Flat on the bottom of my breast. Will the flatness go away? (Photo)

Question

I am almost 4 months post op, I had a lollipop lift with 450cc silicone implants. I have noticed that my right breast is flat on the bottom and hasn't totally dropped. Will the flatness go away? Or is it something that will need to be remedied?

Mariam Awada, MD, FACS · Answer

It is difficult to tell what is going on with the limited photos.  Discuss with your PS whether additional massage is warranted or giving the implant tincture of time settling to gravity will address your issues which it usually does.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photo.  It is difficult to see exactly what you are describing from your photo, but in order to determine if you are healing properly or need a revision, please be seen in person by your operating surgeon.  In the meantime, continue to follow the protocol (massaging, etc.) given to you for your post-op care by your physician.All the best,Dr. ResultsMiami, FL

Larry S. Nichter, MD, MS, FACS · Answer

Most of the time the flatness the bottom of your breasts will improve over the first year following a breast lift and implant surgery. The flatness is often due to closing the space where your nipple areola used to be and this tissue stretches out over time.

Richard H. Tholen, MD, FACS · Answer

"Final" healing and scar maturation takes 6-12 months, so I can safely advise you to continue to be patient for now. Things will likely change as time goes by, but it would be incorrect to "promise" a perfect outcome. Only time will tell, but do be patient in the meantime. I would not be considering a revision for 6-12 months, which your surgeon should be counseling you as well.You may want to ask your surgeon about an elastic bandeau worn above the "higher" breast, and below the "lower." This can help even out the implant position over time. Waiting is another less proactive option! Best wishes! Dr. Tholen

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your
question and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift restores a firmer, perkier, and more
aesthetically pleasing shape to sagging breasts. This not only can improve
a patient’s appearance by restoring her youthful, feminine proportions,
but also help bras and swimsuits fit more comfortably and attractively. By
removing excess, stretched out skin, reshaping the breast tissue, and raising
the nipple & areola into a more forward position, a cosmetic surgeon can
create a more youthful breast contour. Stretched, large areolae can
also be reduced during breast lift surgery, creating an overall better proportioned,
natural looking breast…

Levi J. Young, MD · Answer

The photo you provided doesn't show the flattening you describe very well. However, at 4 months things should have dropped and settle well at this point.  If there is a contour abnormality or flatness you don't like I'd recommend discussing that with your surgeon who could likely tell you if a revision is needed or not.  Perhaps you simply need more time and massage.  Best wishes.

Flat on the bottom of my breast. Will the flatness go away? (Photo)

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