I posted pre and post op pictures Armpit incision with 380 high profile saline implants I'm 5'9 135 pounds My boobs look terrible.. Is it normal to have this shape after 6 days? Please help When should I expect positive results?
**6 Days Post Op** Breast Augmentation**implant Placement High and Unnatural -- HELP? (photo)
Doctor Answers 14
Implant Placement High and Unnatural
It is pretty much the rule that under the muscle implants are high riding in the early period after surgery.
Submuscular implants are sitting as if they are at the bottom of an envelope. The breast fold, like the bottom of the envelope keep the implants from descending. At the upper pole is a large space under the muscle and above the ribs, and that space goes up to the clavicle (collar bone). Typically the implant position looks fine at surgery. As the patient awakens, the relaxed pectoralis muscle contracts, pushing on the implant. This displaces the silicone (or saline) which bulges into the upper pole, the only direction with room to expand. The lower pole of the breast may seem to empty out. But the implant itself doesn't actually move. As the muscle relaxes over several months, the upper pole no longer bulges , the lower pole of the breast fills out, and the implant position looks like it did in surgery.
Breast augmentation with placement too high and unnatural
A common error that leads to an unnatural appearance after breast augmentation, even with implants of an ideal size, is inadequate lower pole dissection and/or inadequate release of the pectoralis major origin just above the inframammary fold. As a result the implants sit too high and appear excessively full in the upper poles (the area above the nipple-areola complex), while the lower poles - which should be the fullest area of the breast - are underfilled. Inadequate muscle release may also result in bizarre-appearing breast implant animation when the pec major muscle contracts. In some cases this may result in one or both of their implants jumping up literally to the level of a patient's collarbones - an alarmingly unnatural look, and one that is totally avoidable
Early high ridding implants
It is not unusual for the implants to ride high after a submuscular breast augmentation. The good news is time, weight and gravity are on you side. As long as the pocket was dissected properly the implants will drop. Massage will help to push the implant down. If you are having muscle spasm a muscle relaxant may be beneficial.
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High implants a week post op - don't despair
as they will settle. Your doctor should be advising you on strategies to help get them to come down. And as I am not an advocate of the armpit approach, I cannot be objective in your case but know implants will settle. Your doctor wants you to have the best results possible so stay the course. Revisions can always make things better and its hoped you won't need any.
Reason for concern
If the pocket for the implant is not made low enough at surgery, it is unlikely that the implant will ever fall to the correct positon with the passage of time. At surgery, it is important to elevate the back of the operating table as much as possible to see whether the shape of the breast is satisfactory with the patient nearly sitting up. Only by doing this, can the surgery determine whether the pocket for the implant is low enough.
If the pocket for the implant was made low enough, but the implant has shifted upward after the surgery was finished, the implant can nearly always be made to shift down to the bottom of the pocket made for it. I prefer to actively have my patients to push their implants down with their hands, and only have them use the elastic strap at night.
If the pockets for your implants were not made low enough at surgery, it is unlikely they will ever fall to a satisfactory position. You should see your plastic surgeon as soon as posssible.
Too early to panic
At this point, it is difficult to tell if a problem exists. Many patients with first time breast implant surgery will have a lot of swelling in the upper part of the breast until the tighter, lower part stretches. It is true that implants placed through the armpit incision can end up riding too high, but it is very early after your surgery and may be impossible to tell at this point. Talk to your surgeon and discuss your concerns. Try to be patient. Best of luck.
6 Days Post Op
Six day post-op is much too early to panic! At this point you should be concentrating on healing. Once you start the exercises, everything will look much better. It takes time for the swelling to decrease and for the implants to settle down. The best thing to do is discuss your concerns with your surgeon.
**6 Days Post Op** Breast Augmentation**implant Placement High and Unnatural -- HELP?
Transaxillary BAM 6 days post op
At 6 days post-op, it's really too soon to worry about shape. I'm not a big fan of the transaxillary incision because of this exact reason. Make sure you talk with your surgeon and go over your concerns, perhaps ask about a breast band and massaging. Every patient and situation is different but breasts can change shape anywhere between 3-6 months so try to be patient and re-evaluate then with your surgeon. ac
Implant in the breast shape may take several weeks or even months to finalize.
The artificially supported volume of the breast implants should change as swelling subsides. This may take a number of months however.
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.