Is It a Myth That Sub-muscular Implants Have to "Drop" to Look Good?

I am 9 days post-op from a sub muscular breast augmentation. I had a full lift 9 months ago, and I feel like I have "snoopy" boobs. My upper pole is full, and my nipples seem to point down now. I am freaked out, and at my post op appointment, my doc said this was normal? It just doesn't seem right. I think he may have placed the implant too high.

Doctor Answers (10)

It is a myth that breast implants have to drop.

+3

Hi.

1)  I am clearly in the minority here, but I can only talk about our experience.  At the end of surgery, the breasts should  look exactly like you want them to look. They should be at the right level.   If they don't,  we keep operating.

2)  I am sorry to say I think you are right.  It sounds as if your implants are too high.  Of course, you should wait at least four months, but you will probably need a revision.


Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Please Wait Three to Four Months for "Snoopy" Boobs to Go Away

+1
It generally takes about three to four months for breast implants to settle, or "drop and fluff". During this time, 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. When this happens, you won't have "snoopy" boobs anymore!

Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape.

Please wait the three or four months to see how your breasts settle before scrutinizing your results.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 51 reviews

Sub-muscular implants settling post op.

+1

You are very early in your post operative course.  Sometimes patients will see spasm in their pectoralis muscle. The implants can be seen as high toward the clavicle.  They typically will drop into a more natural position over the next few months.  Please continue to follow up with your plastic surgeon and let him/her know your concerns.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

You might also like...

Breast augmentation and dropping

+1

When implants are placed under the muscle, there is spasm of the muscle and the implants tend to ride a bit high. Over a few months period, they usually descend into the pocket.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Breast Implants Too Full On Top

+1

Wait for 6-12 weeks after the surgery date to see how things look. If they still look top heavy you will probably need further muscle release at the bottom of the breast to turn the pocket into what we call a double plane. Hopefully that won't be necessary, but if so it is a fairly quick procedure that your doctor will probably not charge for.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 12 reviews

Too early to tell

+1

Ten days after a breast augmentation is too early to say what the final result will look like.

Early after a breast augmentation many patients will have greater fulness in the upper breast because the skin and breast tissue of the lower part of the breast adjacent to the fold is the tightest area.  This takes longer to relax and as it does the implant settles more completely into the pocket.  Provided the operation was done with the creation of symmetrical pockets the implants should settle over the next several weeks and everything will work out fine.  Keep in touch with you surgeon.

Thank you for your question and best wishes.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.5 out of 5 stars 23 reviews

When will submuscular implants drop

+1

There is a bit of controversy about what it means when an implant drops. We beleive that the pocket at the time of placement should be centered on the nipple, with the fold set symmetrically. The implant can be 'high' because the skin in the lower breast envelope can be tighter and hold the implant higher in the pocket, and over time the skin will relax and the implant settle into the breast. But if the skin envelope is lax and the implant is high and the breast falls over the surface of the implant, perhaps a red flag. Either the pocket or the lift may be off, though time now will tell.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 26 reviews

Implant Dropping

+1

Almost every patient augmented beneath the muscle have the implants ride high for a while until they drop.  Some patients this can occur as soon as a week or two but most patients need a month or two.  Do not freak out  the vast majority of patients with the appearance that you describe will be just fine in time.

Gary Hall,MD

Gary Hall, MD
Kansas City Plastic Surgeon
4.5 out of 5 stars 24 reviews

Sub-muscular Breast Implants?

+1

 Thank you for the question.

At 9 days post op from breast augmentation it is much too early to evaluate the end results of surgery;  you certainly should not be “freaked out”.

Breast implants do tend to  "ride high” for several  weeks to months after breast surgery. I see this every day in my practice.

I would suggest you continue to follow-up with your plastic surgeon and follow his  instructions.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 681 reviews

Is It a Myth That Sub-muscular Implants Have to "Drop" to Look Good?Answr:

+1

It is true that under the muscle implants usually need a while to drop into place. The muscle needs time to relax and to allow the implant to slip into the space that was opened up by your surgeon. In almost all cases the muscle needs to be released a bit at the bottom to allow this...Give it more time but if still high in 3 months...might not.

John J. Corey, MD
Phoenix Plastic Surgeon
4.5 out of 5 stars 15 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.