How Can I Keep my Implants from Dropping? (photo)

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?

Doctor Answers 16

Controlling Implant Position

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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!

San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

Wearing a bra after breast augmentation

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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.

How Can You Keep Implants from Dropping

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Support is key. You should always wear a #bra for continued support. Also, a breast #lift may be consideration. A Breast #Lift to #tighten loose skin is often recommended to better optimize the end result of an #augmentation or #revision. I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. Another possibility is a biologic fabric (Acellular Dermal Matrix or #ADM) which is sometimes used to attach to the breast tissue internally while supporting the implant.

However, it is best to consult with your Plastic Surgeon to better confirm with an in-person exam and continue to wear support.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Keep implants from dropping

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I'm wondering if you needed a breast lift or something with more projection to compensate for the sagging. At any rate, to minimize sagging you should wear a bra all the time. That's pretty much the only thing you can do if you don't want revision surgery.

Wear a good bra all the time

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Unfortunately, you can't prevent your breasts from dropping to where they want to be. This typically occurs over the course of three to four months. However, if you'd like to slow the rate at which they drop, wear a good supportive bra all the time. This will fight against the natural force of gravity somewhat.

Implants Dropping

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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.

Stopping implants from dropping

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You will see continued softening (dropping) of the implants for the next 2-3 months and there really is not anything to do to prevent it. The inframammary fold (IMF) will stop the descent if it has not been violated. The only way to have a higher appearing breast is to surgically create a higher IMF with suturing techniques. In your case, the descent of your implants will actually be of some benefit in that it will make your nipples and areolae appear higher. My guess is that you will like the appearance of your results in about 2-3 months. 

Wm. Todd Stoeckel, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 87 reviews

Implant position after augmentation

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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

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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.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Breast Augmentation and Dropping

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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!


Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 100 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.