Implants not dropping at 6 weeks! (Photo)

Question

Hello I had 600cc silicone high profile put in 6 weeks ago, they are soft at this point but still high and not dropping. Left one was lower then the right one from the beginning but looks like it's dropping a little but, my right one is still high n not filled on the buttom. Left breast is by ratio. I am doing massage and strap at night. I was a small B to begin with, I'm 22 and never had a surgery before. I know it's early to worry but just need an opinion on how it looks. Thanks

John Michael Thomassen, MD · Answer

It appears that further inferior pocket dissection would help position the implants properly.  If they are soft as you said, the skin has stretched adequately and further waiting may not show further improvement.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  You need to give yourself a couple more months before assessing the final result of your surgery.  In that time, your breasts should drop into place and swelling should reduce.All the best,Dr. ResultsMiami, FL

John L. Burns Jr., MD · Answer

At six weeks, you continue to have upper pole fullness.  Your implant is large and may require additional massage, upper pole strap, and time.  Make sure to express your concerns to your surgeon.

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

You should speak to your plastic surgeon. Online consultants
are not the appropriate source of information for you; your plastic surgeon
should be your resource when it comes to postoperative concerns. This is
important because every surgeon has different perspectives, the only one that
should be important is the one that operated on you ;)Having said that, it is common to have different
women's implants settle at different rates over different periods of time. They
will remain high for at least a few weeks. If your pre-existing anatomy has
your breast creases or breast folds at different positions, they implants will
settle to different places. So your preoperative anatomy has a lot to do with a
final result. So does the skill of your plastic surgeon, size of breast implants,
saline and silicone settle differently, skin quality and activity levels. You
are still early so give it some more time. It may take 2-4 months to really see
where you are.

Best wishes,

Dr. Michael J. Brown 
Northern Virginia Plastic Surgeon

Paul Gill, MD · Answer

Thank you for your question,  your result looks very appropriate for 6 weeks.   The larger implants take longer to drop.  I would continue with massage, support bras, and return to your daily activities.   Stay in close contact with your surgeon and you should see nice settling by 6 months.   All the best.Dr. Gill

Sugene Kim, MD, FACS · Answer

Hi, mary3331.  At 6 weeks, you are still healing.  Please give 3-6 months for implants to settle.  Continue massaging on your breasts/implants and follow your plastic surgeon's post-op instruction. Best regards.

Christopher J. Ewart, MD · Answer

You will see more and more drop over the next 3-6 months as the muscle and skin expand. Since you went with a larger size than average, this may take longer than average as well. I have a photo timeline of implants dropping over the course of 9 months if you want to view the link below.Best of luck.

Darryl J. Blinski, MD · Answer

Seems still high riding. But at 6 weeks you should be seeing a drop. Otherwise the inferior pocket asunder dissected. If after 3 months still high than only revision of the inferior pocket surgery would improve...

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast augmentation procedure. Your plastic surgeon will always be your best resource when it comes to an accurate assessment of your situation, advice, predictions, and/or meaningful reassurance.

Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, size of breast implant utilized, and concerns such as pre-existing breast asymmetry.

Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.
Sometimes, one or both breasts implants do not settle as planned and revisionary breast surgery becomes necessary to improve the outcome. On other occasions, if the long-term breast asymmetry is mild ( understanding that absolute symmetry is very rarely achieved), patients will need to decide whether proceeding with revisionary breast surgery is worth the potential downsides associated with additional surgery.

Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.

Implants not dropping at 6 weeks! (Photo)

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