What to Do About Breasts That Look Like Cones After Implants?

Unfortunately now is not the time to second guess your choice of surgeon. It is very early and it is quite likely that your breasts will settle with time. I would not make any drastic decisions at this time. Your best option is to give it time for the results (at least 4 months but 9 months in my opinion).  It is difficult to second guess another surgeon's choice or intra-operative decisions and I would continue to see your surgeon and follow his/her advice.

The period of
time immediately following combination breast augmentation/breast lift surgery
is characterized by rapid change.During
this time, swelling, muscle spasm, and the healing process itself all
contribute to changes in the appearance of a woman’s breasts.It’s not unusual for women to have concerns
about breast aesthetics following cosmetic breast surgery.Often when patients undergo significant
changes following surgery, it takes time to adjust to their new body.After reviewing your pictures, it’s
fair to say that it’s impossible to make an accurate judgment about your
aesthetic result at this time.At this
point in time, you appear to have significant swelling, which may last for
months.As this swelling resolves and
your tissue remodels, you might ultimately have an excellent aesthetic result.For all these reasons, you need to
be patient.Make sure you communicate
with your plastic surgeon.Your surgeon
will be able to explain what has been done surgically and how your body is
healing.This will hopefully alleviate
your anxiety.

This is very common shortly after surgery. Your breasts need time to adjust to the implants and settling has to occur. In about three to four months your implants will settle with the force of gravity and tissue expansion, become more natural in appearance. A gentle rounding out of the bottom portion of your breasts will occur to mimic natural breast contour. This may occur sooner in one breast but gradually both will even out.  Please wait a bit longer to see this happen. 

It appears that you have had a mastopexy with implants.  The early results are usually not indicative of the final results.  It is best to let some time pass before evaluating your results.  It appears that your results will be good cosmetically.

Without a complete face to face physical exam, it is very difficult from your one picture to know exactly what is going on.  The steri strip your surgeon has placed towards the bottom of your breasts has confused many of your expert Real Self plastic surgeons.  There is no bottoming out of your implants, and in fact, your breasts will settle more and the torpedo appearance will resolve over the next couple of months. 

There does appear to be a slight asymmetry of your breasts.  I doubt seriously that you chose a "bad plastic surgeon".  Based on your preoperative breasts being a "very droopy B", your results at this stage appear to be reasonable, and if the apparent asymmetry does not resolve with time, then your surgeon may need to do a slight revision. 

I am concerned with the way things look right now, but at this point you just need to wait and see how everything pans out. I would wait for 4-6 months before considering revision surgery.
I also am not sure why you have the steri-strip tape accross your breast but i would be careful that it does not cause a blister or skin tear as it looks very tight around the tape.
Good luck.

It is way too early to say what they will look like in three months.  Give it some time. With alot of skin laxity you may need skin removal in the lower pole if things do not settle out.

You should wait for at least 3 months after the operation to evaluate. My guess is you will need additional correction.
Sorry From MIAMI Dr. B

Hi.
1) Based on the one picture, I am sorry to say that you may not have a satisfactory final result. I am particularly concerned about the folds under your breasts.
2) There is nothing to do now. And your breasts will definitely change over time after a breast lift with breast implants. It is possible that you will be happy in a few months. If not, you may have to consider a revision.

While your result is early, I must say that I am concerned about the look you are showing. Your right shoulder might be being held a little low but the nipple areola on that side are wider and lower than the left. Also, considering that you have the full inverted "T" incisions, the tayloring doesn't look artistic and the crosswise wrinkling of the skin doesn't look good. It looks like your implant is bottoming out on the left side as the incision is up on the lower pole rather than being right in the crease. While some of this will settle with 3-4 months of healing, Where you are at this point is very unfamiliar to me compared to what I see in my own practice. Also, a 250 implant will not likely give you a "full C" result in the end though cup sizes can't be guaranteed by any surgeon. I hope this works out for you but you might want to visit with another doctor for an evaluation. There are many excellent plastic surgeons in Boston.