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3 months post op. One breast hasn't dropped. Will it? Should the doctor have lowered the crease? (Photo)

I have 340 cc natrelle round understand and am 3 months post op. My right hasbt moved since 4 weeks. Left has dropped I believe. Will my right drop. I know a had a slight asymmetry pre op so expected my right to be a tad smaller but expected them to be even. Is it Dr error re pocket too small? Or should he of lowered my crease? ? I'm devastated as it's so noticeable abd am covering them up my 3 month check up is in 3 weeks. Just wanted advice in case my Dr says it's normal or won't fix

Doctor Answers 3

Right implant higher

August 6th, 2014
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It is really impossible to decipher what the issues are with your right breast at this time with a photo.  It just appears too high.  It may well drop over time on its own.  However, if not, it can be easily lowered to fill out the lower breast tissue and obtain better symmetry.  Lowering the IMF would not have solved this particular temporary issue.  Again, if it does not drop, it should an easy fix. 
David Marcus, MD
August 6th, 2014

Right implant higher

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It is really impossible to decipher what the issues are with your right breast at this time with a photo.  It just appears too high.  It may well drop over time on its own.  However, if not, it can be easily lowered to fill out the lower breast tissue and obtain better symmetry.  Lowering the IMF would not have solved this particular temporary issue.  Again, if it does not drop, it should an easy fix. 
David Marcus, MD

3 months post op. One breast hasn't dropped. Will it? Should the doctor have lowered the crease?

August 2nd, 2014
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It is very difficult if impossible to change the crease. If it is attempted and fails - you will have a double bubble breast. You do have some asymmetry with this photo but may be caused by prolonged swelling. I would give it more time and consider self massage.
Thomas Trevisani, Sr., MD
August 2nd, 2014

3 months post op. One breast hasn't dropped. Will it? Should the doctor have lowered the crease?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It is very difficult if impossible to change the crease. If it is attempted and fails - you will have a double bubble breast. You do have some asymmetry with this photo but may be caused by prolonged swelling. I would give it more time and consider self massage.
Thomas Trevisani, Sr., MD

Will asymmetrical breast implant dropped more after 3 months?

August 2nd, 2014
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Ask your doctor about vigorous of breast implant displacement exercises and a pole wraps for the right breast to encourage dropping.  It is possible that the right side may drop further.

However you had a significant asymmetry preop and most of the result that you see is caused by the asymmetry that you had before surgery.

The problem with lowering the crease is the risk of bottoming out or double bubble deformity.  In my practice I would've recommended a unilateral breast lift on the larger lower side during the course of your breast augmentation.

After 6 months of the asymmetry is still significant the better procedure might be to lift the lower breast to avoid the risk of double bubble or bottoming out by attempting to lower the right-sided crease.

Web reference: http://www.bostonplasticsurgeryspecialists.com/services/breast-surgery/breast-augmentation/

Brooke R. Seckel, MD, FACS
August 2nd, 2014

Will asymmetrical breast implant dropped more after 3 months?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Ask your doctor about vigorous of breast implant displacement exercises and a pole wraps for the right breast to encourage dropping.  It is possible that the right side may drop further.

However you had a significant asymmetry preop and most of the result that you see is caused by the asymmetry that you had before surgery.

The problem with lowering the crease is the risk of bottoming out or double bubble deformity.  In my practice I would've recommended a unilateral breast lift on the larger lower side during the course of your breast augmentation.

After 6 months of the asymmetry is still significant the better procedure might be to lift the lower breast to avoid the risk of double bubble or bottoming out by attempting to lower the right-sided crease.

Learn more: http://www.bostonplasticsurgeryspecialists.com/services/breast-surgery/breast-augmentation/

Brooke R. Seckel, MD, FACS

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.