Looking very weird and not dropping. Any suggestions? (photos)
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Doctor Answers 9
Breast implant settling after breast augmentation
Having said that, it is common to have different women's implants settle at different rates over different periods of time. They will remain high for at least a few weeks. If your pre-existing anatomy has your breast creases or breast folds at different positions, they implants will settle to different places. So your preoperative anatomy has a lot to do with a final result. So does the skill of your plastic surgeon, size of breast implants, saline and silicone settle differently, skin quality and activity levels. You are still early so give it some more time. It may take 2-4 months to really see where you are.
Dr. Michael J. Brown
Northern Virginia Plastic Surgeon
Asymmetrical Breast Healing Post Breast Augmentation
Dropping takes months
Implant massage starts at one week at 5 times per day for one minute at a time and continues at this pace until one month. I often see the patients weekly during this time to reinforce the technique and help the patients who need extra effort to soften the breasts. During this time period, the massage also breaks up the spasm, relieving the discomfort, particularly upon awakening from sleep (morning breast). During the day, every time there is the sensation of tightness, implant massage breaks up the spasm and relieves the discomfort, minimizing the need for narcotics. At one month, the force that can be exerted is increased but the frequency of massage decreases to 3 times per day. As the wound matures, the massage can decrease to once per day forever as maintenance. The patients integrate this into their shower routine.
Although some patients can get away with no massage, it is a common issue for those who stop the massage and make none of their follow up appointment to suddenly show up years after surgery claiming that they woke up one morning with a capsular contracture and implant malposition. Of course this did not happen overnight, but was a slow process that could have been prevented with daily maintenance massage and regular routine follow appointments on a yearly basis (which we provide for free, forever). With this type of perpetual follow up, it is possible to identify a problem early that might need a modification in the massage technique.
Implant massage involves moving the device up against the wall of the pocket, holding pressure against the surface of the scar. The specifics are determined on an individual basis guided by what the patient needs. In some patients it is simple and of little significance. In some patients it is a struggle to get the implants into the right position and to gain softness and mobility, but with the right technique and the appropriate dedication it is a huge success. For the patients that do not participate in the massage in a meaningful way, some will get away with their lack of dedication because they were going to have soft breasts no matter what. On the other hand, some patients will squander their opportunity to have an excellent result because they don't believe that the massage is necessary, or because they have been told by their friends or other doctors that they didn't need to perform massage. Regardless, they often require surgery that could have been avoided by following the postoperative instructions of a surgeon that has performed nearly 10,000 breast implant operations and has seen the healing of each of those patients and integrated the successes and failures of each one into a postoperative plan that really works.
I find no use for bands, straps, bras or appliances after breast augmentation surgery.
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Not dropping implant
Looking Very Weird And Not Dropping. Any Suggestions?
Your Breast Implants look very high. They may however settle down over the next few months. You should discuss this at length with your Plastic Surgeon. If the Implants do not settle down, there may be a need for another procedure.
All The Best !
Implants looking odd
Looking very weird and not dropping. Any suggestions?
It will take 3-6 months for you to feel comfortable having implants in your body and for them to settle. This time allows for you to physically and psychologically adapt to your new body image. Please do contact your Surgeon so he/she can examine you since you are at the 3 month mark and are also concerned about capsular contracture.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
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.