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

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.

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).

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.

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.

The implants in your photos are obviously far too high. This issue stems from either poor pocket creation or bilateral tight capsular contractions. Regardless, it would appear that you will need a revision surgery to correct your results. 

Based on your photos, it can be one of two things.  You could have developed a capsular contracture or the inferior pocket wasn't dissected enough and needs to be released.  Patients are all different with healing time so it can take anywhere from 3-6 months for your implants to settle.  With that said, see what your surgeon says at your follow up appt. after an exam.  Yes, your incisions could be better but if you need revisionary surgery, you can address that at the same time.  ac

Your inferior pocket dissection was either poorly done or your developed a cc in this 4 months inferiorly. Plus the incision needs revision. In general you need reoperation.///

At this point in time I do dbelieve you will need a revision to release the lower pole as the capsule has formed preventing the implant to "settle" by itself. This will require some anesthesia to release the pole and allow the implant to drop to its normal position. Speak to your surgeon at the next visit and discuss the plan. Good luck, Dr. Schuster in Boca Raton.

Difficult to say if it is a symptomatic capsular contracture without a physical exam. From the photographs it does appear that the implants are high on both sides and may benefit from repositioning, but this looks like it may need to be done with another surgery. 4 months out is a bit early in my opinion. Continue to aggressively massage the implants down and ask your surgeon about wearing a band across the top of the implants to apply continuous pressure as you admitted that you forgot to push them down after the surgery itself.For more information, please go to my website at:WirthPlasticSurgery.com

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.