2 months post op, 300cc implants under the muscle. Are My Breast Implants Bottoming Out? (photo)

Question

I'm 2 months post op and went from an A Cup to a C Cup, getting 300cc implants under the muscle. I've been very concerned that the implants seem to be sitting very low and rippling at the side of my right breast. I am posting before and after pics for you to have a look at. I went back to my surgeon and he said I had very little breast tissue and as far as he is concerned this is still a good result and recommends that I put on some weight. I asked him if he lowered my crease line, he said no

Kenneth Hughes, MD · Answer

The implants do appear to be sitting low, but I would wait at least 3 to 6 months before considering a revision. I would also make sure that the breasts are soft and do not have capsular contracture. However, most cases of capsular contracture cause the breasts to lift not drop. Kenneth Hughes, MD Los Angeles, CA

Larry C. Leverett, MD, FACS · Answer

I agree with the previous surgeons. Another thing to consider is that you must avoid weight training with your pectoris (chest) muscles. Forceful contractions of the pectoral against large resistance causes the implants to be pushed downward and outward which exacerbates and promotes implant malposition. We show our patients how to isolate their muscle groups without increasing the likelihood of malposition and or displacement.

Darryl J. Blinski, MD · Answer

Sorry for your experience. But yes you will need some type of revision. Best to obtain a few in person evaluations from boarded PSs in your area.

Philip E. Fleming, MD · Answer

By looking at various skin markings in the photographs, it does appear that your implants are below your natural inframammary crease.  This situation can occur by dissection of the implant pocket below the fold at surgery or by descent as a result of gravitational or muscular forces.  In patients with a tight crease, this situation can lead to an unnatural indentation in the lower pole of the breast called the "double bubble".  The nipple areolar complexes are pointing slightly upward which is another indication that the implant position is lower than desired.

	Your implants appear to be high profile implants.  This means that the base diameter is relatively narrower and the projection is higher.  This can result in a more spherical look to the breasts.  Your implants are so projecting that they almost look like overfilled saline implants.  A relatively wider based implant (moderate profile) will give you more upper pole fullness.  This would lessen the appearance of the implants being too low.

	I would discuss these concerns with your surgeon.  He knows exactly what was done during your surgery and can make recommendations to address your concerns.  I would wait at least 3 to 6 months after your initial procedure before I would consider revision surgery.

Bennett Yang, MD · Answer

Hi,

	i agree with the other plastic surgeons here. your implants seem a little low but it is still early. also, based on the photos, your implants look more OVER the muscle than UNDER. from the side view, the pectoralis should be lifted over the implant but it looks like it's not.

	do the implants move well? if you tense your chest muscles, does the implant deflect down or not move much at all? 

	
	I really don't think that gaining weight will help the position of the implant, but it is a good idea to let this heal more before considering any type of revision. 

	Hope that helps.

2 months post op, 300cc implants under the muscle. Are My Breast Implants Bottoming Out? (photo)

Answers (10)