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.
It is too early to make an assessment of the breasts at this stage. It is not uncommon for breasts to appear too high or to appear to move around too much immediately after surgery. It is also not uncommon for the breasts to be asymmetric, with one breast appearing different compared to the other. Although, I agree that the implant does seem to go excessively high, but this may decrease over the next several weeks.
Thank you for your question. It is not uncommon for one or both implants to be higher on the chest wall early in the postop period. It does appear that you do not have the breast strap sitting correctly on that side holding the implant down. There is no need to be concerned this early after surgery. Discuss your concerns with your surgeon at your followup visit.
Although your concerns are understandable, it is much too early to evaluate the outcome of the procedure performed and therefore much too early to determine whether or not additional surgery will be beneficial. I ask patients to evaluate the outcome of the procedure performed 3 to 6 months after it was done; you can expect significant changes to occur between now and then. As you mentioned, your plastic surgeon will always be your best resource when it comes accurate assessment, advice, and/or meaningful reassurance. Best wishes for an outcome that you will be pleased with longer-term.