Breast Implants Not Dropping 3 Months Post Op? (photo)

I had breast augmentation done 3 months ago, 330cc under the muscle silicone moderate profile. Although they have dropped a little they are still more full in the upper pole and I am starting to worry as they dont seem to have fully dropped. I have read about the pocket not being created correctly and I hope this hasnt happened to me. I am due to see my surgeon again in 2 weeks, I would value some other opinions so I know what I am talking about when I see him. I worry I may need a revision?

Doctor Answers 13

Implants dropping

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From the pictures you posted, it would appear that you have a little more dropping to do.  From the pictures you posted, it would appear that you have a little more dropping to do. Fortunately, three months is still fairly early. Although some people drop into position right away, this is not always the case. I tell patients that we cannot judge the final  results until at least six months after the surgery.  There is a common perception that we simply insert the implants and we see immediate results. In most cases, there is a lot of work to be  surgery to get the optimal results. That is why it is essential that you keep your follow-up visits with your plastic surgeon.  What is encouraging is that you're developing a very nice shape and you should be headed towards a decent result

Denver Plastic Surgeon

Breast implants that are too high

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Yes according to the photos your implants still look too high but at least they look fairly symmetrical.  The size of the implant is not too large but I would guess you had a transaxillary approach.  If this approach is done and the inferior origins of the pectoralis muscle were not divided the pectoralis muscle acts as a muscular sling and may take a very long time for the implants to drop or not ever drop.  If you flex your pectoralis muscle and the implants displace upwards or laterally a lot then the pectoralis muscle is acting as a sling and the implants will take a very long time to drop.  It would be best to discuss this with your surgeon.   

Benjamin Chu, MD, FACS
Honolulu Plastic Surgeon
4.8 out of 5 stars 106 reviews

Breast Implants Not Dropping 3 Months Post Op

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These can continue to drop for  longer than just three months. A pectoral strap, an elastic band that puts gentle and constant downward pressure on the implants may help this along. Discuss with your surgeon. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon


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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.This process tends to occur sooner in one breast than the other, so don't be alarmed if you find that your left drops before the right or vice versa.

Implants and position

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The implants look like they are moving in the pocket nicely.  They may take some more time to drop a bit more.  They will probably change more over teh next few months. If you have concerns, then speak with your surgeon.

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

Breast implants not dropping up to three months

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 330 cc implants are not that large however it seems to me that you have a small chest frame. It's also possible that you're developing capsular contracture pushing the implants up. In any case 3 months is quite early. When you see yoursurgeon during postop visit in 2 weeks, see what he thinks. If I were your surgeon, my advise would be to wait at least another six months. By being patient with the implant settling, you may be able to avoid additional surgery.

Raj Chowdary, MD (retired)
Allentown Plastic Surgeon

Pocket development should be dictated by pre-op discussion with your surgeon

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The placement of the implant can certainly vary by how your pocket was dissected - this is an important and vital part of your pre-op discussion with your surgeon.  I would discuss this with your surgeon - only he knows how your pocket was developed.

Breast Implants Not Dropping 3 Months Post Op?

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It's still early in your healing process. #Healing will continue for 2-3 months following your #Augmentation #Mastopexy procedure. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal. Scars will also be changing.

But, it can be up to one year see your final result. Your doctor may require you to move or massage the implants within the breast pockets during the #postoperative period. #Textured implants do not require breast massage. You will be informed about this at your post-operative visit. 
Also, the two breasts commonly heal quite differently so #assymetry is not unusual. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they will be more similar and natural. You must have patience, but if this causes concern, ask questions of the doctor or the nursing staff.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Implants not dropping

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It can take up to six months for implants to fully descend and your tissues to fully relax. This is on the longer side but not unheard of. At that time its appropriate to consider further interventions.

Zach Barnes, MD
Bakersfield Physician
5.0 out of 5 stars 26 reviews

Implants Need To Drop More

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   With aggressive massage, the implants may drop from montths 3 through 6.  If they have not changed by 6 months, you may want to consider surgery.  Without an exam or at least preoperative pictures, the choice of whether to lower the implants or to perform a lift or both is a bit uncertain.  Kenneth Hughes, MD Los Angeles, CA

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.