Will my textured anatomical shaped implants drop?

Question

I am currently 4 days post op And know it is really early on. However, I am nervous they are not going to drop. Not sure why they look like this right now?! Any insight to calm my nerves?

George Marosan, MD · Answer

Thank you for your question and photos. Shaped textured implants will not drop. Without preop photos it is hard to tell about your sagging of the breasts, but I believe you would've done better with a lift and placement of round implants. You still have sagging breast tissue off your implants inferiorly. Yes, I agree with the other panelists that you have swelling an so on, but you most likely will need another operation to improve the shape of your breasts and implant position. Stay in close contact with your surgeon so he/she can follow you during the healing process. Good luck.

Martin Jugenburg, MD · Answer

At only 4 days post operative you are very early in the healing process. Be patient and continue to follow up with your surgeon as directed. Regards,

Jed H. Horowitz, MD, FACS · Answer

The final shape and size of your implants require approximated 2 to 3 months following your surgery, but it may be up to one year to see the end result. Your surgeon may require you to move or massage the implants within the breast pockets during the #postoperative period. However, #textured implants do not require breast massage. You will be informed about this at your post-operative visit. Also, the two breasts commonly heal quite differently so #assymetry is not unusual. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they will be more similar and natural. You must have patience, but if there are ever causes of concern, ask questions of the doctor or the nursing staff.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. You are still very early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Swelling usually accounts for 10 - 15% of the initial post-operative appearance. The implants may swell asymmetrically, as in your case, but usually settle evenly. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Right now, you are very early on in the
post op recovery period. It will take 3-6 months for you to feel comfortable
having implants in your body and for them to settle. This time allows for you
to physically and psychologically adapt to your new body image. There are many
variables that contribute to a breast augmentation's final result. Preop size
and shape, IMF location, location of the implants and type of implant. Patients
heal at different rates and each breast will sometimes heal at a different rate.
Rest, relax, recover and heal. Please Express your concerns to your surgeon so he/she
can examine you at this time. Then reassess final result at 6 months.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Tom J. Pousti, MD · Answer

Thank you for your question. Your plastic surgeon will always be your best resource when it comes to an accurate assessment of your situation, advice, predictions, and/or meaningful reassurance.Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants).  The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, size of breast implant utilized, surface coating of the implants, and concerns such as pre-existing breast asymmetry. Normally, it may take about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.Sometimes, one or both breasts implants do not settle as planned and revisionary breast surgery becomes necessary to improve the outcome. On other occasions, if the long-term breast asymmetry is mild ( understanding that absolute symmetry is very rarely achieved), patients will need to decide whether proceeding with revisionary breast surgery is worth the potential downsides associated with additional surgery.Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.

Will my textured anatomical shaped implants drop?

Answers (6)

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