What Should I Do if the Implants Are High but the Band is Causing Pain?

Question

(10 days after surgery) I am 5'4, thin. 400cc sillicon smooth implants were placed under the muscle (surgery under the breast). The band preassure is causing continues pain in the breast. Is that normal? Should I wear it 24 hours? What else can I do make the implants drop faster? Will pushing them down with my hands help at all or should I continue to wear the band over the top of the implants? Any help would be greatly appreciated!

Otto Joseph Placik, MD · Answer

While I agree that the band does not do much during the day unless uncomfortably tight and because gravity is doing most of the work. However, I often recommend it primarily a t night because gravity is eliminated for up to a thrid of the day and allows the lower pocket to contract and counteracts the progress made during the day to stretch out the lower pole. I typically adivse the exercise as well. SEE VIDEO BELOW

Jeffrey J. Roth, MD, FACS · Answer

Thank you for the question.  Implants typically start to move downward at one month.  It may take 12 months for them finally to get into position.  This should also get better with time.  Please let your board certified plastic surgeon know your thoughts.  They know what they did in the O.R.  they also know about your particular tissue.  Please follow the recommendations that they might give you.

Young R. Cho, MD, PhD · Answer

Thank you for your question. Your surgeon may be wanting to influence the decent of the implants within the breasts over the first six months after surgery as it usually takes several months for the breasts to settle out. If the strap is uncomfortable I would revisit with your surgeon to see if there are other options or adjustments that can be made. Otherwise, I would recommend following your surgeon's instructions and follow-up.

Lewis Albert Andres, MD · Answer

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!

Christopher V. Pelletiere, MD · Answer

Even though some surgeons use the breast band on top of the implants to try and help the implants settle faster, it really is not necessary. To have any sort of effect, the band has to be so tight that it would be very painful. In reality, if the surgery was done correctly, the implants should settle on their own as the tissues relax and stretch, without any external help. You can keep wearing the band if you want, but I would consider it optional. I always encourage my patients to massage their breasts for 5-10 minutes morning and evening, as well as lay on their stomach for 5-10 minutes/day if they are not natural stomach sleepers. It usually takes 1-3 months for everything to fully settle, etc., so just be patient.

Kris M. Reddy, MD, FACS · Answer

While I am not a fan of the breast band in most cases, you should not allow online consultants confuse the message from your surgeon. Your surgeon knows the specifics of your case, and you should follow his/her postoperative instructions.

Steven Wallach, MD · Answer

I am not a big fan of the bands that push on the implants.  I will sometimes recommend it if a breast implant is not dropping like the other side. Ask your doctor.

George J. Beraka, MD (retired) · Answer

Hi.

	I am sorry to sound discouraging, but I don't believe your breast implants will "drop", band or no band.  The band will not help.  It is a myth that breast implants are supposed to drop with time.

	Just wait a few months.  Either you will find your breasts good enough, or you will need a revision breast augmentation.

What Should I Do if the Implants Are High but the Band is Causing Pain?

Answers (8)

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