an interesting case to receive follow-up on. The native inframammary fold appears high with a short and (at least mildly) tight inferior pole. The markings on the chest wall suggest that the inferior pocket was created for proper implant positioning. Certainly at 3 weeks post-op it is common to have implants positioned high since they have not had enough time to settle into place. If smooth surface implants were placed, there is certainly a good chance that these implants would... more

Breast Implants Can Take 6 weeks to Drop However Watch for Double Bubble on Left

Thank you for your question. I agree your Breast Implants do look high but it can take 6 weeks to 3 months for the Implants to drop. Hopefully your surgeon has instructed you on breast implant displacement exercises which can help. I am a little concerned that a "double bubble" may be forming on the left side. This would result from making too large a pocket to accommodate the implant. See your surgeon and discuss these concerns.

Breast Implant displacement exercises for high riding breast implants following augmentation

SEE VIDEO BELOW BY CLICKING "MORE": Yes, massage of texutred implants is controversial. However, others beleive that the Mentor texturing may be different from the Allergan in that less tissue adherence occurs. I generally encourage my paitents to perform breast implant displacement exercises and you should discuss this with your surgeon. My recommended regimen is below see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Implants Too High!

I agree, your implants are too high on your chest wall. Having said that, I would be patient, the implants will "drop" or settle into place over time. I would wait at least 3 months and 6 months would be better. If the implants are still too high, than you will need to have them repositioned into a lower position. It appears to me that you have a "high crease", the distance between your nipple and the inframammary crease is too short. The... more

Breast Implant position

In many breast augmentation patients, the inframammary fold needs to be lowered in order to allow the implant to rest at a level that appears natural relative to the position of the nipple and areola. Ideally the implant should be centered directly behind the nipple-areola complex (NAC). In profile, the natural-appearing breast is not convex in the upper pole, and an excessively convex and overly full upper pole is a dead giveaway that a breast implant sits below the skin. In addition,... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Breasts High After Augmentation

It is often the case that after breast augmentation, the implants seem to be too high. Your breast size is larger now and this results in the experience of breasts that feel too high, especially with high profile implants. Without doubt, they will come down and appear more natural with time. This is objectively true as gravity takes effect and the weight of your implants settle in. Massaging the implants is controversial and may or may not have any effect on the long term result of your... more

Post Operative Care After Breast Augmentation

The care for breast augmentation patients is quite simple. One can either wear a sports bra or no bra. I have patients do upper arm exercises on the same day . Patients can shower within 24 hours. They can resume most of their activities in 7 – 10 days except for strenuous activities where their heart rate is above 100. Implants may be slightly higher in the initial phase for several weeks, but they will come down if the pocket has been properly dissected . Generally breast massages... more

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

It May Take Up to 3-6 Months for Breasts to Drop Into Normal Position

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 changes in the appearance of a woman’s breast. In some cases, swelling and muscle spasm can displace the breast implants in a superior direction when implants are placed beneath the muscle. Based on your pictures, I believe this is a distinct possibility. In some cases,... more

High implants after breast augmentation

Thank you for your question. This is a common concern after breast augmentation. If the implants were placed under the muscle they might take longer to drop and I recommend to my patients to wear an elastic band for the first 3-4 weeks. Be patient and keep the routine follow up with your surgeon. Massage your breast as recommended and you will see improvement by weeks 6-8. Best to you.

Breast Too High After Augmentation

I agree from the photos that your breast implants appear too high. Your implants will continue to drop after your augmentation. Massaging is something I do recommend for patients. On most occasions I do not have patients to wear a strap that aids in the dropping of the implants into place. Since you are only three weeks out I would not begin to worry just yet. You can be swollen for several weeks. Please discuss your concerns with your surgeon. Good Luck!

Implant position i too high

It is common for implants to rise in the pocket in the early post operative period. Many surgeons will use a compression band to combat this and also recommend downward massage efforts in the weeks following surgery. The textured surface of your implants is designed to reduce capsular contracture but will also make displacement of your implant less likely. Both of these techniques can be tried and will not likely cause any harm. If these methods are not... more

Breasts Too High After Augmentation

Usually it only takes some time before the implants will drop into place. Wait at least 3 – 6 months and see your surgeon if your implants have not fallen into the proper position.

Breast height after augmentation

Yes, the breasts look high but it is normal from them to begin high and then gradually settle. You are very early in the healing process so be patient and follow your plastic surgeon's instructions.

Breast Implants high after breast augmentation surgery

You are early in the recovery process from your breast augmentation surgery. Your implants will continue to drop for up to 2-3 months. The muscle can pull the implants higher after surgery and if this occurs, they will take longer to settle and drop. In our Jacksonville breast augmentation practice, we use a top strap with help prevent the implants from riding up in the early stages and, therefore, minimize the time it takes for patients to see their final result.

High Breast After Augmentation

Your breasts will continue to drop after your augmentation. Massaging is something I highly recommend for patients. On most occasions I require patients to wear a strap that aids in the dropping of the implants into place. Since you are only three weeks out I would not begin to worry just yet. You can be swollen for up to a year in some cases. Good Luck!

It is early after breast augmentation

Hello, Breast implants take some time to settle after surgery, but do so to a variable extent. I did not see pre-operative images in your assortment, so I can't tell you much more. Textured implants supposedly do not require massage but this is controversial and I don't use textured implants for other reasons. I would follow your surgeon's advice on these things. You should still be seeing him or her for post-operative care. Ask.

They will drop some

You are right that in general massage of textured implants is not recommended although I have met a few plastic surgeons who have their patients do this. You are very early in your recovery by the dates on your photos but if after 3-6 months of healing, they have not dropped, you may want to consider a revision to lower them. Discuss this concern with your plastic surgeon to develope a plan. Dr Edwards