I am 3 weeks post-op as of June 2. My right implant is still very high on my chest. I had put in 492cc filled to 520cc on that side. I do not believe there is any more swelling as that breast is alot smaller than it was right after surgery. Plus there is an indentation at the top kindof like something is pulling up there. you can see a little in one picture. It is in like the 2 oclock position. I am doing "massaging" as much as I can. Does it seem like something is wrong??
How Long is Too Long for Breast Implant to Drop?
Doctor Answers 21
Continue to massage and give it more time
Will my implant drop?
If your implant originally was down in a better position and now has raised up, then you have a capsular contracture and it will not go back down without some intervention. If your implant has always been high, especially if always higher than the opposite breast, then it was positioned too high and will not come down without surgical intervention. Certainly patients will have swelling in the early couple of weeks, and this can cause some fullness in the upper breast (usually symmetrical) that resolves over that period...even with this, however, the implant should still be down where it belongs and filling out the lower pole of the breast. If skin and breast tissue are tight preoperatively, it may take a while for this tissue to stretch under the weight of the implant, but this does not make the implant sit high...the implant is down where it belongs but the lower pole (between nipple and crease) is tight and hasn't stretched and rounded out yet, and maybe the upper pole will look a little more full until this tissue stretching occurs. But the implant is still down where it belongs during this process. In other words, implants do not "drop"...tissues relax, swelling resolves, shape changes, but if the implant is higher than it should be, due to surgical technique issues or due to the development of capsular contracture, it will not drop on its own.
It takes a few months for implants to "find their home"
A savvy patient told me this, and it's true! It is extremely common for implants to appear full, or high riding, in the upper pole in the first few months after augmentation. As tissues stretch and adjust, the implant will settle into the pocket better and become dramatically more natural appearing. Clearly your right looks higher than the left, but time is your best ally, and you may find that this improves on its own. I would say that both breasts will be a bit lower and prettier at six months. Upper breast compression by hand or with a band may help, but is not required for settling to occur. I would not revise a high riding augmentation until after 6 months, since it may fix itself, and because the result is not as predictable if the position is still changing from the first operation. Your PS can give you more specific information and it is worth a visit to be checked and discuss.
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Thank you for the question and picture.
Yes, I have seen implants “drop” for up to 12 months (or more) after breast augmentation surgery. I asked my patients to “pull up on the skin and push down on the implant” on the side that is slower to settle. Although it is controversial I think that implant massage and displacement exercises are helpful in keeping the breasts soft in general.
Continue to follow up your plastic surgeon and make sure you are not experiencing encapsulation which may result in firmness of the breast and/or implant malposition.
I hope this helps.
Time Sequence for Breast Implants to Drop
Too early to worry!
Too early to see
I would recommend revision after 3 months if needed
Implant Will Drop
The final shape of your #breasts will start to look its best approximately three months after #augmentation surgery. It takes time for the skin and muscle to stretch and relax around the new #implant. The breast will often look higher, firmer, and “less natural” in the first three months. It can take up to a year to see your final result. Have patience. If you are concerned, ask questions of your #boardcertified plastic surgeon.
When Breast Implants Drop
Superior compression bands and mechanical massage may help breast implants drop more quickly. These maneuvers apply downward pressure on breast implants and help expand the inferior breast pocket. It’s important to realize that the majority of breast implants will eventually drop into normal position without any treatment.
In rare cases, surgical expansion of the breast pocket may be necessary but shouldn’t be undertaken for at least six months following surgery. This allows adequate time for conservative measures to work.
In someone who is only three weeks post-op, this type of asymmetry isn’t unusual. It’s important to maintain close contact with your plastic surgeon. Your plastic surgeon should be able to discuss your concerns and alleviate your anxiety.
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.