When Will Right Implant Settle After Breast Augmentation and Lift?

I am 3 1/2 months post op from a breast lift and augmentation. My left breast is fabulous but my right one is still very high. I've been massaging but don't see any difference. When should I start getting concerned?

Doctor Answers 17

Unfortunately, you should be concerned now.

Hi. There is a misconception out there that implants are going to "drop" after surgery. Some plastic surgeons repeat this. In fact, your breasts should look great and the implants should be in the right position immediately after surgery.

I make sure of this by putting the patient in the sitting position DURING surgery (you are still asleep, of course). That way, I can check shape, size, and symmetry before finishing the operation. If things don't look great, I keep working until they do. There is no guess work.

Massage will not do anything and it will frustrate you. The bad news is you will need to have your right breast revised in another 3 months. The good news is there is no reason why you should not have a great final result.

Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

You will probably need a revision

What you are describing is not uncommon when breast lifts and implants are combined, especially if your implants are gel. Keep massaging on the off chance that it will settle over the next couple of months. I would roughly estimate the chance of your not needing a revision at about 10%. It is far easier to drop an implant down than to raise one that is too low.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast asymmetry

You seem to be in contact with your plastic surgeon and are massaging diligently.

Six months is usually the time when we consider revisions for your problem. This problem, by the way, occurs even in the very best of hands.

Hopefully massage and time will remedy your problem. If not, the surgical solution is usually very straightforward.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Breast Asymmetry

Thanks for the question -

It is difficult to say with 100% certainty but the fact that one implant has settled well and the other has not does raise some concerns.

In addition, the majority of the swelling and settling should be resolved by 4 months.

I would have a conversation with your plastic surgeon.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Post-operative Implant Asymmetry

It's not unusual for patients who undergo breast augmentation in combination with breast lift surgery to require revisional surgery. When these procedures are performed in combination, a large number of variables need to be addressed to obtain symmetry. For this reason, asymmetry that requires revisional surgery isn't unusual following this type of procedure.

In your case, unilateral superior implant malposition three months after surgery is probably related to asymmetric breast implant pockets. Correction of this problem will require adjustment of the dimensions of the implant pockets. It's appropriate to continue implant massage for the next three months. If the problem is still present after six months, revisional surgery is appropriate.

In the interim, it's important to maintain close contact with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your concerns.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Ht Implant Settle After Breast Augmentation and Lift?

Hello! Thank you for your question! You are still early post-procedure. Your appearance looks typical at this stage and will continue to improve as the swelling subsides and the implants continue to settle into their desired position. This usually proceeds over the next several weeks as the lower pole skin/breast stretches to accommodate the implants. Follow-up closely with your surgeon for additional restrictions/instructions and the potential use of bras/garments or massage that may encourage the implant to settle appropriately. If still displaced after this time, a surgical procedure may be necessary to further open the pocket and bring the implant(s) down. Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast too high after 3.5 months


You should be seeing a progressive change of your breast.  If this has stopped and the breast is very different from the other side you may need a revision.  Its certainly possible that the muscle on that side was not completely released at the bottom and the left side was.

All the best,

Dr Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

High riding breast implant

A high breast implant may take up to 6-9 months to settle. However, this can vary by technique and according to the individuals tissues. In your case, I would be less concerned if both implants were high. In my opinion, it is likley that you will need a revision but I  would wait between 6-9 months.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Give it a few more months

Typically implants will settle relatively quickly. I have my patients wear a bra that has a strap to push the implants down. This allows them to settle within 3 weeks. Without that it can take several months.

I recommend trying a bra like this. The capsule isn't mature yet so it may still be of benefit. If no result by six months you may need a revision.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 33 reviews

You will likely need a revision

 It's difficult to know for sure without examining you, but it sounds like you'll need a revision to help drop that implant down into a better position.  Fortunately, this is usually a straight-forward procedure and should solve the issue.

Good luck!

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
4.9 out of 5 stars 149 reviews

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.