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 (18)

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 123 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
4.5 out of 5 stars 30 reviews

Wait a couple of more months for results to appear

+1
You still need to "drop and fluff", which refers to the gradual movement and change in shape that occurs to breast implants.

When breast implants are first put into your body, they typically sit higher up in the chest. This is because it’s the path of least resistance – your body requires some time to adjust to their presence, regardless of whether they’ve been placed in a sub-mammary (between breast tissue and chest muscle) or sub-muscular (under both the breast and chest muscle). Immediately following surgery, you’ll find that your newly enhanced breasts appear very full and swollen, especially in the upper portion above the nipples. Your skin will most likely look very tight and your nipples may point slightly downward as well. This may make the shape and overall appearance of your breasts appear unnatural. As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast.

Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape. 

You can help this process along by wearing a tensor bandage wrapped around the upper portion of your breasts, but please ask your surgeon if this is okay for you. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 57 reviews

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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
Tampa Plastic Surgeon
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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
Fresno Plastic Surgeon
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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
Los Angeles Plastic Surgeon
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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
Scottsdale Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast implants dropping?

+1

Likely, the impaltns will drop some more with time.  It can take up to four months or so.  Good luck and follow closely with your surgeon.

Steven Wallach, 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.