2 Months Post-op Right Breast Still Feels Firm and Hasn't Dropped. Normal?

My job requires a lot of physical work and lifting. My right breast hasn't dropped as much as my left. (I am right-handed.) It feels tight at times and hard. When I am off work it feels better. Can it still drop? And how much time do I have before the pocket heals and won't let it settle?

Doctor Answers 12

Waiting for the implant to drop 2 months after surgery

Hello,

If the implant position does not seem to be continuing to change (slowly dropping) at 2 months following surgery it may require surgical intervention to open the pocket appropriately.  It may be that the muscle on that side was under released compared to the side that looks good.  Massaging the implant down consistently and/or wearing a band to push the implant down may help if the amount of muscle that was underreleased is small.  I would also encourage you to either take photos your self or have your plastic surgeon do so and follow the porgress of the implant position so that you can make an educated decision about if and when to undergo a revision procedure.

All the best,

Dr Repta


Scottsdale Plastic Surgeon
5.0 out of 5 stars 115 reviews

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Implant position

At two months it is still a bit early.  You should see yoru surgeon and be evaluated. One breast is always a bit firmer and in a slightly different position as compared to the opposite breast.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Recovery after a breast augmentation

I agree with my colleagues in that your postoperative photographs would be extremely helpful. While it may take several months for your implants to fully drop, the fact that your still have a discernable difference 8 weeks later may indicate that the right pocket dissection was less than your left. However, persistent activity can slow this implant descent. Implant massaging and exercises can improve it's rate of descent an your recovery period. Capsular contraction or scar tissue development can occur at any point, even as early as several weeks to months after your surgery. Consult closely with your surgeon as early intervention and open communication is extremely important. 

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 13 reviews

Unhappy with breast augmentation result

Without photos, it is difficult to provide more more accurate answers for you. At 2 months, your implants should have "dropped". There may actually be an issue that the sides were placed at different heights (which photos could help determine).

There may continue to be changes for several more months which can include some softening and a maturation of shape. If you are still unhappy at 6 months particularly as regards the right side, a revision could be considered. You should also discuss your concerns with your surgeon.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 23 reviews

Breasts should look and feel great right after breast augmentation.

Hi.

Here is a completely different opinion, and I am afraid you are not going to like it.  When things don't look or feel right at two months (specially your situation), it is very unlikely that they will improve.

Of course, don't do anything for another four months. You might be the exception.  But eventually you will probably want a revision.  The good news is that you can come out of this happy.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast Implant "dropping" into the pocket

Yes, it may take several months before the implants have completely “settled”. I think the implant displacement exercises (massage) are helpful. I also think that you are correct in concluding that muscle activity may slow the descent of the implant .On the other hand, early encapsulation (abnormal thickening of the scar around the implant) is a possibility.  If this is the case, it  may  improve with the use of medications. It would behoove you to continue close follow up  with your plastic surgeon.

Best wishes.

Yes, the implants can still drop.

Although it is difficult to tell without photos or an exam, implants will generally continue to soften and settle for 3-6 months after surgery. What you describe sounds like muscle tightness, as it is better with inactivity. As always, you need to see your surgeon for an eval.

Brian Klink, MD
Vacaville Plastic Surgeon
5.0 out of 5 stars 65 reviews

Asymmetry 2 months after breast augmenation

After breast augmentation, it can sometimes take 3-6 months for your implants to completely "settle" and for you to see your final result.  I would continue massaging your implants and keep all of your follow up appointments with your board certified plastic surgeon. I hope this helps and wish you the best.

Implants require several months to fully settle into place

At two months, your implants have not fully settled into place yet.  This will take at least another month or two.  However, if your right breast feels firmer than the left and does not appear to settle, then you will probably need a right capsular release and repositioning of your implant a little lower.  This problem is called implant malposition and all plastic surgeons have this happen once in awhile.  Also, a capsular contracture (excessive tightness of the capsule) can force a breast up and cause asymmetry.  Usually I make the decision with my patient about three months after surgery, taking photographs along the way.  If it is not getting better, a touchup procedure is recommended.  Sometimes if the difference is very slight, it is better to just give it more time.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.5 out of 5 stars 38 reviews

2 Months Post-op Right Breast Still Feels Firm and Hasn't Dropped. Normal?

After 2 months very unlikely the result will improve much. Best to see your chosen surgeon to discuss, if still unsatisfied seek in person second opinions. 

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.