I'm 11 wks + 1 day post op (benelli w/implants) & my left implant seems to be stuck & not wanting to move down. It moves freely from side to side & up, & has natural bounce, but w/ massage & pushing down on it, it doesnt seem to want settle down in the pocket. When wearing the band it pushes down on the implants & the pockets feel full but as soon as the band comes off the pocket feel empty & saggy. When should I start to be concerned with the pocket closing & the implant not dropping anymore?
Left Side Not Dropping Anymore
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Doctor Answers 10
Breast implant position
You should give yourself more time after your breat augmentation, at least six months. Massage and continuing the band may help. You can make the band work harder on one side than the other by placing a soft pad under it on the side you want to lower. Good luck with this!
Wait for breasts to settle more
I would like to see a pre op photo as you may be just asymmetric going in, that being said I would be concerned about capsular contacture and would want you to be seen regarding possible non operatve and operative possibilities of treatment
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Each breast will respond a bit differently post-operatively and one may descend into the pocket a bit sooner than the other. Remember no two breasts are the same and they willnever bre exactly the same post-op.
Left Side Not Dropping Anymore
Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized.
Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.
Sometimes, one or both breasts implants do not settle as planned and revisionary breast surgery becomes necessary to improve the outcome. On other occasions, if the long-term breast asymmetry is mild ( understanding that absolute symmetry is very rarely achieved), patients will need to decide whether proceeding with revisionary breast surgery is worth the potential downsides associated with additional surgery.
Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.
Encapsulation and a Breast Implants
You are just under 3 months, the fact that your implant is getting a memory for being high is not favorable. More aggressive measures such as external Ultrasound may be of some help. Continue to wear your band at night. If this implant is under the muscle it could take a while longer.
Implant Position Following Augmentation-Mastopexy.
Following breast augmentation, the implants will settle into place over the course of 2-4 months; and they may settle at different rates. Implant displacement exercises are helpful in reducing the risk for capsular contracture, and enhance the settling of the implant. The final results following augmentation-mastopexy often take longer to see than following augmentation alone. After implants settle into place there may still be other changes that occur as the inferior pole skin stretches further under the stress of the implant. Therefore, the final results may not be seen until six months to one year post-operatively.
Your anterior view picture shows that the right breast is more round and full compared with the left breast, which appears a bit narrower. The right implant appears to fill the breast out a bit more, and gives the impression that the right breast may be a bit larger in size. The left breast does appear more narrow and the implant a bit more oval/oblong; this may account for the appearance of increased upper pole fullness which may give the impression that the implant is higher.
The oblique views show that there is a bit of looseness in the lower pole skin of each breast and the inferior breast hangs off the implant; this ptosis is more significant on the left than the right. If the left implant is a bit higher this may explain why the left breast is less full/round and the tissue a bit more ptotic.
What is also important for this evaluation is the pre-operative appearance of your breasts. Was the right breast larger or more full/round before surgery? Was the left breast narrower? Is the left inframammary fold higher than the right? If so, the left implant will be positioned higher on the chest wall, even after it has settled into place.
Continue your implant displacement exercises and continue to discuss your situation with your surgeon. There is still time for normal post-op changes to occur and in several months you may be much happier. Best wishes, Kenneth Dembny, MD
Breast implant dropping
I would continue to aggressively massage that side and wear your band since it sounds like it is still doing something. If it gets to the point where it doesn't move at all then you will need a revision. I think it is too early to say for sure.
Implant position depends on implant type, size, and location
Your result is good but I see the asymmetry.
The pocket has already adjusted to the implant. If the implant is textured, it will move less than a smooth implant. If under the muscle, it will take longer to drop than a subglandular implant. A smaller implant will feel looser in the breast than a larger one.
As the months pass you will see how you feel. After 6-12month have passed, discuss your concerns with your surgeon.
Breast Implants and Dropping
I tell my patients that it can take 3-6 months in some cases for implants to settle and drop and for one to be able to evaluate implant position and breast shape. Try to be patient and follow your surgeons suggestions. If you see no improvement at 6 months discuss with your surgeon your concerns and solutions.
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.