I had my breast augmentation (400cc round smooth silicone implants -under the muscle) completed two weeks ago. I had a lot of lost volume prior to the surgery due to breastfeeding one child. I have a very long torso, with a shorter waist and longer chest, so my breasts sit naturally lower than most women. I am now two weeks post-op, and I don't want my implants to drop any further, but my PS says this is inevitable. Is there anything I can do to slow or stop the dropping process?
How Can I Keep my Implants from Dropping? (photo)
Doctor Answers 15
Controlling Implant Position
With a longer chest/torso, it is likely that the implants will continue to drop, and drop below where you prefer. This isn't a result of bad surgery, just your anatomy. What stops the implant from dropping, is the intact breast crease. This cannot be significantly changed. Wearing a good support bra and occasionally an underwire bra can help to maintain the position of the implants, but it wont keep them above where your anatomy dictates.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
Keep implants from dropping
Wear a good bra all the time
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You can't prevent your breast from dropping, but you can slow the process. Wear an elastic bra all the time or nearly all the time including when you go to bed, maintain a constant weight, stay healthy and don't get too much sun on your breasts.
Implant position after augmentation
Hi, your implants are still settling down and they will not stop until they hit the mammary fold which is your natural anatomical landmark. wearing the support garment might help but eventually gravity will put them where anatomically they can rest at the crease. this obviously assumes that the pocket was created correctly and that the fold was not violated.
Stop a dropping breast implant
If the pocket is formed well the implant actually will not drop or bottom out. The implant is or should be centered in the breast under the nipple as the point of projection, hand in glove. Some implants will 'drop' or settle in as necessary depending on the skin tighness in the lower pole of the breast. You implant should stay put, however you might wish to get into a snug underwire to hold and set the fold for the first several weeks.
Breast Augmentation and Dropping
Looking at your photo, you would benefit from some settling of your implants. (Granted, your self taken photo does not depict your breasts as a properly taken photo - hands at your side, 6 to 8 feet away from subject, and taken at the level of the breasts.) Regardless, implant settling is inevitable and isn't usually what most people think, that the implants glid downward on the chest wall. Usually, settling is an expansion of the lower pole of the breast allowing the implant to project maximally in the lower pole. This does mean there will be some deflation of the upper pole, but not a change in position of the upper edge of the implant.
I think you will be fine!
Wearing a bra after breast augmentation
Each surgeon has their own practice, but over the last 3 years, having done this surgery for 25 years, I ask my patients to wear a specific underwire bra with no pushup element that I custom fit to them to be worn 24/7 for 3 months and to avoid any activities (heavy pec exercise and running) that could displace the implants. I have seen that the implants don't drop at all below the crease incision by doing this.
Most breast implants won't droop even without a bra.
Around each implant a capsule forms that acts like a 24 hour bra. Most implants therefore don't droop even without external support. However, this is not 100% so the occasional patient will experience stretching of the capsule and loss of position. Probably better to wear a bra particularly when exercising.
Unfortunately gravity trumps all
This is a question I get from many patients. Unfortunately, what a doctor can do in a two hour surgery is little compared to gravity's effects for 24 hours a day, 7 days a week, 52 weeks a year. My best piece of advice is to wear a supportive bra with underwire during the day, sports bras when working out, and take care of your skin. Some surgeons believe going under the muscle may slow down drooping, but this isn't proven.
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.