Breast Augmentation: Q&A

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Lower Pole Fullness?

I am 5 1/2 weeks post op from a BA. 475cc silicone under the muscle in one breast and 450cc silicone under the muscle in the other. I am still swollen and they are still high.. My lower pole is not full and all and that worries me. I know it is still early, but is it normal to still be swollen with the lower pole not being full? I was probably a full A to a small be before surgery. i know this takes time, but i over think things and worry so much.

8 Doctor Answers | Asked by toots12 in Louisiana
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Breast Implant Shape after Surgery

It is expected for submuscular implants to sit high right after surgery. With downward massage and time, the upper fullness moves lower to fill out the bottom of the breast. Most changes occur in the first four months, but the breasts will continue to get more natural looking for a year or two after surgery. Don't panic if they still look a bit high at 5 1/2 weeks after surgery. They will improve.
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Lower pole fullness after breast implants

The lower pole fullness depends upon skin that is available between the nipple and your breast fold. Normally if the skin distance is less it is increased by lowering the inframammary crease/ breast fold. Breast band and regular massage to expand the lower pole will be very helpful at this stage.
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Lower Pole Fullness?

An explanation of my impression of what we mean when we talk about implants dropping. Submuscular implants are sitting as if they are at the bottom of an envelope. The breast fold, like the bottom of the envelope keep the implants from descending. At the upper pole is a large space under the muscle, and that space goes up to the clavicle (collar bone). Typically the implant position looks fine at surgery. As the patient awakens, the relaxed pectoralis muscle contracts, pushing on... more

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Lower pole fullness

You have said it yourself YOU WORRY TOO MUCH. It is too early after surgery for any thing to be said. Allow 6-9 months to pass before coming to any judgements.
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No lower pole fullness after BA, panicked!!

I would tell you to relax, it sounds that your implants are in the appropriate place and I tell patients that it usually takes 3-6 months for the implants to settle in their position and provide that lower pole fullness you are seeking, good luck.
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Concerns about Breast Implants' Position after Breast Augmentation…

Thank you for the question. Your anxiety/concern is understandable. I think that you are aware objectively that you are too early out of surgery to be concerned about breast implant position and/or asymmetry. For the vast majority of patients breast implants do settle and fill out the lower poles of the breasts; as you know, this process may take (on average) 3 to 6 months (sometimes longer). For real reassurance, and to rule out complications that can explain breast asymmetry and/or... more
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Breast augmentation

At this time you are pretty early post-op. You have to give it time to heal and settle down. There is probably a lot of swelling as well.
+2

Hello

Yes, you are still swollen it takes 6-9 months for the swelling to subside. Not having lower pole fullness is normal at this stage. Are you wearing a breast band, to help the implants drop into position? We usually have our patients wear it until the implants drop. You need to relay your concerns with your PS, to see what solutions he has for you.
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Comments (1)

Yes i am still wearing the band and i am doing the massaging. I am just very impatient. But thanks for the answers, this has eased my mind alot....
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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.

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