Two Years Post Breast Augmentation: Still Haven't Settled

I had my breast augmentation two years ago. 5'4" 140 lbs, was a small A, had 450 or 470cc saline smooth round high profile unders. My breasts don't seem to have settled all the way, the nipple looks too low and they seem too far apart. I probably didn't wear the strap as long as I was supposed to? Is it possible to have this corrected so they're in the right position? I'm thinking of having silicone 600cc high profiles put in.

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14 Doctor Answers | Asked by ehjayach

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Breast implants that haven't settled.

You have correctly diagnosed your problem which is to say that your breast implants have not settled. And, this can happen especially with saline implants that are under the muscle. The problem is this: saline implants are always going to stretch out, or expand the lower pole of you breast, and will thus settle. How much this will happen is always a judgment call that depends upon the thickness of your muscle, the nature of how your body's tissues will relax, and the... more

My breast implants are not settling

I would agree with the other physicians in that you are correct that your implants are far too high. I would also agree that you need to have this corrected by adjusting the capsule (scar) around your implants and possibly lowering your fold so that the bulk of the implant volume is better situated beneath the volume of your breast. I would discourage you from going too much bigger because this may simply make it more difficult to now accomodate this extra volume since the original... more

Breast revision

There are some patients that before surgery don't have very much tissue in the lower breast or very tight skin in the lower breast. In these patients there may be only 1-2 centimeters from the bottom of the areola to the inframammary fold. Even with lowering the crease the nipples may still look low in these types of patients and the implants high. So relative to your nipples the implants do look high but if your nipples were higher we might not be saying that. With your revision... more

Two Years Post Breast Augmentation: Still Haven't Settled

They will not settle- the implants are too high; maybe because of capsular contracture, maybe because of initial pocket formation. You need a revision. Be sure to choose a surgeon who can go over your options and who listens to what you want. I personally dont see a reason why you cannot go to 600cc, you just have to be sure that the dimensions of the implant fit the dimensions of your breasts. This must be done with the performing surgeon measuring your breast... more

Breast augmentation -getting it right the first time

For optimal results of breast augmentation for the average woman between 5 and 6 feet tall the desired proportions are that the nipples form an equilateral triangle with the upper notch of the breast bone and each side of the triangle is about 20cm in length and the breast and implant tissue are centered under the nipple. In your case the implant is centered above that. There could be a variety of reasons for this including a form of tuberours breasts with high breast fold present before the... more

You will revision

Your implants were too big for your breast tissue and the lower pole of your breast could stretch to accommodate big implant. You will revision to lower the implants and bigger implants will make the results worse.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast implants siting too high

At this point the result you see is fixed in place. It would be better to do a revision and drop them down a bit. You will get into more troubles perhaps going larger.

Breast Implants - "Settling" at Two Years Post-Op

Hi ehjayach, Unfortunately, you cannot reasonably expect your implants to "settle" at two years post-op. It can, in fact, take a few weeks to months for them to settle in general, but you're past that point. The good news is that a procedure to lower implants is exponentially less complicated than a procedure that attempts to raise, reposition, or provide additional tissue coverage (such as when your skin is too thin, the implants are too big, etc). In... more

Implants high

As has been said by everyone here, the implants are riding too high, either due to a high pocket at the time of surgery, descent of your natural breast tissue, and/or capsular contracture. They will not settle at 2 years and a revision should be pretty straightforward. If it is capsular contracture, there is of course a risk of recurrent contracture, but that does not seem to be a big problem in most of my patients. An adequate capsule release, or sometimes a change to a slightly new pocket... more

There will be no "settling" of the implants

In concurrence with the other plastic surgeons who answered your question, your implants will never "settle". The problem is that your implants are too wide for your anatomy and are situated too high. That is why the nipple appears too low and the implants extend far too high. You would be better off with a high(er) profile implant of the appropriate size. Going larger as you stated would worsen your situation. Lowering the fold at the bottom of your breast may help somewhat... more