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.