Hi doctors, I’m a 32-year-old female, 5’3”, currently 153 lbs (197 lbs at the time of surgery). I had a primary breast augmentation on August 1, 2024, with 520cc high-profile silicone implants placed under the muscle. I’ve previously breastfed. Ten months post-op, only one implant has dropped and fluffed. The other remains noticeably high, firm, and tight. I’ve been doing daily downward massage and recently began wearing a compression band consistently, though I wasn’t strict with it early on. Unfortunately, there’s been no change. My surgeon ruled out capsular contracture and suggested the issue may be due to tissue restriction or a tight pocket. I’m concerned this could be superior malposition from high pocket placement. The asymmetry is clearly visible, especially in fitted clothing. I’d really appreciate insight on: • Whether there’s still a realistic chance this implant could drop naturally at this point • If this sounds like a pocket placement issue • What revision would likely involve—pocket release, internal sutures, mesh, etc. • And whether this type of revision is typically covered or discounted if related to surgical technique Thank you so much for your time and input! I want to be well-informed ahead of my next consult.
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Answers (7)
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A DD will be too large and heavy for your frame and tissue, but a D would look nice. I would suggest placing the implants behind the muscle. You do not need a lift. Your size selection should do well for you.
I would suggest meeting with a plastic surgeon and trying on sizes so that you can see what you like. You did not post photos, but I would suggest going behind the muscle for better coverage and upper breast fullness and support.
Every surgeon will vary in their post op recommendations.
I typically encourage patients to sleep elevated and supine (back) for 6 weeks post op. Once healed, these recommendations can be liberalized.
The goal is to allow for healing without undue pressure in one direction or another. The...