2 Months Post-op Right Breast Still Feels Firm and Hasn't Dropped. Normal?

At two months, your implants have not fully settled into place yet.  This will take at least another month or two.  However, if your right breast feels firmer than the left and does not appear to settle, then you will probably need a right capsular release and repositioning of your implant a little lower.  This problem is called implant malposition and all plastic surgeons have this happen once in awhile.  Also, a capsular contracture (excessive tightness of the capsule) can force a breast up and cause asymmetry.  Usually I make the decision with my patient about three months after surgery, taking photographs along the way.  If it is not getting better, a touchup procedure is recommended.  Sometimes if the difference is very slight, it is better to just give it more time.

You are still early in your post operative course. Breast implants tend to start dropping into place after 3 to 4 weeks. They usually will get to their final position in 6 to 12 months. One will usually drop faster than the other, and the shape may go through changes.  Please follow your Board Certified Plastic Surgeon's post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. Please let them know your thoughts and concerns.            

It typically takes 4-6 weeks to heal from surgery, and could take several months for implants to drop. In some cases the implants never drops and a revision is then recommended. Once massaging is instructed by your surgeon, it is important to do it as often as recommended as it helps to soften hardened areas. The development of scar tissue (capsular contracture) should be a concern if hardness of the area continues. Do keep in contact with your surgeon and schedule follow up visits in order for your surgeon to detect if that may be an issue.

Wish you the best of luck with your recovery and hope that your right breast drops so that you are happy with your results.
 

Give it about 4 months for your breasts to drop. Also, I would recommend taking it easier on your right side with the lifting and such, because that could be delaying your recovery.

After breast augmentation, it can sometimes take 3-6 months for your implants to completely "settle" and for you to see your final result.  I would continue massaging your implants and keep all of your follow up appointments with your board certified plastic surgeon. I hope this helps and wish you the best.

Hello,

If the implant position does not seem to be continuing to change (slowly dropping) at 2 months following surgery it may require surgical intervention to open the pocket appropriately.  It may be that the muscle on that side was under released compared to the side that looks good.  Massaging the implant down consistently and/or wearing a band to push the implant down may help if the amount of muscle that was underreleased is small.  I would also encourage you to either take photos your self or have your plastic surgeon do so and follow the porgress of the implant position so that you can make an educated decision about if and when to undergo a revision procedure.

All the best,

Dr Repta

After 2 months very unlikely the result will improve much. Best to see your chosen surgeon to discuss, if still unsatisfied seek in person second opinions. 

At two months it is still a bit early.  You should see yoru surgeon and be evaluated. One breast is always a bit firmer and in a slightly different position as compared to the opposite breast.

I agree with my colleagues in that your postoperative photographs would be extremely helpful. While it may take several months for your implants to fully drop, the fact that your still have a discernable difference 8 weeks later may indicate that the right pocket dissection was less than your left. However, persistent activity can slow this implant descent. Implant massaging and exercises can improve it's rate of descent an your recovery period. Capsular contraction or scar tissue development can occur at any point, even as early as several weeks to months after your surgery. Consult closely with your surgeon as early intervention and open communication is extremely important. 

Without photos, it is difficult to provide more more accurate answers for you. At 2 months, your implants should have "dropped". There may actually be an issue that the sides were placed at different heights (which photos could help determine).

There may continue to be changes for several more months which can include some softening and a maturation of shape. If you are still unhappy at 6 months particularly as regards the right side, a revision could be considered. You should also discuss your concerns with your surgeon.