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Do my Breasts Appear to Have "Settled" Too Low?

asked 10 months ago by alginep in Mpls, MN
Latest answer by Tom J. Pousti, MD
Question viewed 492 times
Tags: 4 months post-op, settling

I had a BL/BA in mid-March 2011. I'm concerned that my breasts are too low and lack upper pole fullness. I have a follow-up with my doctor in a week and am wondering how to approach the subject or if I'm simply being unrealistic? What could be done to address my concerns at this point?

12 answers to Do my Breasts Appear to Have "Settled" Too Low?

Results after Breast Augmentation/Lifting

Thank you for the question and pictures. I think you have a very nice result after your procedure. Achieving more superior pole volume can be relatively simply accomplished with a larger implant. Discuss your goals with your plastic surgeon. in my practice I find the use of photographs of “goal” pictures (and breasts that are too big or too small) to be very helpful. I have found that the use of words such as “natural” or “C cup” or... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Expectations After Combined Breast Lift/Augmentation

A combined breast lift/augmentation is one of the most difficult procedures to do and end up with an excellent result because there are really two independent procedures done on each breast and the goal is to have them settle in perfect harmony. If the breast implants have not settled below the breast fold, then they are not too low and for you that appears to be the case. It is normal to lose some of the initial upper breast fullness because of gravity. You have an excellent result. If you... more

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

Augmentation mammoplasty/uplift

It would be helpful , if you could post your pre-op pictures for comparison . We normally assess the shape of breasts , its contour (configurations ) when patient is standing in upright position with arms resting relaxed on sides. In this position nipples are at the center of breasts and are lined up with the mid arms (halfway between top of shoulder and elbow) . They should be slightly above inframammary folds ( where breasts meet chest wall) . In your case you have a pretty good... more

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon

Great result

Your results are a natural result following a fine job performed by your surgeon. Congrats! Dr. Lille

Sean T. Lille, MD
Scottsdale Plastic Surgeon

Breasts too low after lift plus implants?

Here is a perfect example of implants "dropping" into their "final" position. Imagine how you would look now if your surgeon had placed your implants into "perfect" position initially--you would now be looking at "way-too-low" implants and a guaranteed re-operation. But although you have legitimate concerns about your present appearance, you really have a very good result, and you should be appreciative of what your surgeon has done for you. Any... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Breast lift and augmentation combinations work well

I think you have a nibe pexy-aug result. This is a difficult procedure for any surgeon to get 'perfect', and I think your result is quite good. I'm not a fan of larger implants, especially in this setting. I would caution against the notion that replacing your current implants with larger implants will somehow make your result look better. It won't, especially over the long term.

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast implants challenge shape after lift

The stability of the breast lift is affected by the pressure of the implant and can result in a recurrent droop, stretching of the lower breast skin, and dilatation of the areola. Overall your result is quite good, however as you notice the implant had settled into the bottom of the breast. You could consider a larger implant to fill the upper breast, though revision of the lift to reduce the lower skin envelope will also push the implant up and better center it within the breast. Wait a... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Breast lift

You will always get some bottoming out- that is the nature of the process. You have an excellent result.

Morad Tavallali, MD
Vienna Plastic Surgeon

Breast position

It appears that your breasts have settled out over time form the first to the second photos. Upper pole fullness is hard to maintain/achieve for most people. A larger implant with a wider base diametedr may help as well as a little more skin tightening. But over time. they may look the same except for the bigger implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

Your results are better than avarge

The combination of the breast lift and augmentation is a difficult procedure and the revision rate of 40-70% is common. Your results in your post pictures shows both breast bottoming out and the right breast little more. I would not do any revision for at least 6-9 months till breasts are settle. Most surgeon will not do the combined BA/BL because of the higher risk of redo and complications. Your surgeon has done a great job with the breast lift and tummy tuck.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breasts settling

I think you have a nice result. It does look as though the left breast may be slightly higher than the right but it seems like that whole breast is higher on the chest wall which was probably true pre operatively as well. I only see it in the 2nd photo so maybe your shoulder is a little higher there too- i can't tell. At 4 months your breasts have likely settled as far as they are going to go. Some patients worry that they are going to keep getting lower which... more

Tiffany McCormack, MD
Reno Plastic Surgeon

www.plasticsurgeryrenotahoe.com

Breast settling

Thanks for the photos. From what I can see, your results look very nice and are very typical of what to expect when things do settle.Your nipple postion looks very good and the overall shape of your breasts also look nice. It appears you have nice upper pole fullness as well but maybe not as much as you expected. As a surgeon, I would be very pleased with your results but ultimately the patient needs to be happy. Keep an open communication with your surgeon. ... more