How do I round out lower pole of my breast?

You have excellent questions that you should address with your plastic surgeon who performed your implant surgery. In my practice when a patient starts out with tubular breasts or constricted breasts, I make it clear that the postoperative process after breast augmentation with implants will take longer to achieve the desired shape, because we have to allow the lower pole of the breast time to relax and expand. I have different techniques that I use to help this process, which include certain bras and intermittent upper pole compression to allow for gradual and controlled lower pole expansion. I also evaluate this process continually until my patient and I are convinced that the lower pole shape is adequately rounded out. At that point, I do provide recommendations for bras that will support this new breast shape to try to prevent bottoming out. I do not recommend revision surgery until I am sure that the patients breast shape can no longer change and be manipulated by non surgical approaches. This lower pole shaping process can take up to 12 months. I encourage you to talk to your plastic surgeon.

Hello. If it's been more than 12 months since surgery and you're not happy then a revision would be reasonable. Considering getting a second opinion. Best, Dr. ALDO.

With sub muscular position of the implants I would be a bit pessimistic about the resolution of the dent created by the previous infra mammary fold. In my opinion it needs to be surgically released and draped over the prosthesis in a sub glandular position for suitable treatment.