My implants didn't drop after 4 months. Is that normal? Is it capsular contracture? (photo)

Question

I got 425CC HP smooth round silicone unders 4 months ago and i think they fluffed but didnt drop much. my nipples are still pointing down and i have no lower pole fullness. im afraid that this is the final look and they are not gonna drop anymore. OK i gotta admit some days i forget to push them down so is it possible that i got capsular contracture? i also feel bumps under my armpits and i dont know if its lumps or just the sides of my implants or my veins. my follow up is next week.

Dana Goldberg, MD · Answer

Implants can settle for 6 months or so, but there hasn't been much change since surgery, so I'm afraid you may need another surgery to help them settle. Capsular contracture is not common this early after surgery, but have your surgeon examine you to see if that is a possibility. Don't blame yourself. I don't have patients routinely do implant massage or displacement exercises, and they are not absolutely necessary to prevent capsular contracture or to help implants settle. Scars can take up to a year to fade, so I wouldn't worry too much about that right now, especially since your surgeon will likely reuse that scar if surgery becomes necessary. Best of luck.

Jason E. Leedy, MD · Answer

Breast implants take time to fully drop.  At one month implants are usually high.  By three months the lower pole should stretch and the implant should drop into position.  If the lower pole wasn't dissected enough, the implant will remain high.  Unfortunately, at four months I would expect to see the implant in a lower position.  You will likely need a revision surgery in order to correct the issue.  Best of luck.

Thomas Fiala, MD, FACS, FRCSC · Answer

To me, it seems like the implants are sitting too high in the pocket.  If they are both soft & mobile, (so this isn't a case of early capsular contracture) the most likely problem is that the lower portion of the pocket wasn't dissected enough.  Generally, the idea is to have the implant centered behind the nipple.  This is likely to require a surgical revision.  Speak with your surgeon about this.

Gregory Sexton, MD · Answer

See what your surgeon says at your next appointment. I hesitate to revise before 6 months, so there can still be some change, but from your appearance at 4 months, you may need a revision to release the muscle inferiorly to allow for stretching.Although it is possible it is a contracture, we can't tell w/o an exam, and I highly doubt it is.Good luck.

Asif Pirani, MD, FRCS(C) · Answer

It is likely that the inferior edge of the muscle was not released adequately.  A contracture is also possible but based on your history, the former seems more likely.  You should discuss a revision with your PS as I doubt  your implants will drop very much (although they may a bit).

My implants didn't drop after 4 months. Is that normal? Is it capsular contracture? (photo)

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My implants didn't drop after 4 months. Is that normal? Is it capsular contracture? (photo)

Answers (10)

Answer: Implants

Answer: Implants

Answer: BBA

Answer: BBA

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Recommended reading

Everything you need to know about Breast Augmentation

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