4 weeks post op but really noticeable drop in right breast? (Photos)

Im 4 weeks post op as of 2 days ago. I got a breast lift and implants, 325cc high profile silicone round. I have noticed my right breast definitely looks like its dropped alot unlike my left breast. Im disappointed considering the money i paid for the procedure. I have emailed photos to my surgeon and am waiting on a reply still, but please let me know your thoughts and opinions!

Doctor Answers 3

Drop of Right Breast at 4 Weeks Post-Op

#Breastlift and #implants, any breast operation, can result in changes in sensation of the nipples and around other areas where the procedure took place. Larger implants and more aggressive lift methods may have more of a problem.


Healing after #breastimplant surgery will go on for 2-3 months for the early period. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal. Scars will be changing.

If my patients have concerns that something is unusual about their healing process, it is important for them to call the office and discuss these concerns or come in to be examined.


Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Implant not dropping

Generally speaking, especially early in the post-operative phase of healing, it is not uncommon to have one or both implants appear to be high up by the clavicle. Although the “pocket” may be made correctly, the implant may not have access to the bottom for several reasons. If the overlying muscle or skin is tight, this will move the implant to the path of least resistance which is up and towards the underarm where there is little or no pressure. As the pressure relaxes, the implant will drop down to the bottom. Smooth implants, because their surface is slippery, may move faster downward than a textured implant with its rough surface. Because these variables mentioned above can be different for each side, it's not uncommon that one side will drop faster to the bottom of the pocket than the other. Similarly, sometimes one breast will swell more than the other or be more painful than the other early in the postoperative phase. After the first month or two, usually things will even out. It wouldn't be, in my practice, until four months or so has passed that I would entertain going back to the operating room to “touch up” the location of the breast implant in the pocket. Sometimes specialized bras or straps as well as massage and stretching protocols may be helpful in allowing this process to happen more quickly. Each plastic surgeon will have different thoughts on what the best protocol is for the patient. Your operating plastic surgeon will be your best resource to have this information passed on to you. I recommend that you faithfully follow up and follow the instructions of your chosen plastic surgeon. Congratulations on your surgery, and good luck on an uneventful recovery.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 46 reviews

1 month post op, some advices:

Thanks for the question.

In my practice, after performing a BA+BL I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. 
In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. 

Kind regards

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 179 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.