One year post-op and implants oval/oblong - is this normal? (photo)

Question

I'm one year post op but my implants looked best at 6 months post op. I felt they stated to shift and look less like I wanted after that and continued to drop. They started to look more oblong/oval and asymmetrical. I'm not sure if the implant is shifting/sagging. I actually just had a baby and I'm breastfeeding and I know that can change the breast tissue however I measured before I was pregnant/nursing and they're still close to the same size. Plus I saw the changes in the implants before that

Finny George, MD · Answer

Hi, thank you for sharing your question. You may have a capsular contracture or perhaps changes in your breast ligaments during pregnancy changed the anatomy of the breasts relative to the implants. The proper selection of implants is key to long-lasting aesthetic satisfaction. You will be able to achieve your goals after an evaluation by a board certified plastic surgeon. I hope this helps.

Martin Jugenburg, MD · Answer

hello, thank you for your question. Implants will continue to gradually sette into place and drop slightly over 1-2 years. It is important to wear good support bras to help ease gravity on the breasts and skin. With regards to the shape, the shape of the implant stays the same, however there is your natural breast tissue that sit above the implant that can change in appearance over time, due to gravity, weight pulling the skin downward and of course bearing children. I would consider consulting with a plastic surgeon once you have finished having children to see your options and assess you in person.

Camille Cash, MD · Answer

It's hard to say what is occurring without earlier photos and since you are breastfeeding.  Once you have finished breastfeeding for 6 months I encourage you to return to your surgeon for an evaluation.  The sagging could be caused from the weight of the implants.  You could consider an exchange to something that better fits your goals.

Donald R. Revis Jr, MD · Answer

Good afternoon,
Looks like you have some synmastia, which is why there is no space between your implants- and this either resulted from overdissection of your pockets by your surgeon and/or some developing encapsulation. I correct this using the Original Internal Bra, my strong permanent internal suturing technique. I first developed this technique over 20 years ago, and today it is he most common revision procedure I perform, at least 5-6 times a week- it works and it lasts!

Daniel Barrett, MD · Answer

Dear DFDoubleBubble214,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

One year post-op and implants oval/oblong - is this normal? (photo)

Answers (5)