How Much Will Sub Fascial Breast Drop or Do They Drop at All? (photo)

While everyone does things somewhat different, I would not expect much early dropping with your surgery.  I perform 100% Subfascial placement in my practice and this is one of the reasons why.  While dual-plane placement mus contend with the downward force of the pectoralis major muscle and zero support inferiorly, they tend to progressively drop and develop the "down and out appearance."  Subfascial placement offers support around the implant that can resist gravity and takes the direct forces of the pectoralis major muscle out of the picture.  Most of the time i deliver results that do not require any dropping.  THe only exception is in patients with a very high and very tight inframammary fold.  With these findings it can be challenging to get enough stretch in the operating room and I will strap superiorly to encourage the implant to stretch the inferior pole and sit a bit lower.  This usually happens in days to a few weeks.  I hope this helps!

 

 

All the best!

 

Rian A. Maercks M.D.

Hello! Thank you for your question! You are still early post-procedure. Your appearance sounds 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!

Your surgeon did a great job and the implants are where you want them to be.  As long as you wear support especially in the first 2 months as everything scars in place and a capsule forms around the implant, you should be fine.  Excessively large implants will stretch your skin and a future revision mastopexy may be in order, but adequately sized implants should minimize this risk.  

There will be some settling that will occur but from what I see you have an excellent result.Yes you will get soem laxity to return but that is normal.Enjoy.

Thank you for the question and pictures.

Yes, you will find that the breast implants will likely " drop” to some degree. How much your breasts will change with time is impossible to predict. Overall, it seems that you are doing well; I would suggest that you relax and try to eliminate the “too good to be true feeling”.

Continue to follow-up with your plastic surgeon.

Best wishes.

WOW! the photos show a great early result. Dropping can only be determined as you heal. The previous posters each have good advise but you should always ask your surgeon of record his/her protocols. Good luck

You breasts look very nice. AS for dropping any  more that is something to ask your surgeon. I am not a fan of subfascial implants myselft because I do not think that they offer any more advantage than just being subglandular. 

When an implant drops, the actural drop is due to relaxation of the breast envelope on the lower portion of the breast. If the skin envelope is tight even a subfascial (subgladular) implant will drop or meld into the skin envelope. You have had a full "T" breast lift, and sthe opposite of the tight breast envelope. If the pocket is correct you implants and breast should stay put, though the nipple to fold distance can increase a bit.

The result you have looks beautiful so far.  Ask your surgeon this question as they have your best interest at heart.  

I personally have gotten much stricter over the last 2-3 years after 25 years in practice about requiring that patients wear a well fit underwire bra that we provide for them (they never got the right things when shopping on their own).  The garment is worn 24/7/3 months without fail except for showers.  I also restrict any exercises that would potentially move the implants and I have stopped having patients do upper pole massage as some overdid it and moved their implants.  With all that, I almost never see implants move out of position anymore, but at the same time, those who needed lifts (like you) have the poorest elasticity and are at the greatest risk of migration.

Sub facial breast augmentations give great results if you are a candidate for the procedure. Your surgeon did a great job. Post-operative changes depend on a few factors: 1. Your native breast tissue quality 2. Size/weight of breast implants 3. Surgical technique 4. Post-operative massage to prevent capsular contracture 5. Post-operative support garments

If you have a lot of stretch marks indicating that your skin has lost its elasticity and strength, it will be more likely to drop. Larger implant sizes will be more likely to drop if you have compromised skin or wear poor support bras or no bras. After surgery you need to massage to keep the capsule large as you breast heals and your tissue regains strength during the immediate post-operative period. If you provide adequate support, you will most like be able to maintain your current shape, provided the above mentioned factors are favorable.