Breast Augmentation, Does my Dropping Progression Seem Normal? (photo)

Mentor 500cc silic, mod prof, under muscle. 1.6m tall, 55kg, pre op 34/75b. transax. Hi just wanted to know if i will have more drop, i seem to still have a lot of upper pole fullness. I have been wearing a strap & massaging since 5weeks post op. I am now 2months 1 week post op.Worried my lower pocket will scar or close before implant gets a chance to drop further. Is there anyway i can manipulate them to drop into the pocket sooner? will applying hard downward pressure help?...thank you

Doctor Answers (19)

Your implants may not drop much further.

+2

At 9 weeks post-op, you still have much scar maturation to occur, and some degree of further dropping is likely. But how much? and will it be "enough?"

Thanks for including detailed photos: your second one tells me something that other have not commented on--there is significant peripheral bruising present on both breasts, indicative of some degree of bleeding (more than should be anticipated, IMHO). This blood can lead to increased capsular contracture (thick tough scar around your implants) that impedes implant dropping, and may in fact lead to an increased risk of capsular contracture.

All the elastic bands and downward exercises in the world cannot remove a thick unyielding capsule, and your implants will be unable to drop much if this undesirably thick scar capsule acts as a (too high) supportive internal sling.

Unfortunately, inframammary crease malposition is more common with transaxillary incisions, and yours is further complicated by the unfortunate bleeding that has contributed to your inability to drop as your surgeon and you anticipated. This will likely require revisionary surgery, but I would certainly wait a full 6 months to determine just how much and how long changes might still occur. I'm not optimistic and am sorry to have to tell you that. Keep in touch with your surgeon; this is nobody's "fault" since bleeding can occur in any number of settings for any number of reasons. Best wishes! Dr. Tholen


Minneapolis Plastic Surgeon
5.0 out of 5 stars 144 reviews

How Long For Breast Implants To Drop After Transaxillary Augmentation

+2

Thank you for your question. I share your concern that your Implants are not dropping as fast as I would like.

It is true large implants through a trans axillary incision take longer so I would continue pole wrap and downward massage until 6 months.

If they are still this high then revision will be necessary if you want lower pole fullness.

This is a simple release procedure but will have to be done through an Infra mammary Crease incision for accuracy and the best result. Don't worry in time the scars will not be visible on frontal view.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 37 reviews

Wait it out for a couple more months

+1
It takes about 4 months for implants to drop, so you still have a bit of time. You could try wearing a bandeau on the top of your breasts to help them along, but ask your surgeon about it first.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.5 out of 5 stars 55 reviews

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Wait a couple of more months for results to appear

+1

When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.

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+1
One thing that is consistant with implants inserted through the axilla is that they tend to ride high because of the incomplete release of the muscle, this may be true in this situation 

Ryan Neinstein, MD, FRCSC
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Dropping progression ?? after 2 month BA

+1

Hi ,  i do not    know   if  your  PS   asked   you to use    an  elastic   band  that    force   the  implant    to  descend  to  lower  pocket  ,       BECAUSE    ounce   this  surgery  is  done , the muscle   forces  the  implant     to occupe the  upper  poles ,    

  after    2  months   i do no   think   there  is  much    you can    do    because    this   pocket  is    already closed ,   my   advice  is to  talk    with   your  doctor    to see   wich are  the options   for  you now 

Cynthia Disla, MD
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Ar e the implants dropping fast enough? Trans -ax placement.

+1

Your implants are a bit high for being 2 months postoperative.  Trans-axillary placement of breast implants do take longer to descend.  Pushing hard on your implants will not help you.  Continue to have an open dialogue with your plastic surgeon regarding your concerns.  Every plastic surgeon has a protocol that is slightly different from another plastic surgeon.  You trusted your plastic surgeon to do the surgery, now trust them to take care of you afterwards.

Raj S. Ambay, MD
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Implants settling after augmentation

+1

Hi Sassouri. Based on your photos, it seems that your implants are still settling. Sometimes this can take longer than 2 months, so I would continue to observe them and continue your follow up with you plastic surgeon.

I hope that helps and wish you the best.

James Knoetgen, III, MD
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Breast Augmentation and Dropping with Massage

+1

   Larger implants take longer to drop, particularly in smaller women.   Massage can help, but larger implants may take 3 to 6 months to drop to their final levels.  Kenneth Hughes, MD breast augmentation Los Angeles, CA

Kenneth B. Hughes, MD
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Drooping Progression After Breast Augmentation

+1

It does seem that they are dropping at a normal rate. Listen to your surgeon and perform your breast massages as they told you to. It can take 3-6 months for them to completely drop but from what I can see they are dropping at a nice pace.

Richard J. Brown, MD
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.