2 weeks post op, my implants are still very high. Should I be worried? (photos)

Question

My stats: 5'3, 128lbs, B cup pre op My implants: Silicone HP 425cc, under the muscle on both sides This is two weeks post op. They are still very high and I don't feel like they've changed much since surgery as far as position concerns. They look long instead of being round and are high near my arm pits area. Should I be worried about them not dropping?

Jerome Edelstein, MD · Answer

I would definitely not worry after 2 weeks.  I routinely see it takes 3 to 4 months for the breasts to settle and soften after breast augmentation.  There is no harm, however, in asking your PS about it at your next visit.

Sam Gershenbaum, DO · Answer

My concern is with the choice of implant size, with what appears to be a short inferior pole or nipple to inframammary crease distance. Certainly preoperative photos would help. Preoperatively, if the distance from your nipple to your inframammary crease was short, or restricted, a  more conservative size implant would be more appropriate for a more natural appearing result. When this space is short or restricted, there is less room for a large implant on the bottom part of the breast below the nipple, hence, much of the implant rides high above the nipple areolar complex. In the case of a restricted inferior pole, one also has to be careful not simply make the pocket too low just to make a larger implant fit, as a "double-bubble" deformity may likely occur. Personally, I don't see the implants having enough room to settle into favorable position, however, I'm simply looking at one photo. Perhaps a superior stap... perhaps lowering the implants if they dont heal into position. Discuss your concerns with your surgeon.

Martin Jugenburg, MD · Answer

No you should not be worried at 2 weeks post op. You are considerably early in the healing process. Typically it takes 3 months for implants to settle in. Ensure you follow up with your plastic sugreon at schedueld appointments

Jeffrey Umansky, MD · Answer

Thanks for the question and photos.   It is very early in your recovery and too soon to be "worried".  You are petite and had relatively large implants placed. It may take several weeks for them to fall in place. I recommend close follow up with your surgeon. Good luck!

James E. Murphy, MD, FACS · Answer

At two weeks post op I wouldn't be "worried".  Did your surgeon show you exercises to help move your implants down?  If so, are you doing the exercises at least ten times a day for a 10 count each time?  You are going to have a nice result however you need to start working on getting those implants to move down into the breast pocket. Definitely get into see your surgeon and go over your concerns with he or she. All the best to you.

Angela Champion, MD · Answer

Don't worry.  You look right on track for 2 weeks post-op.  You will notice over the next few months that your implants will drop and your breasts will soften and change shape as swelling reduces. As your implants settle and fill out the lower portion of your breast, your nipples will move up and start pointing forward instead of downward & the shape will also start rounding out.  This can take anywhere from 3-6 months but if you are still concerned, go see your surgeon and ask about massaging and/or wearing a breast band to help speed along the process.  From the photo and where you are in your recovery, you look like you are moving along nicely.  ac

David Bogue, MD · Answer

Breast implants placed underneath the muscles often look "high" for several months after surgery. This is due to the tightness of the muscles and the impact on the soft, deformable implants. As the muscles relax, the implants will appear to "drop" and fill out the lower breasts. The best advice is patience for now.

R. Scott Yarish, MD · Answer

Thank you for your question.  Breast implants that have been placed under the muscle will be pushed in a higher position until the muscles relax.  The high position of your implants is completely normal at 2 weeks.  Make sure to follow the post-operative care instructions that your physician provided.  It is always best to check with your plastic surgeon with any questions or concerns you may have regarding your surgery.

Brent Birely, MD · Answer

Your implants do appear to be high compared to where they should be. It is likely they will drop some, but probably not as much as you would like. Ask your surgeon, but the one thing you can do now to help them drop is aggressively massaging them, and possibly a strap across the top to help push them down. If they  don't drop enough, there are options available to make things better. Discuss your concerns with your surgeon.

C. Cayce Rumsey III, MD · Answer

Virtually all patients undergoing breast augmentation, particularly when the implants are placed under the pectoralis muscle, will have a "high position" look for several weeks. In fact, in some cases it may take 3-4 months for the overlying skin and muscle to stretch/relax enough for the implants to settle into their final position. Sometimes implant displacement or massage exercises can be performed during the first few weeks to facilitate the process. Alternatively, your surgeon may suggest an elastic strap that can be placed across the top of the implants. The bottom line is that the relative high position of your implants is completely normal at two weeks. And by all means make sure you voice your concerns to your surgeon at your next follow-up visit.

2 weeks post op, my implants are still very high. Should I be worried? (photos)

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