4 months PO, boobs haven't dropped properly. Will they drop and look natural on their own or will I need a revision? (Photos)

It usually takes up to 6 months for breasts implants to settle.  Make sure you do any implant massages if you were instructed by your board certified surgeon.After the six months if your breasts still seem different in size, speak to your surgeon regarding a revision.   

Thank you for your question. Your implants do indeed appear to be sitting high at this time. Sometimes this issue resolves with massage and time, but it is possible that they will need to be surgically lowered. Because everyone’s body heals at a different pace, it is difficult to make an assessment without knowing the progression of your recovery. If you reach a point where you feel like the position of your implants is no longer improving, I would recommend going back to your surgeon to discuss the most advisable method of correction. Best of luck with your healing process.

It can take some additional time for the implants to settle. You may benefit from breast massage however before doing so, please consult your surgeon first.Regards,

ZeldaGirl~Thanks for posting!  From the photos you provided, it does appear that your implants are still sitting a bit high but it would help to show other photos from before to compare progress.  In my practice, we generally inject BOTOX Cosmetic to help encourage the implants to settle in addition to having our patients continue with breast implant massage at least 10x/day.  Make sure that you are still massaging and follow-up with your Plastic Surgeon as instructed.  I'm sure that he has your best interests at heart and will help guide you through this process.  I hope that helps and wish you the very best!-Gregory A Buford MD FACSBoard Certified Plastic Surgeon and Author

Implants dropping, or what I like to refer to as settling depends on multiple factors such as type of implant, soft tissue laxity, muscle rigidity, and if there is any early encapsulation. From your photos, it appears that you likely had some breast ptosis or sag before surgery, and the implants seem to be in the right position and your breast tissue is "falling off" the implant. The implants and breast tissue can match more over time and I would recommend giving up to a year for this to happen. If it doesn't, then a revision with a lift might be needed. 

Dear ZeldaGirl,dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about your implants are not dropping as expected. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Thanks for the great question. In my experience it typically takes 3-6 months for implants to drop and settle. If you have textured implants, those tend to take longer than smooth implants. I would continue to perform the massages recommend by your surgeon. If you're not seeing an improvement within another couple of months, you will likely need a revision. Best of luck and I'm sorry you're going through this. ~Dr. Sieber

There is a lot of variability in the time it takes for implants to settle in to a more relaxed appearance and for the upper pole fullness to settle down.  With large implants under tight skin and muscle, it can take as long as six months to begin to see the shaping improve. Sometimes the shaping will continue to improve for a year or longer.
Choosing the right time to surgically intervene to reposition implants is a surgeon's judgment based on multiple factors including skin tone and tightness and a specific individual's pace of tissue accommodating the implant. The surgeon is also assessing whether a capsule is actually restricting the evolving shape of the breast or implant position, in which case, releasing the capsule will be needed to reposition the implant.
Your photo seems to show tight skin and muscle enveloping the implants.
It's hard to wait so long after an elective cosmetic procedure to see the results you want, but sometimes that may be best.
Continue the recommended manipulation to help the tissues relax, but do feel comfortable asking your surgeon what he/she is thinking about surgical release if the shape is still not right at 6 months post-op.