Right Breast Implant Sits Higher Than the Other

I recently had breast augmentation with an internal lift three weeks ago. My right breast implant sits a little higher and I have loose skin around the inner part of the breast. My doctor told me to wrap my breast in bandages and stated that the implant should drop within 6 - 8weeks. Is this a normal post op problem? Will the bandages work and make the implant "drop" on its own, or is revisional surgery the only way to get this fixed?

Doctor Answers 17

Asymmetry Soon After Surgery

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It is the norm to see differences between the breasts in the first few weeks after surgery.

Manipulation of the implants can be helpful, but should be done only if specifically recommended by your plastic surgeon.

Be patient and communicate your concerns with your surgeon.

Denver Plastic Surgeon
4.7 out of 5 stars 46 reviews

Breast implants descend within first few months

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Thanks for your question.

It is still very early in your post-op course. Breast implants usually descend in the first few months. There is signficant debate about whether dressings (bandages and the like) or massage will actually facilitate repositioning implants. Certainly, implants will descend somewhat on their own.

Either way, massage and bandages will certainly not hurt, but your best friend will be additional time.

Be sure to discuss your concerns with your plastic surgeon.

I hope this helps.

Patience is your ally

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I would recommend waitng at least 6 months to give your implant a chance to drop and settle into its final position. At this point, if your implant has not settled into a position you can live with, you may require a surgical revison to help place the implant in a lower position in your breast. Keep in mind, all women have some degree of breast asymmetry prior to and after surgery. The question is how much asymmetry can be corrected based on your anatomy and how much is acceptable postoperatively.

David A. Robinson, MD
Munster Plastic Surgeon
4.7 out of 5 stars 46 reviews

Too soon to tell

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What you are describing is not as uncommon as we would like.

The body is inherently asymmetric to start with. The implant on your dominant hand side can sometimes be pulled up by the pectoralis muscle. Capsular contracture can move and implant and even how you wore bras postop can cause asymmetry.

Whether it will resolve spontaneously, with massage and straps above the breast will remain to be seen. There is a chance so don't do anything for at least 4 months.

If it is still there, it is possible to reoperate and lower the implant which is much easier to do than to have to raise an implant that is too low.

Breast bandages don't do much.

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Hi!  Don't even consider a revision for 6 months.  Your breasts may change, but not because of the bandages.  Even the best surgeons get breast asymmetry occasionally.

I have the feeling that eventually your choices are going to be to accept some asymmetry or to have a revision.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Time is your ally

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In general, implants will drop rather than elevate over time assuming they stay soft ,so be patient, especially after only three weeks. Whether or not they will drop enough or fill out the medial laxity of the skin is dependent on your individual situation and anatomy but it is too soon to judge the results of your surgery.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Settling of Implants

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Thank you for your question.  It is not uncommon for implants to settle at different rates following a breast augmentation procedure.  Implants can take up to 3-4 months to settle completely and other than performing breast massages (only to be done at the recommendation of your operating surgeon - not all surgeons recommend breast massages) the only other thing that can be done is to patiently wait it out (which I can appreciate is easier said than done).  I would recommend that you follow up with your operating surgeon to discuss your concerns and whether or not your surgeon has any suggestions to help facilitate the settling process.  I hope you find this helpful and best of luck!  

Wait 3-4 months

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It is a little too early for your results to appear. Normally, I tell my patients to wait about 3-4 months to see the implants to drop and settle, giving you a more natural breast contour with more fullness in the lower portion. The bandages help, but it's also the pull of gravity and your natural tissue expansion that help this process along.

Right breast higher, 3 weeks post breast implant and internal lift

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Hard to tell anything without photos. You are way too early to make any statements about the final result. They usually start to descend at about three weeks. In general it may take 6 months to a year or so to have the implants finally fall into place. Best that you communicate with your board certified plastic surgeon and let him/her know what is going on. Every surgeon may have their own protocol for message, etc;.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Breast implant asymmetry

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You should trust the advice of your surgeon as he is aware of the technical elements of your surgery.  Give it time and the implants will resume their final position. If there is still asymmetry, discuss your concerns again in 6 months. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 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.