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.
4 photos
Answers (8)
From board-certified doctors and trusted medical professionals
Hi, I’m Dr.Eskalen from Istanbul/Turkey. Augmentation only is enough for you. My suggestion for you is making a 3D simulation to understand your expectations.This 3D simulation can also be online via a specific App, which we use for all of our patients. I hope my message helps you.
Best r...
I suspect a board certified plastic surgeon who specializes in breast augmentation would be able to give you a very good recommendation as far as sizers go, according to your expectations. The implant can be about 1 cm wider than the base diameter and look quite natural in many cases.
Hi, I’m Dr.Eskalen from Istanbul/Turkey. Sleeping sides is not making big risks.Because in surgery we create a proper and limited space for sides. Still I suggest my patients to be careful about sleeping on breast implants. I hope my message helps you.
Best regards,Dr.Eskalen.