2 months post op: will my breast implants drop? (photo)

Question

I am currently 2 months post op from having breast implants and am very unhappy. The shape is poor, they are high and are spaced out. I had saline implants, round, moderate profile below the muscle. I was a B before and now a D-DD, size 6 AUS. I have seen photos of other girls breasts who look great, which sit together and have that natural sag which I asked to have! When I tense my muscles feel strange especially in my left hand pectoral. Has my doctor potentially made my pockets too small.

Aldo Guerra, MD · Answer

Actually, you chose obviously big breast implants and you look high and very full as a result. Your surgeon did not make small pockets. Implants are too big for your frame. Totally expected for saline and large breast implants to look this way and take longer to drop and fluff. With these it's going take longer and if your muscles are tight then you should consider asking your surgeon for muscle relaxant. Be patient and continue to massage.Best wishes, Dr. Aldo

Jed H. Horowitz, MD, FACS · Answer

HEALING AFTER BREAST
SURGERY, AUGMENTATION, LIFTS

1.   
pain is variable

2.   
it takes 2-3 months for implants to settle and muscles to relax

3.   
celebrex, motrin, and muscle relaxers can help

4.   
massage and stretching may help

5.   
everyone heals differently

6.   
4-7 days off from work is common

HEALING OF SENSORY NERVES: Tingling, burning or shooting pains, which will disappear
with time and should not alarm you, indicate regeneration of the sensory
nerves. If these sensations cause pain, repeated, local self-massage helps.

ASYMMETRY: The two breasts commonly heal quite differently. One
breast may swell more, feel more uncomfortable, or have a different initial
shape. After complete healing, they will be more similar and natural. You must
have patience, but if this causes concern, ask questions of the doctor or the
nursing staff.

SHAPE AND CONTOUR: The final shape of your breasts will start to look its
best approximately three (3) months after surgery. It takes time for the skin
and muscle to stretch and relax around the new implant. The breast will often
look higher, firmer, and “less natural” in the first three (3) months. It can
take up to a year to see your final result.

FOLLOW-UP EXAMS: These are generally done in 1 week, 2 to 3
weeks, 3 to 6 weeks, 3 months, 6 months to 1 year, and 1-2 year intervals. In
our office we include all of your follow up appointments in the initial
surgical fee.

ALWAYS CONTACT YOUR PLASTIC
SURGEON IF YOU HAVE CONCERNS ABOUT INFECTION, BLEEDING, SWELLING, FEVER,
EXCESSIVE BRUISING, OR ANY NEW AND SUDDEN CHANGES IN THE FEELING OR LOOK OF
YOUR BREASTS/IMPLANTS.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. In my practice, after performing a BA 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

John Michael Thomassen, MD · Answer

You are healing well and the implants appear to be evenly spaced with an adequately dissected pocket.  I believe because these are moderate profile implants, they appear wide for your narrow frame and thus do not have an optimal shape for your body.  Higher profile implants would have been better.  Nonetheless, I believe your breast shape will continue to evolve and improve.  As your skin stretches a bit with the implants, they will not be so bulging at the top and develop a more natural ptotic look.

Miguel Mota, MD · Answer

Hello and thank you for sharing your photos. I understand that you want to have your final result as soon as possible but it is still a little too early for that. You look very good and seem to be doing very well. Your implants still have a few more months until they settle, so it will take a little bit longer before you get to see your final results. Sometimes it can take up to 6 months. Massages may help speed up the process, but please ask your PS if he thinks they are right for you. Using a stabilazing band on your upper chest also helps push the implants down, but it usually is used in the earlier post op stages. They are a little high and a bit closer to each other on top then they are on the bottom. But once they settle, there will be less space between the implants on the bottom part of your breasts. From what I can tell, it seems your implants will settle and you will have very nice results some months from now. Please be patient because they will probably settle on their own. I you like, you could contact your PS to see if he can give you any orientation as to how to speed up the settling process.Best of luck,Dr.Miguel Mota

Ira H. Rex III, MD · Answer

you are still in the very early postoperative period. Your tissues are still adjusting to the implant after a  eight weeks. Much of your final result will depend on the characteristics of your chest wall and breast prior to the surgery. If you have significant concerns, you should talk to your plastic surgeon so you could get a better idea of what to expect as the surgery matures.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Right now, you are early on in the post op recovery period. It will take 3-6 months for you to feel comfortable having implants in your body and for them to settle. This time allows for you to physically and psychologically adapt to your new body image. There are many variables that contribute to a breast augmentation's final result. Preop size and shape, IMF location, location of the implants and type of implant. Patients heal at different rates and each breast will sometimes heal at a different rate. Rest, relax, recover and heal. Express your concerns to your surgeon so he/she can examine you. Then reassess final result at 6 months.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Joshua Cooper, MD, FACS · Answer

I don't think you are seeing your final results yet.2 months in "surgery time" after a breast augmentation isn't necessarily a long time at all, especially if you didn't start out with very much extra skin. I would wait several more MONTHS, and you may end up being very happy with your results. Over the next few months your implants will likely continue to settle into place.  I doubt the pockets were made too small. Thanks for sharing, and definitely discuss your concerns with your plastic surgeon.

Saira Saini, MD · Answer

Great pictures.  2 months is early to make the final assessment of how the breast will look long term.  I think you have to give it a little more time for the results.  Good luck with the rest of your recovery!

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