Generally speaking, especially early in the
post-operative phase of healing, it is not uncommon to have one or both
implants appear to be high up by the clavicle. Although the “pocket” may be
made correctly, the implant may not have access to the bottom for several
reasons. If the overlying muscle or skin is tight, this will move the implant
to the path of least resistance which is up and towards the underarm where
there is little or no pressure. As the pressure relaxes, the implant will drop
down to the bottom. Smooth implants, because their surface is slippery, may
move faster downward than a textured implant with its rough surface. Because
these variables mentioned above can be different for each side, it's not
uncommon that one side will drop faster to the bottom of the pocket than the
other. Similarly, sometimes one breast will swell more than the other or be
more painful than the other early in the postoperative phase. After the first
month or two, usually things will even out. It wouldn't be, in my practice,
until four months or so has passed that I would entertain going back to the
operating room to “touch up” the location of the breast implant in the pocket.
Sometimes specialized bras or straps as well as massage and stretching
protocols may be helpful in allowing this process to happen more quickly. Each
plastic surgeon will have different thoughts on what the best protocol is for
the patient. Your operating plastic surgeon will be your best resource to have
this information passed on to you. I recommend that you faithfully follow up
and follow the instructions of your chosen plastic surgeon. Congratulations on
your surgery, and good luck on an uneventful recovery.
Your one breast looks low and may need a pocket revision as well as a modification of the implant volume and lift. Best to give it a few more months to heal completely then re-evaluate it.
3 months post op, some advices:
Thanks for the question.
Its too early to talk about final results.
In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense.
In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.
Dr. Emmanuel Mallol.-
The two biggest reasons you have this asymmetry is due to the fact you had some level of pre operative asymmetry and number 2 is that the pockets created at the time of surgery are of different shapes. Right now you may wear a strap to push the higher breast down and wait a few more months. If you have a board certified plastic sureeon taking care of you then he or she will be able to explain the options. Good Luck!