Implant not dropping after 10 months

Question

Hello! I had a breast lift with augmentation 10 months ago and my left implant didn’t drop and fluff. My surgeon suggested a revision to take a bit more skin off but now he doesn’t respond. Will doing massages and pushing the implants down/wearing the compressive band help at this time? I stopped doing massages months ago and wore the medical bra almost non-stop, with few exceptions. Any other tips would be appreciated. Thanks!

Daniel Barrett, MD · Answer

Dear Versatile976191,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

At this point you will probably need revision surgery. Return to your original surgeon or please find another one.

Ira H. Rex III, MD · Answer

It seems you could have very nice result if the left implant is lowered.  I cannot tell without a good exam whether the soft tissue needs to be revised.  I do not think any special bras or band were massaging will change your current results.

Gary M. Horndeski, MD · Answer

After 10 months, if the implant has not dropped it is unlikely that it will. Your areolas are at a different level as well. You would benefit from a circumareola approach to lower the elevated nipple-areola complex.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You result actually looks good. The implants and nipples are in the right place. I would not recommend a revision

Jeremy Bosworth, MD · Answer

There CAN still be some changes but after this far out it is unlikely to be significant. It may need some pocket manipulation to get the implants closer. Remember, even the most perfect breasts have some asymmetries, so they will likely never be 100% symmetric, but that doesnt meant they cant be improved. I think the best thing to do is talk to your surgeon, or find a new surgeon (if yours wont respond) to discuss the best surgical option. Then it is up to you to decide if it bothers you enough to undergo the proposed plan.

Miguel Mota, MD · Answer

Unfortunately, this sort of issues can happen with sub-muscular implants. Massages will probably not be enough at this point and your best best is a revision. I would suggest revising your pocket so the implants sit a bit lower and excising some skin on your lower pole. This is pretty straight forward stuff so you will have great results once done!

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Connie Hiers, MD, FACS · Answer

Removing skin will not put the implant in a lower place. I would suggest trying oral Accolate and external ultrasounds treatments to soften the capsule, plus your massages and chest band.

James Hoyt, MD (retired) · Answer

If your breast implant has not dropped into its desired position after 10 months, it's important to consult with your plastic surgeon. Sometimes, breast implants take longer to settle into their final position, but if there are concerns about the lack of dropping, your plastic surgeon can evaluate the situation and determine the appropriate course of action.There are several reasons why breast implants may not drop into place as expected:1. Capsular contracture: This occurs when scar tissue forms around the implant, causing it to become firm and potentially preventing it from dropping into position.2. Muscle tightness: If the pectoral muscles are tight or constricted, they may prevent the implant from settling properly.3. Implant size and shape: The size and shape of the implant, as well as the placement technique used during surgery, can influence how the implant settles.4. Post-operative care: Following your plastic surgeon's post-operative instructions, including wearing a supportive bra and avoiding activities that may put strain on the chest muscles, is crucial for proper healing and implant positioning.Your plastic surgeon may recommend various approaches to address the issue, such as massage techniques, wearing a supportive bra, or in some cases, surgical intervention to adjust the implant position. It's essential to communicate openly with your plastic surgeon about your concerns and follow their recommendations for the best possible outcome.

Implant not dropping after 10 months

Answers (9)

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