Its been 11 days since ive had my BA. (Silicone 400cc below muscle) My breasts look "boxy" and look as though the implant is sitting high on my chest and my actual breast is hanging from the implant. Will the implant "drop" enough to make my breasts look normal? Or was it placed too high on my chest? If so what can be done to fix this?
Should Breast Look Saggy After Breast Augmentation? (photo)
Doctor Answers 16
Wait three to four months for breasts to drop
When breast implants are first put into your body, they typically sit higher up in the chest. This is because it’s the path of least resistance – your body requires some time to adjust to their presence, regardless of whether they’ve been placed in a sub-mammary (between breast tissue and chest muscle) or sub-muscular (under both the breast and chest muscle). Immediately following surgery, you’ll find that your newly enhanced breasts appear very full and swollen, especially in the upper portion above the nipples. Your skin will most likely look very tight and your nipples may point slightly downward as well. This may make the shape and overall appearance of your breasts appear unnatural. As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast.
Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape.
Needing a lift from the start
Your preop photo shows a downwardly displaced and point nipple. This will not be fixed by implants alone. The good news is that you can heal for 6 months and see if the final look is okay and if not, do the lift then.
Postoperative Breast Augmentation Results
From your preoperative photos, you have a relative excess of breast skin (whether this is the natural shape of your breasts or you have had children) when compared to your pectoralis muscle. When you place an implant beneath the muscle in a situation such as yours, the muscle needs to relax more that the existing breast skin. This takes time. As a result, you will see this improve as the muscle relaxes to the degree that your breast skin is currently. Although this is not accurate for all patients, 11 days is far too early to make a decision or get overly concerned about your results. You will likely see an equalization of your implants as the muscle catches up to your skin. Be patient and stay in touch with your surgeon.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
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Post-Operative Elevation of Implants
The period of time immediately following breast augmentation surgery is characterized by rapid change. During this dynamic phase of healing, swelling, muscle spasm and the healing process itself all contribute to changes in the appearance of a woman's breasts. In some cases, swelling and muscle spasm can displace the breast implants in a superior direction when implants are placed beneath the muscle. Based on your history and pictures, this may be a distinct possibility in your case.
In some cases, superior implant displacement may be due to inadequate dissection of the muscle insertions of the inferior portion of the breast pocket. There's no evidence that this has happened in your particular case.
With time, assuming adequate pocket dissection, these implants will probably return to a more normal position. When this happens, the breasts won't appear to be saggy. Sometimes, the use of a bandeau superiorly and massage may facilitate this process.
It may take 3 to 6 months for these implants to drop into a normal position. If no progress has occurred by then, revisional surgery may be necessary. This would involve recreating the lower portions of the breast pocket.
It's important to have good communication with your plastic surgeon. Make sure he is aware of your concerns. He's familiar with the specifics of your surgery and will be able to give you appropriate direction.
Typical breast shape shortly after surgery
Breasts up high 11 days post op
High implants after breast augmentation
You are still early in the post-operative process when implants are high. Have you discussed with your surgeon about massage, stretching, or wearing a bandeau to help them fall?
Boxy breasts after an augmentation
You may want to get a band to help push down the implants. Also, talk to your plastic surgeon about massage techniques.
Did I need a lift?
Sagging after breast augmentation
Thank you for your question, I may have recommended a periareolar mastopexy augmentation for you, if you desired a perky look. However your implants appear to still be high which is normal after an augmentation. I would suggest massage a maybe a band to help positioning but what I do suggest is to speak with your surgeon about your recovery and see what he or she suggests. Time is probably truly your best treatment. .
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.