Is my Breast Augmentation Dropping Normally? (photo)

I am 19 years old, 5'3" and 135lbs and I recently (5 weeks ago) had a subpectoral breast augmentation of 650cc's each and an inframammary incision. I previously was an A cup. I specifically wanted a very large breast implant. I am now wondering if my implants are progressing normally, I feel as though they are still very long and from my side profile a little flat. Also my nipple is still very low. Will it take longer for them because they are so large?

Doctor Answers (19)

Why Do My Breasts Appear So High and So Long?

+5

Breast augmentation subpectoral, either saline or silicone, will appear high and long for several months, and is directly related to tight muscles, tight skin, and malpositioned fluid.  From what I see, your implants are in the right place.  The fluid in your implants, however, is displaced upward due to skin and muscle pressure.  To assure yourself that the implants are in the right place, touch the bottom of your breasts.  If you feel firmness from your implant, then your implant is correctly positioned.  The skin at the bottom of your breast from your nipple to your inframammary incision needs to stretch, out and it will but you can help it by wearing a Bando or ace wrap above the implants to help push the fluid downward.  Secondly, try not to wear a bra as this pushes the bottom of the implant up, just the opposite of what you want.  Silicone nipple covers make a good alternative to bras for modesty reasons.  They cost less and are more comfortable.

As far as your nipples being low, that is because the fluid in the implant is displaced upward.  When it comes back to where it's supposed to be, the nipples will appear more correctly positioned. 

I don't believe the implants have to drop because they are in the right position.  It really is only the fluid that has to drop.  And by the way, congratulations.  It appears your doctor did an excellent job.


Honolulu Plastic Surgeon
5.0 out of 5 stars 191 reviews

Wait a Little Longer To See Results of Breast Augmentation

+1
As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast.

This process can take a little longer if you:
have a smaller body frame
are tighter skinned
haven’t had children



Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 52 reviews

How long before implants drop when placed under the muscle

+1
I think that an implant of the size that was used in your case will likely drop in time, but I will also say that if it was a textured implant, it will not drop as much as a smooth implant. In our patients that have the implant placed under the muscle we always use a compression band for the first 2 weeks to be worn at all times and then decrease it to 8 hours per day for weeks 3-4. This helps to get the muscle to relax and the implants to settle into a proper location. With you being so small framed, I think it still can happen but I think seeing your surgeon and having them take photos once  a month or so to monitor for progress will help. At some point, if they do not start dropping, a surgical revision of the pocket will be required I am afraid.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.0 out of 5 stars 6 reviews

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High riding implants at 5 weeks

+1
At five weeks your implants should be starting to drop. Although it can take several months for implants to drop completely (especially large implants on a small frame like yours) I would expect yours to have made more progress. See your plastic surgeon to discuss adding a band across the top of your breasts. If they don't drop in the next 4-6 weeks you will need a revision.

Grant Stevens, MD
Los Angeles Plastic Surgeon
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Breast Enhancement Surgery

+1
I would wait at least 6 months before considering dropping implants by going back in and relesing the muscle more. My guess your muscles and skin are just super tight

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
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Implants high

+1

The implants are high but you can expect them to continue to drop over time as the muscle and skin relaxes. Keep in close contact with your plastic surgeon and follow his/ her post op directions.

Raj S. Ambay, MD
Tampa Plastic Surgeon
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Superior muscle bulge after breast augmentation

+1

Your breasts still appear to be high.  But look at the crease under the breast as long as this crease symmetric the bulge in the upper quadrant is something other than the implant.  In your case it is muscle and will stretch out and go down with time.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

How Long for Breast Implants to Drop?

+1

Hello. You should be very happy with your augmentation. Your implants will change drastically over the next 5 months, and it takes 6-9 months for implants to completely drop. If you have any concerns, be sure to consult your doctor right away. 

 

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 24 reviews

Is my Breast Augmentation Dropping Normally? (photo)

+1

I do feel your implants are high riding, however I do still believe that if you are patient and give this 3-4 months that they will settle down much much better. Thinks that will help you at this point are consistency with massage and using a band across the top of your breasts to help force them down. Before you get too worked up about them I really would give this time. I have had a few patients that even I felt were too high riding a month out and every single one of them settled down by 3-4 months and they were very happy. In my opinion do not revise them for many months down the road. Your skin will stretch over time, and if after 3-4 months you are not happy then plan with your surgeon how to proceed.  See your surgeon now and let him know your feelings.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Your breast implants do not seem to be dropping

+1

Unfortunately, it looks like your implants are not dropping. Some may tell you that it takes up to 4 months to fully drop, but I personally think that is a reach. In my experience, when the implants are well positioned in an adequate pocket, they drop into very ice position within 6 weeks.  You should see your PS, but I suspect a revision is in your future. Sorry.

Matthew Schulman, MD
New York Plastic Surgeon
5.0 out of 5 stars 160 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.