Will my submuscular implant drop? (Photo)

Question

On my right breast it kind of feels like its empty at the bottom like my tissue hangs of the implant, will my implant drop enough to fill it out? 300cc submuscular position 18days post op

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  At only three weeks post-op, your breasts should continue to undergo changes over the next couple months such as dropping further into place.  It is not uncommon for the breasts to drop at different rates.  As always, continue to follow the instructions of your operating surgeon moving forward in the healing process.  All the best,Dr. ResultsMiami, FL

Larry S. Nichter, MD, MS, FACS · Answer

Breast implants initially after surgery when placed in a submuscular position often give superior fullness that corrects itself with time, the "fluff and drop" phenomena. In reality the pectoralis major muscle takes a while to adjust its size to accommodate the implant as well as occasional muscle spasm which keeps the implant projection higher than its final resting shape. Additional variables include:laxity of skin, size difference during prior pregnancies, position of implant,size of muscle, and size of implant.As the muscle relaxes the projection of the implant often increases and the breast shape improves. Massage and use of a superior placed elastic strap can often make this process go faster.

Gregory T. Lynam, MD · Answer

Nothing to say except please be patient. All looks fine to me. I would think your doctor would have told you the same thing. Good Luck!

Ven Erella, MD · Answer

Thank you for your question. You are on early phase of healing. Implants will continue to drop with time. Please give some time for things to settle.

Pedro M. Soler, Jr., MD · Answer

Thank you for the question and the pictures. At 18 days post op you are in the early phase of the healing process. Healing from surgery will take time. Within the first three months there is a period of inflammation and scarring that must occur in order for you to heal. The breast implants can appear to be high, not in the right position, oddly shaped, tight/hard, etc. Over ensuing months these processes will subside and the inflammatory process gives way to scar softening and remodeling. The swelling will start to abate and the breast tissue will relax and accommodate allowing the implants to settle into their desired position. As the implants settle the nipples will appear to lift and the breast fills and begin to take on their more normal appearance and feel. These processes may occur at differing rates so that the breasts may not necessarily "settle" at the same time. I tell my patients that they will not see their results for at least 3-6 months.At this point I would recommend to be patient and continue in follow up with your plastic surgeon. This will allow you and your surgeon the chance to discuss your concerns and help allay any anxieties you may be experiencing. I hope this helps. Best wishes.

Paul Quinn, MBBS (Hons), FRACS · Answer

Hithanks for your question and photos.As there was some asymmetry prior to your breast augmentation, there will be some asymmetry following surgery. It will improve with time to a degree, less so if you have chosen polyurethane coated implants. If the asymmetry remains unacceptable to you after six months, revision surgery may be possible, but would almost certainly require scars to be placed on the right breast, especially if you would like the nipple asymmetry corrected. Your Specialist Plastic Surgeon will help guide you through this process, you'll be in good hands.

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

Congratulations on your procedure and thanks
for sharing your question. I can appreciate your concern.
The breast implant will definitively going to drop some
more. It takes several weeks before the implants reach their ideal position.
Remember that preoperative differences are responsible for postoperative
differences. No body is perfect, but close to it.

Finally, make sure that your doctor is
aware of your process. He should be able to guide you best in your care.

Wishing you the best in your journey

Sugene Kim, MD, FACS · Answer

Hi, kaylanick14.  Thanks for your question.  Based on your photos, you look great.  It takes time for implants to drop - 3 to 6 months.  Please follow your plastic surgeon's post-operative recombination and massage the implants.  Best wishes.

Tom J. Pousti, MD · Answer

Thank you for your question. Your plastic surgeon will always be your best resource when it comes to an accurate assessment of your situation, advice, predictions, and/or meaningful reassurance.

Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.

Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term

Brooke R. Seckel, MD, FACS (retired) · Answer

I do see what is troubling you and I understand your concern. This is likely due to the fact that the right breast was significantly lower before surgery and the implant has further to drop on that side.You are early in recovery and hopefully the implant will drop down into the breast over the 6-8 weeks. If it does not a simple release procedure or a minor lift may be needed.Ask your plastic surgeon if breast implant displacement exercises and a Bando may help move the implant down.

Will my submuscular implant drop? (Photo)

Answers (10)

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