Lower Pole Fullness?

I am 5 1/2 weeks post op from a BA. 475cc silicone under the muscle in one breast and 450cc silicone under the muscle in the other. I am still swollen and they are still high.. My lower pole is not full and all and that worries me. I know it is still early, but is it normal to still be swollen with the lower pole not being full? I was probably a full A to a small be before surgery. i know this takes time, but i over think things and worry so much.

Doctor Answers 11

Lower Pole Fullness?

An explanation of my impression of what we mean when we talk about implants dropping. 

Submuscular implants are sitting as if they are at the bottom of an envelope. The breast fold, like the bottom of the envelope keep the implants from descending. At the upper pole is a large space under the muscle, and that space goes up to the clavicle (collar bone). Typically the implant position looks fine at surgery. As the patient awakens, the relaxed pectoralis muscle contracts, pushing on the implant. This displaced the silicone (or saline) which bulges into the upper pole, the only direction with room to expand. The lower pole of the breast may seem to empty out. But the implant itself doesn't actually move. As the muscle relaxes over several month, the upper pole no longer bulges and the implant position looks like it did in surgery.

This process can take up to 6 months. If your surgeon was happy with the implant position at the end of the surgery, it is highly likely that your implants will settle into position, filling out the lower pole, and ending the fullness in the upper pole.

Thanks for your question, best wishes. 

Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

How Long For Lower Pole Fullness After Breast Augmentation

Thank you for your question. Breast implants placed beneath the chest muscle always take more time to develop lower pole fullness.

However I would expect some movement into your lower pole by 5-1/2-6 weeks. Final descent or settling of sub-muscular breast implants can take 3-6 months but I like to see some improvement certainly in the first 6 weeks.

Please consult your plastic surgeon who did your breast augmentation. Ask the surgeon if breast implant displacement exercises will help and does the surgeon approve of their use.

Do not be shy about asking your surgeon about your concerns. If the implants have moved lower in 5-1/2 weeks than they were immediately postop then this will probably continue and you will eventually be happy.

Breast Implant Shape after Surgery

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.

Michael Horn, MD
Chicago Plastic Surgeon
4.4 out of 5 stars 54 reviews

Lower pole fullness after breast implants

The lower pole fullness depends upon skin that is available between the nipple and your breast fold. Normally if the skin distance is less it is increased by lowering the inframammary crease/ breast fold. Breast band and regular massage to expand the lower pole will be very helpful at this stage.

Sanjay Parashar, MD
Dubai Plastic Surgeon
4.6 out of 5 stars 22 reviews

Lower pole fullness

You have said it yourself YOU WORRY TOO MUCH. It is too early after surgery for any thing to be said. Allow 6-9 months to pass before coming to any judgements.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Concerns about Breast Implants' Position after Breast Augmentation…

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.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Breast augmentation

At this time you are pretty early post-op. You have to give it time to heal and settle down. There is probably a lot of swelling as well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews




Yes, you are still swollen it takes 6-9 months for the swelling to subside. Not having lower pole fullness is normal at this stage. Are you wearing a breast band, to help the implants drop into position? We usually have our patients wear it until the implants drop. You need to relay your concerns with your PS, to see what solutions he has for you.



Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon
3.3 out of 5 stars 9 reviews

Sitting high after surgery

Allow about 4 months for your breasts to even out and assume a more natural breast shape. It's called dropping and fluffing, and it sounds like you haven't had that happen yet which is normal for some patients at just over a month after recovery. I think you may want to ask your surgeon for some advice about helping the dropping and fluffing.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews

Wait three to four months before assessing results

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.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

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.