Are cone shaped breasts normal after a Breast Lift with Augmentation? (photos)

Question

I'm only six days post opt, so I know it's still very early. But I was wondering if coned shaped breast are normal after a breast lift. They're very pointy, and the bottom part of my breast aren't round. They're flat. My nipples aren't even either. I have been looking at photos of other lift and augmentaions, and I really haven't seen a case like mine. I have also tried looking it up, but can't find anything. Will my breast eventually correct themselves?

Roxanne Sylora, MD · Answer

It is too early to make much judgement about your results after a breast lift with augmentation, but this is not unusual after a vertical/lollipop incision breast lift.  These procedures require more time to develop their long term shape.  If breasts were made to look perfect in the first week after surgery, they would likely fall with time, and you would be unhappy for the long term.Hang in there and give it time...

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question and photos.   It is far too early to make any definitive statements about your final outcome.  It usually takes about a year until all the elements settle and scars become stable.  So far it looks like you are healing well, with a good shape.  Please follow your Board Certified Plastic Surgeon's instructions.  Please let them know of your concerns.  Together you will get through this process, hopefully with an outcome that you like.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Richard J. Bruneteau, MD · Answer

It's not unusual for patients who undergo breast lift combined with breast augmentation to be concerned about the appearance of their breasts in the immediate post-operative period. It's virtually impossible to make aesthetic judgements regarding the size and shape of the breast when patients are only one week post-op.During this period of time, swelling, muscle spasm, inflammation and the wound healing process itself all contribute to changes in the appearance of the breasts. In most cases, it takes about 3 to 6 months before an assessment can be made about the aesthetic result.At this point in time, your pictures demonstrate cone shaped breasts with contour irregularity. Many of these findings will improve with the passage of time. It's, therefore, important to wait at least six months before considering revisional surgery.For this reason, patients need to be patient and maintain good communication with their plastic surgeon. Their surgeon should be able to reassure them and alleviate their anxiety.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for the pictures. Result looks typical for a breast with using a lollipop incision implants. You will round into your result overtime. Earl Stephenson, Jr, MD, DDS, FACS

Ziyad Hammoudeh, MD · Answer

Immediately following a breast lift with implants the implants are typically high on the chest wall as the vertical incision in the lower pole of the breast is tight.  This produces the perky cone shape to the breasts that you are describing that is desired by many women.  Over the first few months, the implants begin to drop and settle into position with the effect of gravity.  The skin of the lower pole that was initially flat begins to round out as it stretches from the weight of the implants and breast tissue.  Therefore, your breasts will be less cone shaped with time.  At only 6 days postop, you are extremely early in your recovery.  This process takes about 6 - 12 months.  The distance from the nipple to fold will typically elongate.  Perfect symmetry of the nipples is not always achievable, especially when there was asymmetry before surgery.  Based on your photograph, you appear to have a satisfactory result.  If you are still unhappy with the appearance of your breasts with further descent of the breasts at 1 year, you may consider a revision lift.  I would recommend following up closely with your plastic surgeon.  Good communication between patient and surgeon is very important both before and after surgery.  Best of luck in your recovery!
Ziyad Hammoudeh, MD

Melinda Haws, MD, FACS · Answer

Absolutely, your breasts look 100% normal for only six days post op! I usually tell my patients if they look just right this early, it usually means that things would be too low once the swelling went down.  In other words, with swelling they should look a little funny, at least that is what I find in my patients.  I find it typically takes about 3 months and then you should have a much better idea about your breast shape.  But always talk to your doctor if you have any concerns.

Darryl J. Blinski, MD · Answer

Much toooo early to comment!!! Allow 3 months healing than determine if you are satisfied...////////

Anureet K. Bajaj, MD, FACS · Answer

The answer to your question is 'yes'.  Immediately after a breast lift and augmentation, the breasts may appear conical or "torpedo-like".  During the course of the next 6-8 weeks, the breasts will "settle" and the shape will change becoming more natural.  Good luck!

Steven Wallach, MD · Answer

It is very early in your post-op course and your breasts will change quite a bit over the next few months. Good luck with your results.

Glenn Lyle, MD · Answer

You are very early post op and mastopexies never look like the final result in the first few weeks. Be patient. Mild asymmetries often settle out over several months. Speak to your surgeon during the post operative period. They will assure you I am certain.

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