Breast Augmentation: Q&A
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When Will Right Implant Settle After Breast Augmentation and Lift?
I am 3 1/2 months post op from a breast lift and augmentation. My left breast is fabulous but my right one is still very high. I've been massaging but don't see any difference. When should I start getting concerned?
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15 Doctor Answers |
Asked by
mama11789
in Smithtown NY
+2
You will likely need a revision
It's difficult to know for sure without examining you, but it sounds like you'll need a revision to help drop that implant down into a better position. Fortunately, this is usually a straight-forward procedure and should solve the issue.
Good luck!
+2
You will probably need a revision
What you are describing is not uncommon when breast lifts and implants are combined, especially if your implants are gel. Keep massaging on the off chance that it will settle over the next couple of months. I would roughly estimate the chance of your not needing a revision at about 10%. It is far easier to drop an implant down than to raise one that is too low.
+2
Breast asymmetry
You seem to be in contact with your plastic surgeon and are massaging diligently.
Six months is usually the time when we consider revisions for your problem. This problem, by the way, occurs even in the very best of hands.
Hopefully massage and time will remedy your problem. If not, the surgical solution is usually very straightforward.
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+2
Breast Asymmetry
Thanks for the question -
It is difficult to say with 100% certainty but the fact that one implant has settled well and the other has not does raise some concerns.
In addition, the majority of the swelling and settling should be resolved by 4 months.
I would have a conversation with your plastic surgeon.
I hope this helps.
+1
Breast too high after 3.5 months
Hello,
You should be seeing a progressive change of your breast. If this has stopped and the breast is very different from the other side you may need a revision. Its certainly possible that the muscle on that side was not completely released at the bottom and the left side was.
All the best,
Dr Repta
+1
High riding breast implant
A high breast implant may take up to 6-9 months to settle. However, this can vary by technique and according to the individuals tissues. In your case, I would be less concerned if both implants were high. In my opinion, it is likley that you will need a revision but I would wait between 6-9 months.
+1
Breast Implant positions
If your implant has not come down by now, you most likely will need a revision. However, you may be able to massage it down. I would give it a few more months.
+1
Give it a few more months
Typically implants will settle relatively quickly. I have my patients wear a bra that has a strap to push the implants down. This allows them to settle within 3 weeks. Without that it can take several months.
I recommend trying a bra like this. The capsule isn't mature yet so it may still be of benefit. If no result by six months you may need a revision.
+1
Breast augmentation revision is likely needed
You can continue the massage but most probably, you will need a small revision. A small release of the capsule on that side will let the implant drop in place. If there is a tight capsule as well. It could be released at the same time.
+1
Unfortunately, you should be concerned now.
Hi. There is a misconception out there that implants are going to "drop" after surgery. Some plastic surgeons repeat this. In fact, your breasts should look great and the implants should be in the right position immediately after surgery.
I make sure of this by putting the patient in the sitting position DURING surgery (you are still asleep, of course). That way, I can check shape, size, and symmetry before finishing the operation. If things don't look great, I keep working...
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+1
May need a revision surgery to allow the implant to drop
One of the problems with surgery of the breast is symmetry. Eventhough the same procedure is performed on each side the breasts act like they are on two different women. You did not mention if your implants are above or below the muscle but with placed in the subglandular position it is not unusual for th muscle to elevate the implant to an abnormally high position. It takes about 4 - 6 weeks for the capsule to form around the implant, once fully established it may never drop. At 3 1/2...
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+1
Not a rare situation
This is the most common problem that needs to be revised after a breast lift and implant combination. The tissue is different on each side and the lift causes concerns for massaging the implants in the early time period.
After three months there will be very little change in the implant pocket that you can do with massage. If you have been diligently working the implant and it is not moving then you will need to do an open capsulotomy to release the pocket and allow the implant to descend...
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+1
Difficult to know for sure, but...
Hi there-
Without an exam and some more information, it is very difficult to know exactly what might be causing your problem, but it sounds like you may be experiencing early encapsulation of the implant on your right side.
If this is the case, it is unlikely that anything short of surgery (to remove the scar tissue and allow the implant to descend) will improve the situation if you are 3 months out. Optimally, this would occur ~6 months after your initial surgery.
I would pay a visit...
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Reasons for "high" implant
Obviously you are concerned already. The real questions iare why your breasts do not look symmetrical and when should you decide to do something about them. Breasts implants that look too high can result from a number of factors. The most obvious is the implant that is postioned too high on the chest relative to the opposite breast implant. Implants will invariably drift lower due to gravity and stretching of the supporting tissues unless there is capsular contracture which might pull the...
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+1
Depends on textured or smooth implants
Hello
We have seen implants drop as late as 6 months after surgery, although normally they have dropped by 3-4 months. We use smooth implants for most patients and these implants can drop. Textured implants adhere to the surrounding tissues so they will not change significantly after the surgery.
Make sure you are in close contact with your surgeon. We have occasionally used external ultrasound to a breast that seems to be encapsulating or not dropping and we have seen good results.
In...
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