Can Breasts Still Even out and Drop 4 Months After Augmentation?

Hi, I am 4 months post op and my left fluffed out and is bigger on the bottom while the right one sits higher has more fullness on top and is not full on buttom---I am guessing it hasn't fluffed? I am super worried that they will stay this way..I do not think I have capsular contracture, since my surgeon said they are healing nicely but I FEEL LIKE EVERYONE IS BLIND...what is so nice about 2 different boobs...will they ever drop or is 4 months post up already too long of a time?

Doctor Answers 11

After 3 Months, Breasts Should Be in Position After Augmentation

After a breast augmentation, most of the changes really should be done by three months.  If after 4 months you still have one breast that appears not to have settled into position, or is remaining higher then the other side, chances are this is how it is going to stay at this point.  The first thing to do is to look at your preoperative pictures.  Alot of women do not ralize they have some degree of asymmetry before having surgery.  Once the implants are in, they magnify asymmetries, and make them more apparent.  This is something that you should discuss with your surgeon. 

Can Breasts Still Even out and Drop 4 Months After Augmentation?

Hello! Thank you for your question! You are still early post-procedure. Your appearance looks typical at this stage and will continue to improve as the swelling subsides and the implants continue to settle into their desired position. This usually proceeds over the next several weeks as the lower pole skin/breast stretches to accommodate the implants. Follow-up closely with your surgeon for additional restrictions/instructions and the potential use of bras/garments or massage that may encourage the implant to settle appropriately. If still displaced after this time, a surgical procedure may be necessary to further open the pocket and bring the implant(s) down. Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Breasts Dropping & Recovery Following Augmentation

It’s not unusual for patients to have asymmetry and implant malposition following breast augmentation. This malposition can occur for a variety of reasons. In some cases, asymmetry may be present prior to surgery. This may involve the actual breast tissue or the underlying chest wall. In other cases, asymmetry may be created during the surgical procedure. An example might include the creation of asymmetric inframammary folds. Finally, asymmetry may develop in the post-operative period. An example would be the development of a unilateral capsular contracture. This phenomena results in a progressive deformity which becomes more noticeable with the passage of time.

Without preoperative pictures and a physical examination it’s difficult to know the cause of your breast asymmetry. Despite this, it’s important to realize that wound healing is a dynamic process that takes months to occur. Muscle spasm, swelling, and skin tightness take time to resolve before secondary surgery is a consideration.

Although there’s definitely reason for concern when asymmetry is still present four months following surgery there’s still the potential for improvement. For this reason implant displacement exercises may result in the right implant dropping into a more normal position. If these maneuvers fail, then revisional surgery may be necessary but shouldn’t be undertaken for at least six months after surgery.

It’s important that you maintain close contact with your surgeon. Your surgeon will be able to formulate a treatment plan that’s appropriate for your problem. 

Wait it out or revision surgery

You can wait it out to see if they settle, or you can ask your surgeon about a revision so that the implant can drop lower.

Asymmetry after breast augmentation

Although it generally takes about 4 months for drop and fluff to occur, it can take longer and be at different rates for each breast. Please wait for a bit longer since you've just passed the four month mark. Best of luck.

Need more time for the implants to settle into position

The implant shape may change but they will not looks smaller as they drop. At this point you just need to wait and allow gravity and you tissues to accommodate to the implant volume.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

Uneven breasts


  Your breasts have probably reached their maximum or are close to it as far as dropping into the pockets.

  If your right breast is hard, then you may have a capsular contracture that is giving your fullness above the braline.  It seems that your left breast has dropped more naturaly.  Your tan lines speak volumes about the fact that in a bra/bathing suit, you are comfortable but out of one, you are not comfortable with the difference.

  You need to begin/continue your discussions with your plastic surgeon so you can determine the timing of a revision if you both think it is necessary.  I do think that waiting several more months is indicated to allow for the chance of further evening.

                            Steven M. Lynch, M.D.

Breast implants can settile for up tto 6-9 months.

Be careful what you ask for! These are relatively large implants for your petite frame. It is still early and I tell my patients that it may take 6-9 months for implants to settle or as you describe with the term ('fluff").My guess is that your right breast was the smaller breast and the skin is taking more time to stretch and relax, Preferential breast implant displacement exercises may help in this regard. 

With time, please be advised that they may continue to drop given your thin body habitus and relatively small lower pole.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 58 reviews

Changes in Augmentation 4 Months Post-op

You are unlikely to see any change in your implant position after 4 months.  However, the degree of asymmtery in your photos does not appear out of the ordinary.  I think that your primary problem is selecting implants that are too large for your breast and it is likely that you will have the "fake look" with this sized implants regardless of where they are placed.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Uneven Breast 4 months after Breast Augmentation

Regarding: "...4 months post op and my left fluffed out and is bigger on the bottom while the right one sits higher has more fullness on top and is not full on buttom---I am guessing it hasn't fluffed? I am super worried that they will stay this way..I do not think I have capsular contracture"

At 4 months after breast Augmentation you are looking at an early final result. You are unlikely to see major changes from this point on except for the gradual changes brought by gravity and aging.

All women have breast asymmetry; very few women walk around with identical, symmetric breasts on both sides. In placing breast implants, we BOTH increase the size (volume) of the breasts but also increase and make any asymmetry more obvious.  There is NO doubt your right breast is higher than the left (as is the nipple). You may try massaging the right breast inferiorly but ultimately, if it does not work, you may need to discuss with your surgeon the likelihood of correction by revision surgery.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 81 reviews

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.