Drooping in Both Breasts 6 Weeks Post Op? (photo)

Question

I'm at 6 weeks post op and i've started noticing a drooping in both breasts... I wanted my boobs to be perkyier and asked specifically for this when I had my first consultation, I was told I wouldnt need a lift. I have my 6 week post op appointment tomorrow, so i will be consulting my surgeon about it then to see what can be done. I've done everything my surgeon recommended and I've been very good with my recovery, I havn't done anything i'm not supposed to.. What can I do? Do they get better?

Stefan Mark Szczerba, MD · Answer

Hi, As you return for your followup visit, review with your physician did your breasts need a breast lift to achieve a perky appearance. If you and your physician reviewed the need for a breast lift and decided that breast augmentation would achieve the look you desire then perhaps an "internal" lift or dual plane dissection was performed. If that was the case, then it will take time for your implants to settle and appear in better position. At the end of healing, if you don't like the appearance of your breasts, a small breast lift may get the appearance you desire.

Best Wishes!!

Best Wishes!!

Dana Goldberg, MD · Answer

If your definition of perky is to have the nipple higher up on the breast, that may come to be over the next few months as the implants settle fully and fill out the skin in the bottom of your breasts.

If your definition of perky is for your breasts to be higher on your chest, that won't happen without a lift. A periareolar lift would move only the nipple and areola. You would need a vertical (or lollipop) lift to actually reposition the breast tissue above the fold.

Wait 6 months for things to settle and for your body to heal fully, and decide then what you think. Some surgeons always stage these procedures, and you may even end up with a better result in the long run since the implants will be in their final position at the time of the lift. Best of luck.

Vincent N. Zubowicz, MD · Answer

Breasts with modest ptosis often times look quite nice after breast augmentation alone. A large amount of ptosis requires a lift with or without a prosthesis if the breasts are to look youthful.

Terrence Scamp, MBBS, FRACS · Answer

Hello

	Well firstly your shape is not yet finalised so soon after surgery . The implants will settle in a bit more . Interestingly when implants sit a little high - as yours are currently - the breast looks saggy , and when implants sit lower the nipple tilts upwards and looks perkier .

	It will take about 3 more months till you know exactly what shape your breasts are going to have in the long-term . At that stage a lift could be an option if you are so inclined . Remember however that not everyone can have super-perky breasts . The 'footprint' of your breast - where it sits on your chest wall - determines how high it is possible to lift your breasts . Trying to lift them too high can look odd .

	Breast sag bothers people to different degrees . The trade-off for a breast lift is of course the extra scarring , so you have to weigh one thing against the other .

	So suggest you allow a few more months to pass and then reassess the situation .

	Cheers

	Terrence Scamp

Brent Moelleken, MD · Answer

It looks as if you will be a candidate for a breast lift at this point.

	Patients often want to avoid scars, and in doing so choose lesser procedures- periareolar lifts with implants are a classic example of this.

	At this point your best option is to undergo a breast lift.

Joshua Cooper, MD, FACS · Answer

Meeting again with your surgeon, as you are planning on doing, to see what he/she recommends is a good idea.
	
		Your breasts are not going to get an "perkier" at this point after your breast augmentation, and a breast lift (mastopexy) would help correct the "droopiness."
	
		Best of luck to you!

Jeffrey Rockmore, MD · Answer

Thank you for your question and for providing the photos. While it impossible to give specific advice without an examination, there are some concerns based on your photos.

	At 6 weeks. the majority of the settling of your breast implants should have taken place. While they may drop a bit more, the implants look like they are in a reasonable position. Your breasts however, look to be falling off your implants, with the nipples at the lower pole of your breasts. It does not appear that this will completely correct itself with further time.

	I would suggest discussing this with your plastic surgeon at your appointment tomorrow. He/She will have the benefit of an actual examination and can make specific recommendations to make your breasts look the way that you wish.

	Best of luck with your breasts.

	Jeff Rockmore

Steven Wallach, MD · Answer

It is always good to evaluate you in person and see photos before the implants were placed. Looks like from the photos that you may need a lift.

Ralph W. Bashioum, MD · Answer

Wow, you look great for six weeks. Granted you have some sagging of the breast off the front of your implants but this may improve over time. Try to be patient for the 6 month healing period. Perkiness is a subjective thing. chasing this goal might lead you down a path which can leave you with unacceptable scars. Finally, fat transfer on the lower part of your breasts might be a consideration to improve the appearance after the 6 month healing period.

Jeffrey M. Hartog, DMD, MD · Answer

Breast implants do not defy gravity. Actually, they add weight which can pull breasts down, especially if a lift is needed. A rule of thumb that I use, if the areolas' sit below the fold, most likely a lift is needed. Speak with your surgeon and see if a lift is needed. The good news is having augmentation doesn't preclude you from getting a lift. A lift may be done over the implants.

Drooping in Both Breasts 6 Weeks Post Op? (photo)

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