Is it normal to not have lower pole fullness?

It is expected for submuscular implants to sit high right after surgery. With downward massage and time, the upper fullness moves lower to fill out the bottom of the breast. Most changes occur in the first four months, but the breasts will continue to get more natural looking for a year or two after surgery. Don't panic if they still look a bit high at 5 1/2 weeks after surgery. They will improve.

It sounds like your breasts haven't settled yet into a more natural position. This generally takes three to four months, or longer if you don't have much of your own natural breast tissue and your skin is tight. By that time, your breasts will have gently rounded out at the bottom to assume a more natural breast contour. This is achieved by gravity and natural tissue expansion to accommodate the implants.

Thank you for the question.

Your anxiety/concern is understandable. I think that you are aware objectively that you are too early out of surgery to be concerned about breast implant position and/or asymmetry. For the vast majority of patients breast implants do settle and fill out the lower poles of the breasts; as you know, this process may take (on average) 3 to 6 months (sometimes longer).

For real reassurance, and to rule out complications that can explain breast asymmetry and/or delay of breast implants settling) continue to follow-up with your plastic surgeon.

Best wishes.