Do High Profile Implants Take Longer to Drop?

Question

Do high profile implants take longer to drop? I am still high from the top i am only 3 weeks out so I think i am panicking a little to soon? What do you think?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

I am of the opinion that profile has little to do with the "settling" of implants.  In my experience saline settle more than silicone.  I agree that the size and shape she be exactly right at the end of surgery. After surgery swelling occurs particularly in the muscle (if placed beneath the muscle). Which can change the shape especially in the upper portion.  This just one way the shape may be affected after surgery.  Have patience.  As the swelling subsides and the tissues soften your result will be readily apparent.  
Dr. ES

Larry S. Nichter, MD, MS, FACS · Answer

Three weeks is way too early to know if your implants will drop as it takes some months before you have the best idea of how you will look. The #DropAndFluff timing is multifactorial so hard to answer.

Farbod Esmailian, MD · Answer

High profile implant do not take longer to drop but you may be left with more upper pole given the high profile implants.  I generally tell my patients that by 2 months postop you look good and by 4 months postop you look great.
It does take about 4 months time before the implants settle if they are placed behind the muscle. 
Good luck.

Otto Joseph Placik, MD · Answer

The shape of the implant has less to do with the dropping and settling of the implant. Whether an implant drops is more likely related to: 1) surface texture (smooth or fuzzy) 2) nipple to crease skin length 3) submuscular versus subglandular placement 4) surgical release of the pocket and parenchyma 5) prior history of nursing or weight gain/loss with subsequent glandular involution 6) skin elasticity, etc.

Ankit Desai, MD · Answer

You are still very early in the recovery process. You should continue to see your plastic surgeon and your ultimate result may take a few months. Ultimately there is no difference as far as the time for healing to occur between the different profile breast implants. There are so many considerations for each and every breast augmentation patient including the preoperative breast size, type and size of breast implant, and the placement of the implant above or under the muscle.

Steven Wallach, MD · Answer

HP implants do not take any longer to drop than other implants.  It is a matter of the volume, and anatomy.

Peter A. Aldea, MD · Answer

The best indication of  proper placement and future appearance of breast implants is the way they looked in the operating room, with you being seated up on the OR table, just before closure. While many plastic surgeons DO sit their breast patients (augmentation, implant exchange, lift) up, some do not. IF your surgeon performed the surgery correctly (proper pocket development, proper implant choice and placement), then your implants would have reflected that when you were sat up at the conclusion of the case. 
In such cases the temporary elevation of the implants by swelling and inflammation of the breast is temporary and they will descend to their proper location in the next 4-6 weeks. If you were never sat up and the operation was not done properly, the implants will remain higher than you may want them. BUT even in the latter cases there is implant descent and they will not end up looking as high as they are now.

Nina S. Naidu, MD, FACS · Answer

High profile implants do not take longer to settle. However, you are in the postoperative period, so it's not at all unusual for the implants to still seem very high. You'll notice a change within the next 6-12 weeks as your swelling resolves and the implants come down. Best wishes, /nsn.

Michael C. Edwards, MD, FACS · Answer

You are early in your recovery and you should keep your follow-up appointments with your plastic surgeon and follow their instructions carefully. It takes weeks to months to see the final results of breast augmentation surgery. In answer to your question, a high profile implant should not take longer to heal than another implant all things considered.
Best of luck.
Dr. Edwards

George J. Beraka, MD (retired) · Answer

Hi.
1)  I certainly do not want you to panic, but I am in the minority on this issue.  I do not believe that breast implants should have to "drop".  We take a great deal of trouble to make sure that breast implants look exactly like we want them to look before the operation is completed.
2)  Your breasts will certainly change somewhat over the next few months.  But you may well think they are still too high in the long run.  For now, there is nothing to do except be optimistic.  If you are not happy in six months, consider a revision breast augmentation.

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