I had moderate profile Mentor 325s placed under the muscle through the armpit almost 5 months ago. I am very petite and have firm tight skin. My range of motion is still only 90%. Pre-surgery, I was a 32A with slightly droopy nipples (shrunk from a 32C after children. During pregnancy I grew to a 32F and my breasts looked nice, even and not droopy.) My doctor is saying I look normal, which is obviously not the case. Do you think I will drop and fluff more?
Answer: Implant Malposition
Hello Pettitegirl5,
Your re-posting yielded more responses this time. Please review mine again:
Both of your implants are sitting too high, especially the right implant, to be considered normal. It is very difficult to make truly accurate assessments with only photographs and not conduct an actual examination, but it looks like there may be an element of capsular contracture to the right implant, and neither look like they are sitting against your natural inframammary fold, something we would expect after an augmentation.
Regardless of why your implants are too high, I will give you assurance that vigorous massage, vitamin E, compressive bands, or pharmaceuticals like Singulair or Accolate will not be effective. It is possible that given enough time they may drop some, but not to the extent that I think you would find pleasing.
Most likely you will need to have a revision surgery that will improve the position of your implants and address any other concomitant issues you may or may not be having (capsular contracture). Revision surgery is more complicated and requires extensive experience on the part of the surgeon. I would recommend that you consult highly regarded breast surgery specialists and get second opinions. These doctors are certified by the American Board of Plastic Surgery and are usually also members of the American Society for Aesthetic Plastic Surgery.
Best of luck.
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Hello Pettitegirl5,
Your re-posting yielded more responses this time. Please review mine again:
Both of your implants are sitting too high, especially the right implant, to be considered normal. It is very difficult to make truly accurate assessments with only photographs and not conduct an actual examination, but it looks like there may be an element of capsular contracture to the right implant, and neither look like they are sitting against your natural inframammary fold, something we would expect after an augmentation.
Regardless of why your implants are too high, I will give you assurance that vigorous massage, vitamin E, compressive bands, or pharmaceuticals like Singulair or Accolate will not be effective. It is possible that given enough time they may drop some, but not to the extent that I think you would find pleasing.
Most likely you will need to have a revision surgery that will improve the position of your implants and address any other concomitant issues you may or may not be having (capsular contracture). Revision surgery is more complicated and requires extensive experience on the part of the surgeon. I would recommend that you consult highly regarded breast surgery specialists and get second opinions. These doctors are certified by the American Board of Plastic Surgery and are usually also members of the American Society for Aesthetic Plastic Surgery.
Best of luck.
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CONTACT NOW Answer: Breast settling after procedure Thank you for your question and for sharing your photos. At five months, it there is a chance that the implants may not settle much more. Keep a close follow-up with your surgeon. If they continue in their current position, you may consider releasing the lower pocket of the breast to create more internal laxity of the lower pocket of the breast.
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CONTACT NOW Answer: Breast settling after procedure Thank you for your question and for sharing your photos. At five months, it there is a chance that the implants may not settle much more. Keep a close follow-up with your surgeon. If they continue in their current position, you may consider releasing the lower pocket of the breast to create more internal laxity of the lower pocket of the breast.
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November 3, 2014
Answer: Try techniques to help them drop, and if that doesn't work, consider revision surgery Some patients with tighter skin find that their implants take longer to drop and fluff. It looks like this may be true fro you. Ask your surgeon about what you can do to help the process, such as massage or wearing a bandeau around the top of your breasts. If however you find that this doesn't work, you'll probably need revision surgery to adjust the pocket. It might not be positioned properly.
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Answer: Try techniques to help them drop, and if that doesn't work, consider revision surgery Some patients with tighter skin find that their implants take longer to drop and fluff. It looks like this may be true fro you. Ask your surgeon about what you can do to help the process, such as massage or wearing a bandeau around the top of your breasts. If however you find that this doesn't work, you'll probably need revision surgery to adjust the pocket. It might not be positioned properly.
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November 26, 2014
Answer: Breasts Too High After Breast Augmentation Your breasts appear to not have dropped and fluffed. Since you mentioned that you have firm, tight skin, you may need a little while longer for this process to complete. Sometimes it can take 6 months or longer. You can help the process with massage, however please talk to your surgeon for their advice. They can give you the exact instructions on how to perform the massage. If this doesn't help or other suggested nonsurgical treatment, you may require revision surgery to reposition the implants, placing them lower and perhaps choosing an implant that would achieve more natural looking results. Best of luck!
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Answer: Breasts Too High After Breast Augmentation Your breasts appear to not have dropped and fluffed. Since you mentioned that you have firm, tight skin, you may need a little while longer for this process to complete. Sometimes it can take 6 months or longer. You can help the process with massage, however please talk to your surgeon for their advice. They can give you the exact instructions on how to perform the massage. If this doesn't help or other suggested nonsurgical treatment, you may require revision surgery to reposition the implants, placing them lower and perhaps choosing an implant that would achieve more natural looking results. Best of luck!
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March 24, 2014
Answer: Breasts Sitting Too High Following Breast Augmentation Surgery It’s always difficult making recommendations without performing a physical exam or seeing pre-operative pictures. Despite this, your post-operative pictures clearly suggest several problems that are probably related to the initial breast pocket formation. It appears that your breast implants are medially displaced and too high and as a result, the nipple areola complexes are malpositioned. This problem will not correct without surgical intervention and will most likely require a pocket revision. When transaxillary breast augmentation is performed, it can be difficult to separate the muscles along the inferior border of the breast pocket. This under dissection can create the type of problem that you are experiencing. Correction involves expansion of the pocket laterally and inferiorly. This is most easily accomplished through an inframmary approach. It’s important that you discuss these issues with your plastic surgeon. In some cases, a second opinion may be appropriate.
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Answer: Breasts Sitting Too High Following Breast Augmentation Surgery It’s always difficult making recommendations without performing a physical exam or seeing pre-operative pictures. Despite this, your post-operative pictures clearly suggest several problems that are probably related to the initial breast pocket formation. It appears that your breast implants are medially displaced and too high and as a result, the nipple areola complexes are malpositioned. This problem will not correct without surgical intervention and will most likely require a pocket revision. When transaxillary breast augmentation is performed, it can be difficult to separate the muscles along the inferior border of the breast pocket. This under dissection can create the type of problem that you are experiencing. Correction involves expansion of the pocket laterally and inferiorly. This is most easily accomplished through an inframmary approach. It’s important that you discuss these issues with your plastic surgeon. In some cases, a second opinion may be appropriate.
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October 19, 2011
Answer: Implant malposition after breast augmentation
Although it is possible for your implants to drop five months after surgery, it is unlikely that they will move down far enough to make you happy with your shape. Based on your photographs, your implants appear to be too high and too close together. It is certainly OK to wait, but unfortunately, I think that it is likely that you will need some sort of revision surgery in order to obtain that look that you want.
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Answer: Implant malposition after breast augmentation
Although it is possible for your implants to drop five months after surgery, it is unlikely that they will move down far enough to make you happy with your shape. Based on your photographs, your implants appear to be too high and too close together. It is certainly OK to wait, but unfortunately, I think that it is likely that you will need some sort of revision surgery in order to obtain that look that you want.
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