Will My High Profile Under Muscle Silicone Implants Drop?

To answer your question, in general it may take several months for your implants to actually drop...especially if you go with a larger volume.  In addition, the axillary approach is associated with a 10-15% higher likelihood of implant asymmetry in the long run as well as a more delayed settling of implants. 

As such, it is very important to be fastidious with implant massage to encourage the implants to settle.  If you do not see progress, it would be wise to check in with your plastic surgeon.

I hope that helps!

Breast implants tend to start dropping into place after 3 to 4 weeks. They usually will get to their final position in 6 to 12 months. One will usually drop faster than the other, and the shape may go through changes.  Please follow your Board Certified Plastic Surgeon's post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. Please let them know your thoughts and concerns. Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Congratulations on your surgery. Since it's been about three weeks after surgery, it will still take more time for your implants to drop completely. You'll notice an improvement over the next month. It will take a full 3-6 months for your implants to settle fully. Waiting can be frustrating, but make sure to follow your surgeon's instructions carefully during the healing process.

It takes three to four months for implants to settle. At that time your breasts will take on a more natural appearance with the bottom portion more rounded out. Dropping and fluffing, as it's called, can also occur faster in one breast than the other. Tissue expansion will alleviate the tightness you may be feeling as well. 

I find that submuscular silicone implants don't actually drop.  If correctly positioned interoperatively, a partially submuscular, high profile implant has an upward displacement of the fluid within the implant due to the tight pressure from the pectoralis muscle.  As the muscle relaxes, given time and some aid from an ace wrap or a Bando placed high on the chest, the internal fluid will reposition downward.  Also, transaxillary augmentations create a lot of swelling at the top of the breast, which also creates the illusion of a high placed implant. 

The subsiding of the swelling and the downward movement of the implant fluid usually takes weeks to months to settle, and is different for every patient. 

High implants 3 weeks after surgery will drop.  Typically, it takes 3 to 4 months to see final results.  Sometimes it takes longer, up to a year.

3 weeks after breast surgery is too early to make any predictions.  I usually tell my patients to give it at least 3 months for implants to settle in.  The transaxillary approach often starts out with implants up high.  Patients are to wear a bandage that helps to push the implants down, and I also ask them to massage the implants to push them downward.  It is not unusual to feel they're high shortly after surgery.

Sincerely,

Martin Jugenburg, MD

Hi
Thank you for your question and photos. In my observation you are too early in your considerations, give it time to settle. Don't worry, 3 weeks post op is to soon to determine what your breasts will look like. At this time, what you are describing is normal. Be Patient, you should see final results within 4 to 6 months. Continue to follow instructions by your doctor and you will see a drastic change as they settle. It is important to stay compressed and wear a stabilizer bra that both supports and help push the breast into the area or choice. Best of Luck!

Dr. Dillon

Will my implants drop?  It does take several weeks and sometimes a few months for the implants to drop down into the pocket.

I find that implants placed under the muscle start to drop, on average, 3 to 4 weeks after surgery.  Some take longer, others less time.  The whole process continues for up to a year. 

 

sek