Swelling or misplaced implant?

Hello,Thank you for your question. You have large implants and you are only one week post op so the implant volume is displaced up and outward right now due to pressure. As your swelling gradually resolves and tissue in the lower breasts softens and expands, you will see the implants gradually drop and settle into a different shape. This process can take between 2-6 months. You cannot rush it. Talk with your Plastic Surgeon about any concerns.All the best

Thank you for your question.  As other surgeons have stated below, you are very early in the recovery process.   Swelling is normal at this phase and can take several weeks to settle down.   Follow up with your surgeon and be sure to express all your concerns to him/her.  Also be sure to follow all post op instructions in order to heal properly.  Best of luck in your recovery process. 

Thank you for your question and photographs.  Increased pain or swelling should be evaluated by your plastic surgeon. Some post operative swelling is to be expected.  I wish you good luck.

Thank you for your question and photos. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

It takes about 3 months for all swelling to go away so it is very early to decide. At first implants are very high and don't look natural. 

Thank you for your question and photos.  You are very early in your recovery and from what I can see on the photographs, your recovery looks normal.  It is not unusual to have swelling throughout the breasts and mohave the implants ride a little high.  You will notice gradual improvement with regard to the swelling and implant position over the next 3-6 months.  Of course, it is always best to check with your surgeon with specific questions about the recovery protocol.  You can try some ice packs as well as sleeping on 2-3 pillows.  Best WishesMHS

Thank you for
your questions and photos!

It is clear from
the pictures that the implants are riding high.

Implants initially sit high up because the chest muscles and
surrounding breast tissues have not become accustomed to the implant resulting
in tightness. You have to allow swelling to reduce and for gravity to take
effect, and overtime, natural tissue expansion will allow the implants to fall
into place causing your breasts to appear more natural, softer, and rounder.
Once that happens, the implant will sit directly behind the breast tissue in a
natural 45:55 breast ratio, and the nipples will move up higher as well.
Currently, there may be excessive upper pole fullness (> 55:45) in both
sides along with implants appearing more on the outer side (i.e., near the
armpit), so in time, this will change.

Please note that it is not uncommon for breasts to heal and
adapt to implants at different rates.

You may have to wait 3-6 months for the final results. Since
you are only 1 week into recovery, there is a lot of time for the “drop and
fluff.”

With persistent inward and downward breast massaging, along
with pole wraps, the breasts drop.

If the breasts appear too high and you are unhappy with
cleavage gap even after 3-6 months, then at that point in time you may share
your concerns with your surgeon and they should be able to fix the problem by
releasing attachments near the inframammary fold and near the sternum to allow
the implant to drop downward and inward.

Patience is key!

Part of the problem could also be that you got implants that
exceeds your breast boundaries, and if that is the case, then you will have to
get smaller implants to fix the situation as well.

Please continue to have regular follow-ups with your surgeon
to make sure your breasts are healing beautifully. Their recovery instructions
should take precedence over all else you read here as they are better informed
about your surgical details.

Hope this helps.

Thank you for your question.  At one week postop, it is way too early to say your implants are malpositioned.  In fact, it is very likely that they are not.  The first week after a breast augmentation sees the most swelling.  Just about every patient's breasts do not look perfect during the first 4-6 weeks after a breast augmentation.  We need to allow time for the swelling to resolve and for the implants to "drop".  Right now your chest muscles are sort of "confused" as to why there are implants sitting underneath them, so their response is to spasm and tighten up.  They will get used to the implants, and so will all the other internal breast tissue over the coming weeks.  All this will relax, and your breasts will look very different in a month.

Be sure to regularly follow up with your Plastic Surgeon.  He/she can guide you through starting some massage and downward displacement exercises, and they may even recommend a band be placed across the top of your chest that pushes the implants down.  Congratulations on your new look.  Best wishes!

You are still likely swollen at one week.  Most of the swelling takes at least three weeks to subside.  Using Ice packs may help.  The fullness may also be due to the size and profile of the implants used.  Without this information, it is hard to tell if it is the implant, swelling or both.

Hi Jayake,Thanks for your question-- One week is too early to start to judge your final result!  The will definitely still be some degree of swelling present at this point.  A physical exam in follow up with your plastic surgeon should allay many of these concerns...after-all that is what you pay them for, the surgery as well as your postoperative care.  From your photos, you have a very symmetric-appearing result.  Over the next few weeks the soft-tissues of the lower part of the breast soft and relax and swelling subsides.  Surgeons refer to the early postoperative appearance of the augmented breast as being "high and tight".  The implants will "drop and fluff" out the lower pole of the breast and look more shapely.  See your surgeon for followup and the ensure that you are recovering as planned.  Best wishes for a smooth recovery!--Erik Hoy, M.D.Rhode Island Plastic Surgeon