Did I need a lift with my BA? I'm not at all happy with the result and wanted some advice. (photos)

Im 6 weeks PO and am worried the implants are uneven, too lose together and the nipples are too low. Am I being too picky or do I need to be patient for my end result? Attached photos FYI - thanks :)

Doctor Answers 18

Lift Needed?

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At 6 weeks PO you can anticipate some further settling of your implant. It's not that your nipple position is too low but rather your implant is still too high. Implants are always somewhat high after surgery and then gradually settle into place over time. It may take up to six months to truly see the final result. You should talk with your surgeon about doing breast massage or wearing a compression band to help your implants settle into an appropriate position.

Your before photos show that you had some asymmetry before the surgery and some of that is reflected in the "uneven" look that you are seeing now. Your after photos do suggest that your implants are positioned somewhat too close together. This is in part why your left nipple is rotated to the outside. There is a specially designed bra called a "thong bra" which  can help correct the position of implants which are positioned too close. Again you should confer with your surgeon about using this type of bra.

Deciding on a Breast Lift with a Revision

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The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is the most suitable for #breasts which sag or droop (ptosis) as a result of development, aging, pregnancy, breast-feeding and weight loss . Some patients will experience better results to restore superior fullness if an #implant is used at the time of mastopexy; better known as #AugmentationMastopexy.

With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation. 

Altogether, the surgery will create an elevated, more youthful breast contour. Also, the nipple and areolae of the desired size and correct height may also be addressed. I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.The best method and #technique for your #procedures will be discussed in greater length during your one-on-one consultation with a board-certified plastic surgeon.

Did I need a lift with my BA? I'm not at all happy with the result and wanted some advice.

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I don't think that you needed a lift but it does appear to me that you were pretty aggressive in seeking large implants for your breast augmentation.  It is only six weeks and with time you will hopefully see significant settling of your implants into a proper position.  Be patient, review downward massage exercises with your surgeon and ask about the use of a "bra band."  This may encourage more rapid settling.  Good luck.

Jon A Perlman MD FACS 

Certified, American Board of Plastic Surgery 

Extreme Makeover Surgeon ABC TV

Best of Los Angeles Award 2015, 2016 

Beverly Hills, Ca

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

Breast augmentation results

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Thank you for your question. You are still in the early stage of recovery, it takes around 4 months for implants to settle. It is around this time that you get closer to the final results of your breast augmentation. Always follow your surgeon´s instructions to maximize the results of your surgery. Wishing you a speddy recovery.

Implants still high

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Thank you for your question.  At 6 weeks, it's still early.  Generally, the implants continue to descend beyond this point.  Allow 3-4 months before getting a better idea about your final result.  Discuss your concerns with your surgeon.  Good luck.

Final results take 6-12 months!

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Your scar tissue (inside and out) takes 6-12 months to fully soften, stretch, and mature, during which time gravity works on 100% of patients' implant position. So be glad yur surgeon started a little high, because if you looked "perfect" now, then you would assuredly be "too low" or "bottomed out" in 6-12 months!

Are you wearing a bra post-op? This may be contributing to medial malposition (potential symmastia, or "uniboob") and closing-off of the lateral pockets. Avoid stretch or jog bras that can cause/aggravate these concerns, and review your issues with your surgeon--either s/he's not informing you that this is a normal post-op course and giving appropriate advice/reassurance, or you're not listening (perhaps a bit of both).

Be patient and listen to your surgeon's advice, as it is he or she to whom you will have to go if there is a problem long-term! And, BTW, you did not need a lift. Your eventual result should be fabulous (unless your idea of a great outcome is "Baywatch coconuts.") Best wishes! Dr. Tholen

6 weeks post op

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Thanks for the question. Its early to talk about results. 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 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 307 reviews

Breast implant and lift

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thanks for  your question and congratulations on choosing breast augmentation. At this point it is difficult to still tell implants position.  My guess is over the next 4 to 5 months your implants will continue to slowly fall and achieve their appropriate position. From preoperative photos it does not appear that you need a lift. Patience is a virtue and I hope you will be happy with your end result once everything settles fully. Best wishes., 

Did I need a lift with my BA?

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It doesn't appear from your pre-op photos that you needed a lift with your breast augmentation.  At 6 weeks post-op, your tissue hasn't had time to stretch and the implants to settle.  If your implants were placed beneath the muscle, (and it looks like they are), it takes longer for submuscular implants to settle. You may not see the final settling of your implants for 3-4 more months.  Be sure to follow up with your surgeon and discuss your concerns. Best wishes. 

Post op breast augmentation

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Thank you for your question. I do not believe you will need a lift. You are just riding high. I would start massaging the implants down and as they drop the nipples will appear to come up and then you should be happy. It is normal sometimes for them to ride high. Please talk with your surgeon as well. Have a great day.

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.