Breast Augmentation: Q&A

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Worried About Right Breast Not Dropping? (photo)

Follow-up with pictures. I had a BA just over 4 weeks ago (275cc mod+ silicone- under muscle) and my right breast is not dropping and is a oddly shaped. I wondered if it was not dropping due to strong pec muscles/ althetic build and very little body fat (around 8%). Right after BA right nipple was pointing downwards and breast was cone shaped. Both breasts are relatively painless (except the mondors cord) and soft. I am following all post-op instructions and doubling up on right breast massages.

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14 Doctor Answers | Asked by Snowsmck13 in Louisville, KY

Doctor Answers (14)
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Worried About Right Breast Not Dropping

It is very common for the implants to look too high for the first several months, and usually the "handed" side is the higher one. It takes some time for the pectoral muscles to "relax" and accommodate the new implants. As to nipple position, I would need to see pre-op photos to comment. Asymmetry is common both before and after surgery, and is often more noticeable with larger breasts. Patience. Thanks, and best wishes.

Breast implants settle after surgery

Thank you for your question. Based on your photos, your implants seem like they're in a good position after only 4 weeks. It usually takes a while for the implants to completely settle after a subpectoral breast augmentation, so it looks like you're doing just fine. Keep all your appointments with your plastic surgeon. I hope that helps and wish you all the best!

Massage, tension band and no bra.

It is common to have breast implants under the muscle retract too high right after surgery. I like to place a tension band at the top of the breasts to help prevent this from happening, but sometimes this happens anyway. If you have smooth implants, then they are likely to drop over time. Use massage, tension band and no bra to aid this. If one breast drops more rapidly and you and your surgeon feel it is in the right position, than you may use a bra but cut out the... more

Difficult to make determination about positioning of implants after breast augmentation at 4 weeks.

The implants do not look like they are supposed as an endpoint, but 4 weeks is fortunately not the endpoint. Post your 3 month pictures for the benefit of all those who visit this website.

Breast implant not dropping?

The best thing to do in this case is to stay in close contact with your plastic surgeon's office. I'm sure they would tell you to be patient and focus on massaging each breast, but to focus extra time on the right one. It takes several months for the tissues to finish stretching and for you to derive your matured breast augmentation appearance. Best of luck, Aldo.

Aldo Guerra, MD

55 reviews

Scottsdale Plastic Surgeon

Breast Implants Settling after Breast Augmentation?

Thank you for the question and pictures. Based on your pictures and your description, I think it is most likely that you are progressing “normally”. There is no doubt in my mind that patients with “stronger pectoralis muscles” may require a longer period of patience during the breast implant settlement process. Of course, your plastic surgeon is your best resource to accurately evaluate your progress and guide/reassure you. Best wishes.

High Implants Early after Breast Augmentation

High implants early in recovery following breast augmentation is the norm. The larger the implant and the smaller the person the longer it takes for the implant to drop. More muscular patients will take longer.

Breast implants and position

At four weeks, it is a bit early. I would give it at least four months to determien whether or not you need a revision.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Post op

It take about four to six months before the majority of swelling resolves after breast augmentation. The look may be a result of the type of implants that were used

Breast implant position versus breast tissue position

Hello, Thank you for the question and photos. Breasts look their best when the implant is properly positioned on the chest and the breast tissue is properly positioned on the implant. Since it is still a little early we cannot be certain if this is where your implants will eventually be. It is also important to remember that your muscle is still likely a little tight and a little swollen and this will also change to some extent with time. Another few months down... more

Asymmetry after augmentation

Is not uncommon but your should be discussing your concerns with your surgeon during your acute post-operative phase where manipulations can still make considerable changes in your appearances.

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Breast not dropping?

After a subpectoral (under the muscle) breast augmentation, the breast implants tend to ride high. I recommend that patients usually begin exercises at a week post-operatively to help the implants settle into the perfect location. For a woman like yourself that is having one implant that is taking longer than the other to settle, there are bras that your plastic surgeon can order that will provide constant compression on the implant to help it settle more quickly. Your... more

Breast implant position following augmentation

Hello, thank you for your question and it is one that we will hear frequently from our breast augmentation patient's. The pictures show that the implants are riding high, but you are only 4 weeks following your procedure. Many times in athletic patient's with significant musculature this process may take 3-4 months for things to soften and settle. I would recommend he discussed this fully with your surgeon. In our practice we recommend pocket opening exercises as well as scar... more

Implant position and contour at four weeks

The principle in relation to any implant, particularly implants in soft tissue, is to get the implant sized properly, positioned properly, and then healed properly in that position. The rest is tissue settling such as resolution of swelling or stiffness. In breast augmentation, the minimum for tissue settling around the implant is six weeks and can take longer. Therefore it is not possible to conclude anything at four weeks. I disagree that this has anything to do with the... more