Breast Implant Dropping Too Much Possible?

Question

I'm 2 months PO of BA and my right implant is still high which I'm told wait up to 6 months for final results. But I can't help but think this "is not normal". My left breast has dropped and fluffed at my 3rd week PO as my PS says but has it dropped too much now? I don't know what's going on here. I'm in no pain and have resumed all normal activities and both are equally soft/squeezable. I look great in bras/clothes but nude pictures say different. Do I need revision and why? Will it get worse?

Anita Patel, MD, FACS · Answer

The time it takes for implants to settle is not only different with each patient, but can also be different between breasts in the same patient. I agree that 2 months is too early to tell the final implant position. Also, normally you want the nipple to be centered on the breast mound, and yours look like they are sitting low right now. That may change if the implants drop, but you may still need a lift if the entire breast and implant are sitting low on the chest wall. Either way, give it some time and keep close followup with your surgeon.

Jerome Edelstein, MD · Answer

When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen.This process tends to occur sooner in one breast than the other, so don't be alarmed if you find that your left drops before the right or vice versa.

Jonathan Saunders, MD · Answer

definitely wait 6 months before doing any revision work.  i dont see preop pictures.  was one breast lower than the other to start?  be patient

Laurence Weider, MD · Answer

In general, I would suggest waiting at least six months to allow the right implant to settle further to match the left side. It is often the case that one side will drop before the other. Breast massage exercises may help. If you are concerned, consider scheduling another visit with your plastic surgeon. You can ask him/her what their plan will be in the event the the asymmetry is still noticeable after six months. Best of luck.

David Shafer, MD, FACS · Answer

It is good advice to wait at least six months before thinking about revision surgery.  Also, it is best to address these concerns with your surgeon as they know your specific case best.  You can discuss with them massage techniques which may help the implants settle quicker.

	 

	Good Luck.

S. Ozan Sozer, MD · Answer

I think it is a good idea to wait for six months before deciding upon a revision after breast augmentation. Meanwhile, massaging the breast downwards may help with its decend.

Kara K. Criswell, MD, FACS · Answer

Thank
you for your question.  It is not uncommon for one side to take a longer
than the other. Patience and communication with your surgeon is what is most
important at this point. Your breast can continue to change ("drop
and fluff") for 3, 6 or even 9 months after surgery.  At
times, a complication called capsular contracture can prevent an implant from
dropping, so do please check with your surgeon. Your surgeon should guide
you through this process as your implants settle into a more natural
position.

Gregory Sexton, MD · Answer

It is normal for one to "drop" before the other. Wait 3-6 months and it should even out. Try to relax and just wait.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	It is not unusual to have some breast asymmetry,  especially 2 months out of breast augmentation surgery. I would agree that you should wait at least 6 months ( or better yet one year)  prior to evaluating the results of the surgery and the potential need for further surgery. 

	Best wishes.

Steven Wallach, MD · Answer

First, it looks like the photo on the right is pre-op and not a great photo, but you have some asymmetry. All breasts are a bit different. They will look a bit different after surgery as well. You have to give them more time to settle in as well.

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