4 wks post-op BL (lollipop) /BA SRF 485cc under muscle. One implant still high and muscle tight. Will valium help the spasm?
Doctor Answers 15
You do not provide a photo, but if one implant is sitting higher than the other, it is not due to muscle spasm. In fact, muscle spasm usually subsides within the first days after surgery. Regardless, implant massage has no effect on normal implant healing, and does not prevent or treat capsular contracture. My recommendation is to stop massage. Your implants are large, so you'll have a lot of 'drop and fluff' over the next few months. Sit tight, be patient, wear a supportive bra as much as possible, and let your body heal on its own. Best of luck!
Implant high and muscle spasm 4 weeks post op BA BL
Thanks for your questions. Without examining you or seeing pictures it's difficult to give you specific recommendations. Follow your surgeon's recommendations. I prescribe Valium for the immediate post op period for my BA patients to help with the spasming. Some patients with thicker muscles need it for longer. If your surgeon is ok with Valium you should try it. I think it will help you. Good luck.
Implant Still High?
Valium is not the most effective muscle relaxer and at this point I doubt it would be of any benefit and not worth the other negative side effects. At 4 weeks you are still relatively early in your post-op recovery, so breast massage can be an effective way to get the implant to move downward. Wearing a compression band can also be helpful, but it isn't as effective when only one of your implants is too high. It is still too early to truly be developing capsular contracture but it is possible that you could end up with a problem of implant malposition which would require surgical revision. Most surgeons wouldn't consider doing a revision until you have had at least 6 months for fully settle and heal.
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Post-op Breast lift and Breast Augmentation
It is very common for the breasts implant to settle into their final position at different rates. In your case, it seems your right breast implant is still higher and your muscles feels more firm. It is definitely possible that your muscle may be the reason why your implant is still elevated. This is also common if you are right-handed and tend to activate your right sided muscles more. Valium is useful in reducing spasm related pain, however does not cause such a dramatic relaxation that your implant will drop more rapidly. I find it better for patients to wear a post-op band that wraps around the upper breasts which creates constant gentle pressure throughout the day to encourage your implants to settle more rapidly and to reduce swelling in that area. Your surgeon's office may have one for you or you can easily find them online. Hope this helps!!
Johnson C. Lee, MD Plastic Surgery
Implants settle at different rates
Hello and thank you for your question. Congratulation on undergoing mastopexy-augmentation. You are early in the healing process only being 4 weeks out from surgery. When implants are placed under the muscle, the stretch in the muscle causes a reflex where the muscle contracts and pushes the implant up. Once the muscle relaxes, the implant starts to come down and "drop and fluff." The rate at which this occurs on each side is unique and does not happen at the same rate. You did the right thing by contacting your plastic surgeon and following their advice. Be patient as it takes around 3 months (sometimes 6) for things to even out. If at 3 months there is no progress, you can seek a second opinion with a board certified plastic surgeon, but I would always start by going to your surgeon first. I hope this helps and best of luck to you!
Dr. Sean Kelishadi
This is a common occurrence that may be helped by the vailum for a short period only. This should be cleared by your surgeon, though.
Hope this helps.
Dr. Ali Mosharrafa
Breast asymmetry following breast lift and asymmetry can be due to overuse of muscle on one side than the other; it could also be due to implant malposition or early capsular contracture. Did you use a breast band in the early postoperative period?
4 wks post-op BL (lollipop) /BA SRF 485cc under muscle.
I'm sorry but without photos there is no way to give you any useful comments. Continue followup with your surgeon for advice. If you have significant asymmetry at one month postop it is unlikely anything but a surgical revision will help.
Breast Augmentation/Breast Implants/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision
I appreciate your question.
Right now, you are early on in the post op recovery period. It will take 3-6 months for you to feel comfortable having implants in your body and for them to settle. This time allows for you to physically and psychologically adapt to your new body image. There are many variables that contribute to a breast augmentation's final result. Preop size and shape, IMF location, location of the implants and type of implant. Patients heal at different rates and each breast will sometimes heal at a different rate. Rest, relax, recover and heal. Please Express your concerns to your surgeon so he/she can examine you at this time. Then reassess final result at 6 months.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
Best of luck!
Board Certified Plastic Surgeon
It is very common for one implant to take longer to loosen up, especially if that is your dominant hand. I feel like muscles relaxants can help to some degree but you really need time. Try to be patient, it may take 3-4 mo for the final result. Good luck, Jane
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.