Techniques for Settling New Breast Implants?

It's very common for implants placed under the muscle to seem too high early on after the augmentation-- this is due to anatomic reasons as well asthe swelling of the muscle that occurs during and after the procedure. We all have different ways to help implants settle into their final position, and in most cases it just takes time-- sometimes a few weeks, on rare occasion longer.
My advice would be to relay your concerns to your surgeon, but listen to his advice--chances are you will have a great result, but it will take some patience and time.
Dr. S

I would not wear a bra.  I would have you massage your implants down.  The use of postoperative appliances is not necessary in my opinion.  

To facilitate the settling of sub-pectoral breast implants, it is very common to have patients wear a light weight compression sports bra with an elastic breast band and to have patients perform breast massages.  The elastic band that rests on top of the implants on your chest will help, in the same way your surgeon is having you wear your sports bra when you sleep, to gently push down on the upper pole of the breast and facilitate the settling process.  Breast or implant displacement massages will also help in expanding the breast pocket by stretching the lower pole of the muscle so that the sub-pectoral breast pocket can now comfortably accommodate your new implants.  It is possible that either your implants have pretty much settled into place and you may require a revisional breast lift, or that your implants just need a little more time to fully settle since this process can take 3-4 months to be complete.  I would highly recommend discussing your concerns with your operating surgeon.  Good luck!

Thank you for your question. Your surgeon may be wanting to influence the decent of the implants within the breasts over the first six months after surgery as it usually takes several months for the breasts to settle out. If the bra is uncomfortable I would revisit with your surgeon to see if there are other options including breast massage. Otherwise, I would recommend following your surgeon's instructions and follow-up. 

It’s not unusual for patients to have superior
malposition of breast implants in the mediate post-operative period. This
occurs for a variety of reasons including skin tightness, muscle spasm, and
swelling. In the vast majority of cases, implants drop into normal position
during the first 4 to 6 weeks following surgery as swelling resolves and
muscles relax.Surgeons utilize a variety of maneuvers to keep the
inferior breast pocket fully expanded during this period of soft tissue
tightness. Although the use of a sports bra placed above the breasts to force the
implants in a downward direction is unorthodox it’s probably effective. In this
situation, most surgeons utilize a superior breast bandeau or a superior breast
ace wrap dressing. In addition, they usually recommend implant massage and
implant displacement exercises to facilitate this process.In most patients, implants drop into normal position
with the passage of time. Occasionally this may take as long as 3 to 6 months
to occur. When implants don’t drop as anticipated surgical intervention may
occasionally be necessary.During this process it’s important to maintain good
communication with your plastic surgeon. Your surgeon should be able to
formulate a treatment plan that addresses your concerns.

Hello! Thank you for your question! Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. It typically takes 6-8 weeks for the swelling to resolve and usually 2-3 months for the implants to settle into their pockets. In general, implant size does not correlate with cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size or implant size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Your breast width is the most important measurement. Discuss with your surgeon implant massage/displacement exercises and the possibility for a bandeau to keep your implants down. You are still early in the postoperative period and awaiting this time frame will give enough time to see your results. Maintain your follow-up appointments and continue with your postoperative instructions/restrictions given. Hope me that this helps! Best wishes for a wonderful result!

I recommend that my patients wear their post-surgical bra every day and night for the first 8 weeks after their surgery. This provides support for the breasts and minimizes the risk of "bottoming out". At the same time, a tensor bandage wrapped around the top portion of your breasts can help expedite settling. Ask your surgeon if this will help.

This is a commonly used technique to help implants settle.  After a submuscular augmentation the implants many times seem too high initially and later they settle down with a compressive device such as a rolled up sports bra. In the Biplanar Breast Augmentation the submuscular implant does not usually ride high and implant massage is begun later on the day of surgery.

Your breast and nipple position was a concern for your surgeon.  I would recommend that you follow his suggestions in order to maximize the need for revision.  A compression or elastic band on the upper pole of the breast usually helps. 

When breast implants are properly positioned, they will ultimately assume a natural shape as the swelling that may artificially prop up the implants subsides.  This may take as long as several months, getting better as the days pass.  If the implants are positioned too high, only a reoperation will fix this problem.

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The use of post operative breast implant displacement exercises is controversial and not recommended by all practitioners.
First discuss this with your plastic surgeon prior to embarking on this regimen