I had a high profile motiva 325cc implant under muscle. How long till the side view drops a bit? (photos)

Question

I have only just had my operation so I am not too worried at the moment. However the front view looks fine but the side view seems very high. Will this settle in time and what shape will I expect?

Aftab Siddiqui, FRCS(Plast) · Answer

Thanks for the question. this is a very common question in clinic and sub pectoral implants take time to drop. your results are very early days and implant will drop and fluff. It's important to secure the inframammary fold so that the fold do not t drop and only implant drops in lower pole. the Motiva implants are nano textured and they do drop nicely to give a natural results.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! You are still early post-procedure. Your appearance looks typical at this stage and will continue to improve as the swelling subsides and the implants continue to settle into their desired position. This usually proceeds over the next several weeks as the lower pole skin/breast stretches to accommodate the implants. Follow-up closely with your surgeon for additional restrictions/instructions and the potential use of bras/garments or massage that may encourage the implant to settle appropriately. If still displaced after this time, a surgical procedure may be necessary to further open the pocket and bring the implant(s) down. Hope that this helps! Best wishes!

Vincent N. Zubowicz, MD · Answer

Swelling can artificially support the volume of the breast implant making them appear artificial. As a swelling subsides which may take weeks the breast will look more natural.

Joshua Cooper, MD, FACS · Answer

The photos you have provided appear just fine, but I do agree that the implants do appear to to be "riding high" on the lateral, or side view. I wouldn't be overly concerned if your breast augmentation was quite recent. It often takes a few months for the implants to settle into place, especially when placed under the muscle. Part of this may be related to the pectoralis muscles not being fully relaxed, and swelling may also play a part. Definitely discuss with your plastic surgeon as he/she should be able to allay your concerns. Thanks for sharing!

Tom Collin, FRCS (plast) · Answer

Your early result with Motiva implants looks about right. These are essentially smooth surfaced implants and as such will behave differently from traditional macro-textured devices. It is predicted that they will settle into the pocket more readily and the gel will mould into a better shape with time. Most surgeons will counteract this tendency to drop by creating a very tight pocket for the implant initially. This will develop into a more natural shape later. It is very unlikely that your implants will look too high in 6 months.
It is important that you keep in touch with your surgeon and follow the advice he or she has given you so that the best results are obtained.

Delio Ortegon, MD · Answer

you appear to have a great early result, though as you pointed out they are still high.  Most of my patients can expect to see a proper implant position in as little as 3-6 weeks.  However, in tight skinned patients with small breast it can take up to 3 months.

Darryl J. Blinski, MD · Answer

Appears you are less than 2 weeks post op. So allow the healing phase to complete at 3 months. Than decide if you have dropped

Joseph L. Grzeskiewicz, MD, FACS · Answer

While Motiva implants have textured surfaces, the texturing process is very different than what is used on implants in the US, thus, our experience with implant positioning and settling after surgery will vary.  Most of the time, textured implants are positioned by the surgeon EXACTLY where he or she wants them to be long term, because they don't really move, or settle over time.  Based on what I have learned from my colleagues in Europe who have experience with all kinds of different implants and my own experience with the implants we have here in the US, I believe what happens is that the tissues overlying the implants loosen and the gel in the implants redistributes into its designed shape as this happens; at least this is the case for cohesive, form-stable implants.  Thus, from the appearance of your breasts in your (very early) postop images, it would seem that all is as it should be, and right now the implant seems to be resting in the proper position at its edge, while the gel is slightly more compressed at the bottom and fuller at the top of the breast. Over time, as the tight lower pole tissues relax, this should even itself out, and the breast will become fuller down below.  Keep in close contact with your surgeon and follow all of his or her directions closely.  Communicate openly about any concerns you might have, and get his or her perspective on it as he or she will be best equipped to give you the answers you need.  Good luck.

I had a high profile motiva 325cc implant under muscle. How long till the side view drops a bit? (photos)

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