Hate my upper pole - what can help lower my upper pole fullness? (photos)

Question

Is there any massages or bands that I can do/wear that will help lower my upper pole fullness? I started with nothing and my surgeon did a great job but now that all is said and done I wish I new they would look like this, i think I would've chosen a higher profile. They just seem so wide and full. I asked for a swoop shape, not the balloon shape everyone seems to be going for. Any input is appreciated. Ty

Albert Ko, MD · Answer

Hi there, thanks for your question. The only thing I can reccomend at this stage might be wearing an implant stablizer band on top of your breasts, to help naturally push your implant down into a more "teardrop" shape to help with the lower fullness you desire. I see alot of improvement with using those s/p breast augmentation. Best of luck!

Brian K. Reedy, MD · Answer

Thanks for your question! A full profile would give you an even rounder look. I would suggest an implant exchange with a lower profile rather than a higher profile. I don't think there is anything that you can do to lessen the upper pole non-surgically. Good luck!

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. You appear to have a nice augmentation result; however it is understandable that some aspects of breast aesthetics will be dependent on personal taste. If you are early post op (i.e. less than 3 months), I encourage you to continue massage and to have patience as some patients may have some mild chronic swelling that persists the first few months and then implants can continue to drop/settle during this time. If you are farther out post operatively (especially over 6 months) this is likely the "final" result. If you truly dislike the size/shape/contour of your augmentation, I would return to your surgeon to discuss implant exchange surgery. Your breast aesthetic preferences may be more in line with a lower profile implant with less cohesivity and/or smaller volume implant.

Daniel Barrett, MD · Answer

Dear Aap1234,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Sean T. Lille, MD · Answer

Dear AAP1234,  You don't mention how long ago your breast augmentation was done but if it's pretty recent, you still have time for things to settle and soften. We don't usually judge size, shape or position for at least 4 months. Regarding the style of implants: You don't mention what profile and type of implant you have but a saline implant is not going to "teardrop" like silicone does and neither is a high profile going to "teardrop" as much as a moderate plus or moderate classic profile will. A higher profile implant will give you more of the balloon shape and less teardrop.

Farbod Esmailian, MD · Answer

It just depends how far out you are from your surgery.  If you are less than 6 months out then you just need to be patient as you will likely still settle and lose some of the upper pole.  If you are more than 6 months then things will likely not change even with a strap.
We would need to know more...like your measurements, your implant information and so forth.  There may be options to decrease your implant profile to a lower profile so you have less upper pole.  
You do however have a nice result although it may not have been what you wanted.

Hope that helps.

Camille Cash, MD · Answer

I'm sorry you are unhappy with your upper pole fullness.  If you are six months past surgery you are seeing your final results and massages and bands will not change your look.  You can consider exchanging the implants for a lower profile or even smaller implants to decrease the upper pole fullness.

Connie Hiers, MD, FACS · Answer

If you are past your 6 months of healing, bands and massages will not have much affect on your breasts.  You could consider going down in profile or even somewhat smaller.

Darryl J. Blinski, MD · Answer

Nicely posted photos. Though I think you have a terrific result if you are so unhappy only revision surgery with lateral capsule tightening , changing to HP implants. Fee $10,000. Best to discuss with your original chosen surgeon, or virtual consult with....

Douglas Taranow, DO, FACOS · Answer

It's a challenge to adjust your size and shape to give you what you desire.  High profile implants give you both high projection, and narrow base diameter.  If you go with a lower profile implant, you will decrease the upper pole fullness, but increase the width.  I would consider removing some of the capsule from the bottom your your breast pocket allowing the implants to drop a bit, and change to a moderate plus X implant and even consider just a little smaller.  These should give you a more natural bottom fullness, less upper pole fullness and just a little smaller.  Your width does not appear to be an issue.

Hate my upper pole - what can help lower my upper pole fullness? (photos)

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