Being that you are already four months postop your implants would have settled by now. It seems that your implants are high and your surgeon is trying to move them down using wraps. You breast implant pocket capsule is getting quite mature and will probably not move much. I have seen and dealt with this problem many times. I would wait until the six months are over and then fully evaluate your clinical situation with your surgeon. At six months, you will have one of the following scenarios to deal with:
- Your implants are equal in position and you are happy
- Your implants are unequal in position but the breast tissue sits squarely on top of each implant (no sag)
- Your implants are unequal in position and you still have sagging breast tissue that is below the center of the implant
- Your implants are equal in position and look good on your chest, but your breast tissue sags below each implant.
If you experience situation #1 - Congratulations!!!
If you experience situation #2 - You will need to discuss with your surgeon the need for a pocket adjustment procedure to get them closer to the same position. If one implant is perfect and the other is too low, then the low one needs to be raised. If one implant is perfect and the other is too high, then the inframammary fold needs to be lowered to bring the high implant down to match the good one.
If you experience situation #3 - you will need the same procedure described in situation #2, with the addition of a breast lift to get the breast mounds to rise back up squarely on top of the implant.
If you experience situation #4 - you will need a breast lift only to put the breast tissue back squarely on top of the implant.
Good luck :) Dr. Shah