Dropping +1 years post op? (photos)

It seems like your implants have stoped settling. Implants under the muscle are a great option but one of the draw backs is that they sometimes settle a bit too high. This, in combination with a little bit of ptosis, results in high implants with too much upper pole fullness and breasts that seem to sag downwards and over the implants. This is actually your case. Your implant location is maybe a little high (but still decent), and your breast tissue is draping over it. This is why it looks slightly unnatural.

Options?
A. A small lift (maybe a per-areolar lift is enough) will help lift the areola and breast tissue that is beneath the breast fold. Improving implant and breast tissue relationship.
B. Pocket revision to help the implant settle slightly lower.
C. Options A + Option B. Best long term option but maybe not right now.
D. Wait and see if the implants eventually drops with massages, and varios other techniques you can discuss with your plastic surgeon.

I believe you will need a lift and possible pocket revision in the future but I also feel you can wait it out and see if your implants drop a little more. All breasts eventually fall, so I see no rush in having a lift done now when your results are good… not perfect but still very nice. Waiting might help you avoid future revisions.

Best of luck,
Dr. Miguel Mota

Dear Tunatot,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

While implant position can change after 1 year, they tend to be minimal or subtle changes. From the pictures the implants appear to be well positioned. Your main concern with the upper pole fullness may be from the profile. It may be worth considering a change to a slightly lower profile to give you less upper pole fullness. With Natrelle that would be the SSM or moderate profile. Best of luck!

At 1 year it is unlikely implants will drop. I would recommend either revision the implant pocket to lower the implants or a vertical lift. I would not necessarily recommend the lift since this will add to scars on your breasts.

You are over one year from your surgery and are seeing your final results. The implants may continue to slowly drop, but it will be over a period of years versus months. You can consider a revision if you are wanting less upper pole fullness. A different volume and/or a different profile may give you more of the look you want.