Hi. I am 41 years old, had silicon implant under muscle 4 months ago. I was originally AA size. I believe my breast dropped a bit but I think it's still in high and odd looking. I met my doctor a week ago and he said it's dropping slowly. I have been taking singular. I have been trying to stretch my shoulder but it's so painful to lift my left shoulder up. Is it really worth to wait for some more months? If I remove my implant, will my health come back? Plus doctor is not helping much.
Answer: Breast implants settling very slowly; shoulder discomfort… I am sorry to hear about your concerns after breast augmentation surgery. Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other. In most cases, it is best to be patient and allow for this process to occur. In your case specifically, I would be concerned about the discomfort you are experiencing with shoulder movement. Given this symptom, I think that revisionary breast surgery (which may involve adjustment of breast implant capsules, possibly re-augmentation with smaller breast implants, or removal of breast implants altogether) should be considered. In other words, you do not want to end up with chronic shoulder discomfort and/or immobility. Best to address your concerns again with your plastic surgeon; if necessary seek second opinion consultations with well experience board-certified plastic surgeons in your area. Best wishes.
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Answer: Breast implants settling very slowly; shoulder discomfort… I am sorry to hear about your concerns after breast augmentation surgery. Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other. In most cases, it is best to be patient and allow for this process to occur. In your case specifically, I would be concerned about the discomfort you are experiencing with shoulder movement. Given this symptom, I think that revisionary breast surgery (which may involve adjustment of breast implant capsules, possibly re-augmentation with smaller breast implants, or removal of breast implants altogether) should be considered. In other words, you do not want to end up with chronic shoulder discomfort and/or immobility. Best to address your concerns again with your plastic surgeon; if necessary seek second opinion consultations with well experience board-certified plastic surgeons in your area. Best wishes.
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Answer: 4 months post-op. Haven't dropped. I don't know what to do. Is it really worth it to wait for some more months? Based upon the information and photographs you have provided I suspect that a future revision could be beneficial. I would not rush into this however. There are some benefits to waiting at least six months before undergoing additional surgery. Even if you eventually do have a revision, if there is further improvement you might require a lesser procedure.
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Answer: 4 months post-op. Haven't dropped. I don't know what to do. Is it really worth it to wait for some more months? Based upon the information and photographs you have provided I suspect that a future revision could be beneficial. I would not rush into this however. There are some benefits to waiting at least six months before undergoing additional surgery. Even if you eventually do have a revision, if there is further improvement you might require a lesser procedure.
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January 3, 2019
Answer: Too Big and Capsular Contracture Hello,I presume your surgeon diagnosed you with capsular contracture, having prescribed Singulair (which does nothing for the problem), and by the asymmetrical appearance of your breasts in the photo. Periareolar incisions put you at the highest risk for this most common complication of breast augmentation. You most certainly can get a revision surgery now, but please find an ABPS certified/ASAPS member surgeon who specializes in breast surgery. You'll need a total capsulectomy and removal and replacement with smaller, lower profile, moderately cohesive implants, placed through an inframammary incision. Best of luck!
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January 3, 2019
Answer: Too Big and Capsular Contracture Hello,I presume your surgeon diagnosed you with capsular contracture, having prescribed Singulair (which does nothing for the problem), and by the asymmetrical appearance of your breasts in the photo. Periareolar incisions put you at the highest risk for this most common complication of breast augmentation. You most certainly can get a revision surgery now, but please find an ABPS certified/ASAPS member surgeon who specializes in breast surgery. You'll need a total capsulectomy and removal and replacement with smaller, lower profile, moderately cohesive implants, placed through an inframammary incision. Best of luck!
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January 2, 2019
Answer: CC? Good afternoon!I doubt things are going to change very much for the better at this point. You could explant, or you could undergo capsulectomy to remove any scar tissue present, which should also allow your implants to drop and fluff. Another option would be to go down in size a little along with the capsulectomy. Choices choices!
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January 2, 2019
Answer: CC? Good afternoon!I doubt things are going to change very much for the better at this point. You could explant, or you could undergo capsulectomy to remove any scar tissue present, which should also allow your implants to drop and fluff. Another option would be to go down in size a little along with the capsulectomy. Choices choices!
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December 31, 2018
Answer: Not dropping after 4 months post BBA Hello and thanks for your questions and photos. Sorry to hear that you are going through this. Unfortunately, you have not "Dropped", as your photos show that your pocket was likely not created large enough. It is very unlikely that your implants will drop much further. Seek a second opinion if your surgeon is not being responsive or helpful.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember, American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
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December 31, 2018
Answer: Not dropping after 4 months post BBA Hello and thanks for your questions and photos. Sorry to hear that you are going through this. Unfortunately, you have not "Dropped", as your photos show that your pocket was likely not created large enough. It is very unlikely that your implants will drop much further. Seek a second opinion if your surgeon is not being responsive or helpful.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember, American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
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