High Positioned Implants
Most implants will appear to be high early after surgery. As the tissues relax (skin, muscle, breast) and as the swelling resolves, the implants will settle into the proper position. The speed at which this happens varies from patient to patient. Sometimes it only takes a few days while others may take a few months.
Sometimes patients will be given a superior compression band to help speed the descent of the implants. I will usually start this at around the 2 week mark if the implants are not settling as quickly as expected.
I recommend close follow-up with your plastic surgeon. He/She will be the best to determine if anything is out of the ordinary.
My Implants Appear Too High 2 Days After Surgery
Implants basically fall into two categories - those that are on top the muscle and those that are below.
Implants on top the muscle have much less pressure on them even if one has tight skin, and therefore over time, may actually move in a downward direction. Because of that, the drop and fluff concept of post implant migration can actually mean the implants can drop in an open pocket.
Implants below the muscle are tightly held by both muscle and skin, and here, the concept of drop and fluff, in my opinion, does not refer to the actual implant dropping (the coefficient of friction is much too great), therefore, when one talks of the drop and fluff phenomenon, one is referring to the fluid in the implant descending from a higher position to a lower position as the tissue stretches out.
Hence, whether implants are above or below the muscle, in the first few days or weeks after surgery, they appear to be riding too high until either the implant and/or the fluid or both begin to drop and fluff as the skin and muscle relax.
Things change with the appearance of breasts and breast implants over time and usually for the better. I recommend you discuss your concerns with your Board Certified plastic surgeon.
Too much fullness up top?
Thank you for your question. Your plastic surgeon will always be your best resource when it comes to an accurate assessment of your situation, advice, predictions, and/or meaningful reassurance.
Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized.
Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.
Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.
High riding implants
Generally speaking, especially early in the
post-operative phase of healing, it is not uncommon to have one or both
implants appear to be high up by the clavicle. Although the “pocket”
may be made correctly,
the implant may
not have access to the
bottom for several reasons. If the overlying muscle or skin is
tight, this will move the implant to the path of least resistance which is up
and towards the underarm where there is little or no pressure. As the pressure
relaxes, the implant will drop down to the bottom. Smooth implants, because
their surface is slippery, may move faster downward than a textured implant
with its rough surface. Because these variables mentioned above can be
different for each side, it's not uncommon that one side will drop faster to
the bottom of the pocket than the other. Similarly, sometimes one breast will
swell more than the other or be more painful than the other early in the
postoperative phase. After the first month or two, usually things will even
out. It wouldn't be, in my practice, until four months or so has passed that I
would entertain going back to the operating room to “touch
up” the location of the
breast implant in the
pocket. Sometimes specialized
bras or straps as well
as massage and
stretching protocols may
be helpful in allowing this process to happen
more quickly. Each plastic surgeon will have different thoughts on what the
best protocol is for the patient. Your operating plastic surgeon will be your
best resource to have this information passed on to you. I recommend that you
faithfully follow up and follow the instructions of your chosen plastic
surgeon. Congratulations on your surgery, and good luck on an uneventful
Too much fullness up top?
Thank you for your question. It would be helpful to have pictures to fully address your concerns, but two days post-op you are most certainly still experiencing swelling, which is normal. In addition, it can take some time for the implants to settle into the pocket. Try to be patient and not compare your results with others, because each patient is unique with differences in anatomy, breast size and implant size and type that can determine how healing progresses. If you continue to have concerns, please talk to your plastic surgeon for reassurance that the healing process is going as expected. Best of luck to you.