When Do Breast Implants "Drop" or Fall into Place?

I just came back from my 1 week check up, and my breast implants have not yet dropped. They are so high that they are not even covering my regular breasts. Doctor says that I have to massage them and they will drop. Is this right? I was so flat-chested that now I seem so big or swollen on top, by my chest bone, and small elsewhere. When do they start falling into place?

Doctor Answers 62

Implants settle into place after surgery

When breast implants are placed under the muscle for the first time, they usually look very high and create a big bulge in the upper chest. The muscle and skin have to take time to stretch out to accommodate the new implant under it, and there is also swelling at the beginning.

What you finally end up with is not what you see right after surgery. Sometimes if your skin is very tight it can take as long as six months to completely settle down, but usually it takes about half that time (2 to 3 months). You can often begin to see changes starting in about 10 days. Don’t worry about it. This is a normal process.

Stockton Plastic Surgeon
4.5 out of 5 stars 19 reviews

They will drop over the next few months

Breast implants are normally high immediately after surgery and it takes time for them to drop. In fact it can take 6-12 months for then to completely drop down to their final state. The good news is that they will do most of the dropping in the first 3 months.

I have linked a photo of a patient's implants dropping over the course of a year.  I have her photos at 1 week, 2 weeks, 1 month, 3 months, and 9 months so that you can see the changes over time. I hope this helps. Take care.

Christopher J. Ewart, MD
Augusta Plastic Surgeon
4.8 out of 5 stars 45 reviews

When do breast implants Drop into place?

Breast implants under the muscle can take anywhere from 6 weeks to 6 months to drop into place. The chest muscle contracts and pulls the implant up higher than where it was originally placed. Massaging the chest muscle will help to relax the muscle so that the implant will drop into position. The size of the implants can have an effect on how long they take to drop. Larger implants will take longer to drop. How muscular your chest muscles are can also have an effect on the time to drop. Women with bigger chest muscles from working out will take longer to drop. 

Stanley Castor, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 119 reviews

It takes 6-8 weeks to see some and 4-6 months for all of it

Implants will descend over weeks to months. Each patient is different and each surgeon's technique is different. The fullness of the implant chosen for you will also determine how quickly you see the implants settle in. You are way too early to worry. Stick close to your doctor and work with them through the process.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

When Do Breast Implants "Drop" or Fall into Place?

Thank you for the question; congratulations on having undergone the breast augmentation procedure. As you know, is much too early to evaluate the outcome of the procedure performed. It is most likely that you will find that you will not have “forever high breasts”. Generally speaking, when breast augmentation is performed a “pocket” is created.  Depending on the size  and position of the breast implant pockets  dissected,  as well as the size of the breast implant used,  it may take some time for the breast implants to “settle” into the dissected pocket.  This process may be referred to as “dropping and fluffing”.  It may  require 3 to 6 months to occur.  at this point, although easier said than done, I would suggest ongoing patience;  you will find that time and patience will be your "best friends" over the next several weeks/months. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Will Breast Implants "Drop"

In the days and weeks following breast augmentation surgery, there will be may be some changes. But, sometimes implants are not placed in the ideal position.  Too often breast implants can be placed too high. A natural looking result requires experience and expertise on the part of your surgeon. Hopefully your breast will settle into a favorable position. if not, revision surgery is a possibility.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

When do implants start to fall.

You are very early in the post operative course.  Typically implants start to drop at three weeks.  It may take 6 months to a year for them to settle into place.  Please continue to let your plastic surgeon know your concerns.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Implant Settling or "Dropping"

You are very early in the healing process but you are not alone in feeling as though your breast implants are still high one week after your breast augmentation.  I tell all my patients pre-operatively that they should expect their implants to initially look  "high, hard and ugly" and that they take some time for them to settle into place.  While the settling process may take 3-4 months to be complete, implants begin to fall into place over the first 4-6 weeks quite nicely.  As the swelling dissipates and the breast tissue and chest muscle soften and stretch, the implant begins to settle into the lower pole of the breast.  I recommend that my patients begin performing breast massages roughly 5-7 days after their surgery to help facilitate the settling process and prevent scar tissue formation around the implant, but I would suggest following up with your operating surgeon to discuss your concerns and their specific post-surgical protocol.  Be patient and good luck!

Stephen T. Greenberg, MD
Woodbury Plastic Surgeon
3.9 out of 5 stars 59 reviews

When do Implants Settle?

It is completely normal for your implants to look high up after having surgery. Usually it takes about several months for your implants to settle. Reminder; they will not settle at the same time so one day you might find one breast higher than the other and then maybe vice versa another day. It's only been a week, give it time... 6 months after your surgery is where your breast will fully be settled.

Mel T. Ortega, MD
Miami Plastic Surgeon
4.4 out of 5 stars 913 reviews

Breast implants 'settle' after 4-6 weeks

It takes 4-6 weeks for your breast implants to 'settle'. There are many factors involved, including the tightness of your brest skin, envelope, the size and profile of your implant, the surface of the implant, and whether your implants were placed entirely under the muscle or partially under the muscle.

In reality, it is not that the implants have to 'move' down or 'settle', it's just that the lower pole of the breast tissue and skin needs to expand. Be patient.

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 225 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.