Will my Implants round out on the bottom after 8 months? (photos)

Based solely on your photos, you look as if you will need revision surgery to fix your implant position. Schedule an appointment with your surgeon to discuss your options. Best, Dr. Nazarian

Hello,Thank you for your questions and for sharing photos.  Unfortunately by 8 months the majority of any implant settling has taken place and it is unlikely that you would have significant changes though healing does continue for about a year after surgery.  I see the areas you are concerned about with the flatness over the lower breasts.  This could be due to a capsular contracture or may be how your anatomy settled with healing.  The only way  to determine this would be with an in-person exam.I would encourage you to meet with you plastic surgeon to discuss you concerns so that he/she can can examine you and advise you whether watchful waiting is indicated or a return to the operating room for a revision.  Incisions in the axilla can take some time to feel normal again since the skin is in a very sensitive area.  Ingrown hairs can develop and lead to continued soreness.  You plastic surgeon can evaluate this area as well to make sure that everything is healing as expected.Best of Luck!Dr. Rednam

You should make an appointment with your plastic surgeon to see if you should get a revision done. The final shape of your breasts will start to look its best approximately three (3) months after surgery. It takes time for the skin and muscle to stretch and relax around the new implant. The breast will often look higher, firmer, and “less natural” in the first three (3) months. It can take up to a year to see your final result.

Although in most cases the final position of the implant is noted in six months, occasionally it can take longer by several months. Discuss your concerns with your plastic surgeon. He or she may have you massage or employee other maneuvers to allow the implant to settle more quickly.

Thank you for your question and for sharing your photographs.  Unfortunately at 8 months after surgery your results have taken on their long-term appearance.  It is difficult to know what may be taking place, as a number of possibilities exist.  A capsular contracture would cause the elevated position of the implants and pinched appearance relative to your natural breast tissue, and surgical treatment to release this scar would allow better positioning of the implants behind your nipple position.  If you have suffered bottoming out of the implants, with your natural breast tissue falling off the implant, then a breast lift would help correct this.  See your plastic surgeon for an in-person assessment and discussion of your treatment options.

Based on your photos, I think that your implants have bottomed out.  I would not have predicted this from your preoperative photo.  As with Dr. Guerra below, you may have other components as well.  I would improve your results with capsule work and fold resection.Go talk to your surgeon.Best Wishes,Nana Mizuguchi

Hello B to D and thanks for this question. I'm sorry to hear that your implants have not rounded out your breasts after 8 months. The normal final result is considered to occur at 1 year and perhaps waiting another 4 months could help. On the other hand, you appear to be holding a bit of loose skin in one of the photos. In addition, there might be a touch of capsule contracture on the right side? This has to be confirmed on examination. Perhaps, returning to speak with your plastic surgeon over the next few months to discuss your options and get a diagnosis might be a very good thing to do next. See my link below to learn more about recovery from breast implants. Best wishes always, Dr. ALDO

Thank you very much for your question, and the pictures.It appears as though your implants are a bit high, and if they haven't dropped at 8 months to round out the lower pole, they likely will not at this point.  I recommend talking about this with your plastic surgeon, and seeing what can be done to get you the look you desire.  Best of luck!

It does not appear that your implant is filling out the lower pole of your breast.  This can sometimes occur with transaxillary breast augmentation since the implant is placed from the arm pit.  Please see your surgeon and discuss your concerns.  This will require a revision to fix.  Best wishes.

Thank
you for the question. It would be
difficult to fully assess your situation without an in-person examination.  Based on the photos, you may be bottoming out but hard to say for sure.  At 8 months, your implants should have fully settled by now. Visit your board-certified plastic surgeon and
have a full evaluation. Best of luck.
Dr. Michael Omidi.





An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.