Techniques for settling new breast implants?

I'm 4 weeks post breast augmentation surgery, and my surgeon wants me to sleep with a workout bra pulled up above my breasts to help push them down and drop more below my nipples. The first three weeks, I was in plastic bandages to keep them up. I had 300cc silocone under muscle, but was told that during surgery, my doctor decided to do lift because of my skin.

None of my friends have heard of this technique and their breasts settled in. Is this normal? My breasts do seem too high and my nipples too low. Are there other "techniques" for making the breasts settle the way my doctor wanted it?

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15 answers to “Techniques for settling new breast...”

A: Many techniques, but time will be your best friend

Shahram Salemy, MD

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... more

A: Compression devices are an accepted technique for helping breast implants drop

Brooke R. Seckel, MD

Giross, it is common practice to use a compression device to encourage breast implants to fall or be pushed lower after breast augmentation. A common wrap called an "upper pole wrap" is commonly used, but your bra will work. Downward massage can also help. The description of the position of your... more

A: 6 months to settle

Kenneth R. Francis, MD

Giross, Your description of the decision to perform a "lift" sounds dubious unless you had this conversation with the surgeon preoperatively.  Implants will descend with time and may take 6 months to reach their final destination.  Wearing a tight garment over the top part of the... more

A: Breast massage should be considered

David Rankin, MD

I agree that a breast "band-O" or simple ace bandage placed at the top of the breasts with consistent downward pressure will aid in dropping your implants into position. Also, I would recommend active downward massage displacement to each breast 4-5 times a day for about 15 seconds to each breast... more

A: Settling Breast Implants

Steven H. Williams, MD

Thanks for your question - There are specific bandages and dressings that can be supplied by your surgeon to help put downward pressure on your breasts. Massage may also help. In all likelihood the most important factor is time. As swelling comes down and gravity does it work the position of your implants... more

A: "Settling" breast implants after surgery

Barry H. Dolich, MD

It sounds like you have high riding implants which can sometimes be repositioned in the early post op. period by the use of a bandage or special garments. However, a consultation would be necessary to ascertain the surgical realities and alternatives

A: After 4 weeks, breast implants will not come down

George J. Beraka, MD

To giross, Hi. Now, of course, I don't know exactly what you look like, and you are not going to like my opinion. But, if your nipples are too low and the implants are too high, there is nothing that will correct this other than another operation. Unfortunately, this is not rare, because the muscle attachments... more

A: That is a normal technique for pushing the implants down

David Shafer, MD

Giross, A few issues... I hope that the doctor explained to you about the lift BEFORE your surgery. Many times there is a possibility of having to do a lift, but you should be well aware of this before your surgery. As for your implants settling, it is common to wear a special bra or strap to help push the... more

A: Sounds like an inexperienced surgeon

Richard P. Rand, MD

Making a decision intraoperatively to do a lift is unusual.  It should be clear to an experienced plastic surgeon preop when a lift will be required.  Having your implants low and then high is also strange.  Basically, you will settle over 6 months and know what your final result will be. ... more

A: Each situation will differ

Robin T.W. Yuan, MD

In general, implants will havea tendency to settle because of propensity for things to be influenced by gravity. The question is whether this settling will be sufficient or if it is wishful thinking to solve your discrepancy. It is often a result of a mismatch between the size of the implant and the size and... more

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