Do I have a high riding breast that wont drop, or do I need a revision after 6 months? (photos)

It is unusual for smooth, round 415 mL implants to take longer than 6 weeks to drop and fill out the lower breast. I need to know the technique used in placing the implant under the muscle: dual plane 1, dual plane 2, dual plane 3. It would also be helpful to see photos of your breast from before your surgery. Were your breasts different in shape? Was there any indication of a right breast hematoma (bleeding after surgery)? Are the implants equally soft? Do you suspect capsular contracture?
Implant massage and compression (ACE wrap over the upper breast) to push the implant down can help.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination but at 10 weeks I would expect you to need a revision procedure in the future to help allow the right side to settle into its pocket a bit better. I would discuss with your surgeon the best steps to follow in order to improve your current results over the next several months and then pursue surgery as indicated.

Dear A Self,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You are still very early in the healing phase and your implant may still drop. I would suggest wearing a chest band to assist. External ultrasound treatments could also be helpful.

It appears to move photographs that are oversized with your implants.

Your overall result would be improved with a revision involving a smaller implant.

Good luck

You are still a bit early in your recovery, but if you have seen no improvement further intervention may be necessary. The implants may be too large for your frame which could lead to the issues you are having. I encourage you to discuss your concerns with your surgeon.

Hi and welcome to our forum!From your photos, I note the presence of large breast implants. The right implant is riding high with associated nipple-areolar distortion.. At 10 weeks out, the drop and fluff phenomenon might still be in progress. The skin and soft tissues may reconfigure and stretch to accommodate the significant added volume. It is too early to ascertain the final position of the implants.Downward breast massage is recommended.If in 3 months or so, there is no further improvement, a pocket adjustment may be required. 15% of cosmetic procedures require a secondary touch-up for optimal results.Continue follow-up with your plastic surgeon.Best wishes...

I would wait another 8 weeks but usually by 3 months they will have dropped into the correct position. If they do not drop, the surgeon will need to take you back to the OR, open the incision and lower the inframammary crease. They are not terrible, just not ideal. You and your surgeon will need to discuss the costs for this.

best of luck
david berman md, frcsc

Hi and welcome to our forum!
From your photos, I note that you demonstrate significant sized breast implants. The right implant is riding high, which is responsible for the downward point of the nipple. But as you are only 10 weeks out, the "drop and fluff phenomenon" may not yet be completed as one implant may drop before the other. That's one of the reasons we prefer to wait 6 months before considering revision. It also allows for subsidence of some swelling and some resolution of the hypervascularity of healing.
We advocate aggressive downward massage, some surgeons recommend the use of a breast band. If there is no resolution by 6 months, surgical revision may be required. 15% of cosmetic surgeries require a secondary touch up for optimal results.
Best wishes...