Implants Seem Really High. Will They Drop? (photo)

Hi. I am 12 days post breast aug and I am very concerned about my implants being too high. I realize that it is still very early in my recovery, however I would like some advice on the look and shape at this stage in my progression. Is there any indication that they are in the right position to drop? For reference, I am a 32 year old mother of twins and nursed for 2 years. I am 5'2, 112 pounds and had 375cc silicone implants placed beneath the muscle. Thank you.

Doctor Answers 15

Implants Seem Really High

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Thank you for your question and for the attached photos. It is very common for the implants to appear to be high riding early in the post-op period.

  Dropping: Submuscular implants are sitting as if they are at the bottom of an envelope. The breast fold, like the bottom of the envelope keep the implants from descending. At the upper pole is a large space under the muscle and above the ribs, and that space goes up to the clavicle (collar bone). Typically the implant position looks fine at surgery. As the patient awakens, the relaxed pectoralis muscle contracts, pushing on the implant. This displaces the silicone (or saline) which bulges into the upper pole, the only direction with room to expand. The lower pole of the breast may seem to empty out. But the implant itself doesn't actually move. As the muscle relaxes over several months, the upper pole no longer bulges and the implant position looks like it did in surgery.

One thing I cannot tell without preop photos, and that is whether you might have needed a lift. On the 45 degree view, the breast fold looks even with the nipple. Now the photo was not taken at a proper angle, but the nipple and areola do look low. If that turns out to be part of the problem, only a breast lift will fix it.

All the best. 

Seattle Plastic Surgeon

12 days post op

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Thank you for the photos and question.  At 12 days post op, you are still very early in the recovery stage.  It could take a good 4-6 months for implants to fully settle.  Best to wait it out.  Best of luck, Dr. Michael Omidi

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 120 reviews

Implants seem really high. Will they drop?

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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 28 reviews

Looks Good So Far But Wait 3-4 Months Before Assesssing Results

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When implants are first inserted, they sit high up because your tissues are tight and gravity hasn't taken effect. Over time, natural tissue expansion occurs to allow the implants to fall into place. By this time, your breasts will have taken on a more natural contour, where the lower breasts become softer and rounder. Please wait at least four months for this to happen. Ask your surgeon if a bandage wrapped around the top portion of your breasts can help.

High implants

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As you have heard from other comments, it is important to let things settle before making any decisions regarding further surgery. It is still very early days and they will be great changes in the months to come.

Without the benefit of pre-operativer photos it is also difficult to comment on your breast envelope and ptosis (droopiness) but sometimes patients do require uplift surgery too.

Keep discussing things with your surgeon, be patient and I sure everything will work out

Take care

Breast implants under the muscle can take 3 months to drop to their final position

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Thank you for your photograph in question. Breast implants under the muscle can take much longer to drop into position sometimes up to 3 months.

In some cases a breast lift can be needed in addition to breast augmentation but it is far too early to make that decision and your case. Give your breast implants more time and of course express your concerns to your plastic surgeon

Implant Position

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As others have stated the implant can appear high soon after surgery. Yes, as time passes it will "settle". The question is will it settle enough. The problem is that before surgery you could have had some component of ptosis (droopiness). Having twins and breast feeding for 2 years is not in your breast's favor. The best thing to do at this point is wait and see what happens. You may want to wait 4 to 6 months to see what happens. If you still are not pleased with your appearence you should consider a mastopexy (breast lift).

Scott R. Brundage, MD
Grand Rapids Plastic Surgeon
4.8 out of 5 stars 27 reviews

Implant Position at 12 Days

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   The implant position at 12 days is almost always high, and your early result is no exception.  Massage and time will cause them to drop.

Implants too high?

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At twelve days post-op the implants will be a bit high, as for the final positionit is hard to tell, but your nipples do look low to begin with and you  may need a lift.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

A combination of ptosis and normal post op positioning

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i think the reason that you think the implants are so high is that in fact your nipples are a bit low.  having had twins that is very normal.  in fact, without having seen you preop i would guess that you fall in to the category of "maybe" needing a breast lift.  most of the patients in this category i start with an augmentation alone.  most patients are very happy with the augmentation without the lift.  early on, however, the implants will appear high.  the thing you have to realize is that your breasts are not the same as they were when you were twenty and before you had children.

Eric Chang, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 11 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.