My breasts are square or flat at the bottom. Is this normal? Is it part of the healing process?

Question

I am almost at my two weeks post op. Had a breast lift and breast augmentation done. I've looked at several pictures and haven't noticed anyone having this problem.

Brian K. Reedy, MD · Answer

Thank you for your recent question! At this point you are still early in the healing process and it can take some time for the tissues to settle and take a natural shape.  Your breasts will start to look and feel more natural at 3 months .  Best of luck!

Andrew P. Trussler, MD · Answer

Breast shape will change over the first month after a mastopexy augmentation. Proper lower pole support and proper choice of mastopexy technique will tend to give the lower pole some tightness which will relax over time. It would be important to return to your plastic surgeon to discuss the issues.

Carlos Mata, MD, MBA, FACS · Answer

Hi Bear13,Thanks for your question. It is normal sometimes to have a flat or square appearance to bottom of your breast if the implants were placed under the muscle as the muscle pulls the implants up. I would recommend a breast strap if that was what was done. The implants settle and increase the roundness at the bottom. Seek your plastic surgeons advice. Good Luck!

All the best,
Carlos Mata MD, MBA, FACS

@breastlift
@breastaugmentation @docmata #drcarlosmata
Board Certified Plastic Surgeonand photos.

All the best,
Carlos Mata MD, MBA, FACS

@breastlift
@breastaugmentation @docmata #drcarlosmata
Board Certified Plastic Surgeonand photos.

M. Scott Haydon, MD · Answer

Thanks for your question. Congratulations on your surgery. It is likely that as the implants drop and settle, this will round out the bottom of the breast. The attachments of the pectoralis are released when the implant is placed beneath the muscle. Provided this has been done, things should settle out. Care must be taken to avoid releasing too much near the lower crease for fear of bottoming out. Some patients have a very high and tight crease and this ultimately limits how much can be done. Best of Luck!

Robert D. Wilcox, MD · Answer

Dear bear13,

If you had a lift with implants this is
actually a good thing. You can be sure that with time and gravity you will get
some settling of the implants and rounding out. This is what the breast lift is
trying to counteract, so do not fear. You will get rounding. You are very early
in the healing process.

I hope this has been helpful.

Robert D. Wilcox, MD

My breasts are square or flat at the bottom. Is this normal? Is it part of the healing process?

Answers (7)