Worried About Right Breast Not Dropping? (photo)

Question

Follow-up with pictures. I had a BA just over 4 weeks ago (275cc mod+ silicone- under muscle) and my right breast is not dropping and is a oddly shaped. I wondered if it was not dropping due to strong pec muscles/ althetic build and very little body fat (around 8%). Right after BA right nipple was pointing downwards and breast was cone shaped. Both breasts are relatively painless (except the mondors cord) and soft. I am following all post-op instructions and doubling up on right breast massages.

Vincent N. Zubowicz, MD · Answer

The implants do not look like they are supposed as an endpoint, but 4 weeks is fortunately not the endpoint.  Post your 3 month pictures for the benefit of all those who visit this website.

Ryan Neinstein, MD, FRCSC · Answer

I think you nailed the answer, you have extremely strong pecs and not only are they holding the implants up but they are deforming the implants

Kenneth Hughes, MD · Answer

High implants early in recovery following breast augmentation is the norm. The larger the implant and the smaller the person the longer it takes for the implant to drop. More muscular patients will take longer.

Sacha Obaid, MD · Answer

After a subpectoral (under the muscle) breast augmentation, the breast implants tend to ride high.  I recommend that patients usually begin exercises at a week post-operatively to help the implants settle into the perfect location.  For a woman like yourself that is having one implant that is taking longer than the other to settle, there are bras that your plastic surgeon can order that will provide constant compression on the implant to help it settle more quickly.

	Your question also specifically asked if your muscular build is contributing to the implants taking a little longer to settle and I definitely think that it can be a contributing factor.  Best of luck.

John J. O'Brien, MD · Answer

Hello, thank you for your question and it is one that we will hear frequently from our breast augmentation patient's. The pictures show that the implants are riding high, but you are only 4 weeks following your procedure. Many times in athletic patient's with significant musculature this process may take 3-4 months for things to soften and settle. I would recommend he discussed this fully with your surgeon. In our practice we recommend pocket opening exercises as well as scar massage to try to aid in this process. Each practice has their own philosophy on this and I would encourage you to discuss this with your plastic surgeon. Best of luck and I would love to see your followup pictures in approximately 3-4 months.

Aldo Guerra, MD · Answer

The best thing to do in this case is to stay in close contact with your plastic surgeon's office. I'm sure they would tell you to be patient and focus on massaging each breast, but to focus extra time on the right one. It takes several months for the tissues to finish stretching and for you to derive your matured breast augmentation appearance. Best of luck, Aldo.

Garrett A. Wirth, MD, MS, FACS · Answer

4 weeks is too early to determine your final results.  I believe you can still encourage movement of the implants with massage so you should confirm with your surgeon that he/she is comfortable with that.

Steven Wallach, MD · Answer

At four weeks, it is a bit early. I would give it at least four months to determien whether or not you need  a revision.

Norman Bakshandeh Day, MD, FACS · Answer

It take about four to six months before the majority of swelling resolves after breast augmentation. The look may be a result of the type of implants that were used

Remus Repta, MD · Answer

Hello,

	Thank you for the question and photos.  Breasts look their best when the implant is properly positioned on the chest and the breast tissue is properly positioned on the implant.  Since it is still a little early we cannot be certain if this is where your implants will eventually be.  It is also important to remember that your muscle is still likely a little tight and a little swollen and this will also change to some extent with time.  Another few months down the road you will be able to make a better assessment and decision.  It may be that you would benefit from either a small revision to lower the pocket and/or a breast lift to re-position your areola/nipple higher up on your implant.

	All the best,

	Dr Remus Repta

Worried About Right Breast Not Dropping? (photo)

Answers (16)

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