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.

It appears that your implants are riding high and there will not be much change at this point. The reason they are riding high can only be determined by direct examination and with that information the proper surgery can be planned.

Yes, your implants will drop even more over time but not significantly. The position of the implants appear to be in the correct position. At this time, you can redo the breasts with smaller implant and possibly a different dimension. I would recommend you see your surgeon and go over your options.

Hello!
I would not expect that implant position will change significantly over a year after breast augmentation surgery. I tend to recommend breast bands and massaging to help soften the breast after implants. If you are unhappy with implant position, they can be lowered surgically. I would recommend you discuss this with your plastic surgeon or a board certified plastic surgeon near you. You can find one at plasticsurgery.org. You might want to think further on if the size and projection is not what you desired and that could be addressed as well.
Best of luck to you!

It is not likely that your implants will drop. If you think that you need less volume in the upper poles, the only way to correct it is surgery. In person, second opinion consultation may help. Good luck.

Implants will drop depending on their size/weight and also the elasticity and quality of your skin and breast tissues.

You appear younger, no stretch marks, with a breast that is glandular (not fatty). If true, I would not expect much more dropping.

A revision might involve using a smaller implant of one of a different profile.

Hi,
I think your results are very proportionate, however I can understand why you feel that your upper pole fullness is not symmetrical to your lower pole. Contrary to popular belief, most women have the issue of not being able to maintain this upper fullness over time, so you are truly in a very good position that most women desire. They will absolutely settle more as time passes, and I can see a solid difference between your fresh postop photos and the newer one. I would recommend not wearing a very tight or supportive bra until you feel like they are settled to where you want them. I would also suggest implant massages daily to encourage the pectoralis muscle to relax further. Inspira is also a very soft, flexible implant, so this was a good choice on you and your surgeon's part to fit your anatomy.