Are my implants dropping normally? (photos)

Hi I'm Stefanie. I had breast augmentation and lift done on March 13th with dr. Sylvan Bartlett in Odessa Texas. I live in Chicago but had surgery in Odessa due to my family living there and they paid for it. The surgeon said it would take 12 weeks to see full results. I'm not completely happy with them. The surgeon seems to believe that once the implant settles, that they will lift up more. I have no idea if they will turn out correct. Or should I be concerned at all! Thank you!

Doctor Answers 14

Are my implants dropping normally?

Thank for the question and pictures. Based on your photographs, I can understand your concerns.  Although, it is still too early to evaluate the longer-term outcome of the procedure performed, the breast implants do seem to be sitting relatively high, in relation to the breast tissue/skin “sitting” lower on your chest wall. Hopefully, the breast implants will continue to settle into the breast skin envelope;  the aesthetic outcome of the procedure performed will be improved if the breast implants and the overlying breast skin/tissue  “behave” more like a single unit. If the breast implants do not settle  enough, you may benefit from revisionary breast surgery. This will likely involve adjustment of the breast implants' position on your chest wall and/or additional breast lifting. I hope this  helps. Best wishes. 

San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Return to your surgeon and discuss your results

Please return to your surgeon to discuss your results. Although it takes about 4 months before you can better assess your results, it appears that you probably won't get the results you want due to significant sagging and inaccurate implant positioning. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Poor Breast Lift and Implant result

While some of my colleagues would sugar coat this and say that you need to be patient, etc, I will be more blunt. Your results are not the results that any of us would be proud of and I would be surprised if your surgeon truly feels that they will be fine with a little more time. You need a revision to tighten the skin envelop that is hanging over the implant. You may also need to have the implant dropped a little. Speak to your surgeon if you are still comfortable with him, or seek another surgeon. 

Matthew Schulman, MD
New York Plastic Surgeon
4.9 out of 5 stars 324 reviews

Implants dropping normally after augmentation and lift

It appears you about 2 months since the time of your surgery. The implants look like they are sitting higher on your chest wall than they should. They may drop a little bit over time as your tissues soften and mature but you will likely need revisionary surgery at the appropriate time. Best advice is to return to your operating surgeon to have them evaluate you and discuss options going forward. Good luck!

Paul M. Parker, MD, FACS
Paramus Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast still droopy

Your breasts' appearance is because the skin of the breast was not tailored enough in the lift and the implant was placed under the muscle. So, the breast remains droopy and the chest looks like you've worked out your pect muscle too much. To correct the problem 2 things must be done, 1. Raise the  breast by removing more skin from either side of the vertical scar which drops from the nipple to the fold. This will raise the breast. 2. The fullness of the upper chest is due to placement of the implant under the pectoral muscle, basically this augments the muscle. If the breast is high enough on the chest wall the breast appears larger, so the mastopexy revision may solve the problem, but you may require replacement of the implant over the muscle instead. 
Fortunately this a totally correctable problem.

Joel Aronowitz, MD
Los Angeles Plastic Surgeon
3.1 out of 5 stars 10 reviews

Breast lift and implants

Not everyone gets a home run off the bat. Breast lifts with implants are very complicated procedures and sometimes revisions are necessary. It looks like you fall into this catergory. Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Poor result

Thank you for your pictures. I'm sorry say that this is totally unacceptable result. Your implants will never catch her breast or vice versa. You will definitely need to have a revision augmentation and a revision lift to gain better breast shape, size and volume.


 Your breast appearance seems to show that your implants are situated high on your chest wall, while your breasts are falling off the implant and are ptotic or droopy.  This "double bubble"  appearance may very well require a mastopexy or a droopiness repair in the future. I would suggest you visit your plastic surgeon for further advice and consultation.

John M. Griffin, MD (retired)
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews


Your situation may improve a bit over the next few months and the prudent idea is to wait.  Having said that, I think these results will not improve greatly and a revision will likely be needed in the future.  Please discuss your concerns/results with your PS.

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Are my implants dropping normally?

Unfortunately they are NOT dropping and the lifting appears as a very very conservative lift. Only revision surgery can help. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.