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 (2)
From board-certified doctors and trusted medical professionals
Side Sleeping After Breast Implants
There’s a myth that after breast augmentation surgery, you’ll need to sleep on your back for a week or longer. Many of my patients believe it, and they are worried that they won’t be able to get to sleep, because they normally sleep on their side or their...
The only way to get nipple/areola higher in your chest wall is through breast lift. Implant augmentation should be done after that with a goal to preserve current position of IMF. It can be done in a single or two surgery procedures. This is something you need to discuss with your surgeon ahead...
Your current inframammary fold sits almost at the level of your nipples, meaning that your entire breast — including the crease — is positioned lower on your chest. In this case, breast augmentation alone can enhance projection and volume, but it won’t significantly raise the p...