Four months post-op - implant not dropping? I had 400cc silicone implants placed sub-muscularly. (photo)

While possible, your left implant is unlikely  to drop much further . I recommend speaking with your surgeon about ways to help lower the implant such as massage, stretching and the use of a surgical bandeau. If none of these methods prove successful, a revision surgery may be necessary. I recommend making an appointment with your surgeon to discuss these concerns and options for treatment. 

Hello,Instead of bandeaus, massage, and laying on the breasts on the floor, if your surgeon used an inframammary incision in the first place, you would be less likely to be in this predicament. Don't get me wrong, your surgeon isn't negligent, but he is using what will hopefully be seen as an old and inferior technique in the not too distant future. You'll need a revision surgery, and it should really be through an inframammary incision. If your surgeon isn't an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery, you should visit a few who are. Best of luck!

It usually takes 4-6 months before the implants have settled in the location they need to be.Judging by your photos (although an exam would be more helpful) it does appear that your left breast is naturally high as is the crease.  If you implant on that side is soft they you really may be at your final result as the implant may have dropped down to where your breast ends.  The implant may be simply sitting higher because your tuck is higher on that side in comparison to the right breast.  The tuck may have not been adjusted during the surgery or it may have been adjusted but just happened to settle back.At this point it is best to follow up with your plastic surgeon to see if the implant is soft or if in fact you have developed capsular contracture and that is the reason why your implant hasn't settled.Hope that helps.

Dear ics_luvv,dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about your implants are not dropping as expected. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Your asymmetric breast settling may not be uncommon but it bears followup. If at the 6 month juncture you still have some asymmetry of the settling of the implant, it is possible you have slight pocket malposition or a capsular contracture is limiting the settling of the implant. This can not be assessed from photos alone, and even physical exam does not always tell the whole story, with final findings being determined when the patient goes back for revision. Some surgeons believe capsule massage, or referral to a facility like Aspen Rehab for ultrasound-assisted capsule massage, can be helpful, or will prescribe off-label use of Singulair or Accolate (asthma drugs), which have some evidence for helping partially ameliorate capsular contracture. Some degree of asymmetry may be related to preoperative state or anatomic differences in your breasts, which we don't see here without the benefit of your preop photos. Best to followup with your surgeon closely for further recommendations.

Although it can take up to 6 months for the breasts to finally relax post surgery, it looks as though you may need a revision surgery to release and lower the pocket on the left breast.  It sounds like you have done all the things a compliant patient would do.  I would suggest you schedule time to discuss your options with your plastic surgeon.

but you have to continue your aggressive maneuvers to help facilitate that.  If it doesn't drop, you will need a revision to lower the pocket.  As far as the lift is concerned, you do not need it as your right side has a very natural look to it and not everyone in this world has to be perky perky.  So focus on getting your implant down and hopefully you can avoid a revision procedure.

Usually I tell patient to try and wait 6 months to see if the implant and pocket will adjust any further.  If at that time, you still feel like you're unhappy with the position then discuss a revision surgery with your surgeon.  It may be that the pocket needs to be adjusted to let the implant move to the position you desire. Good luck. 

Don't agree with answer below as your implants will never settle to the same location. What you really should have been offered was a breast lift augmentation in order to get your implants and nipples centered on your chest. In fact, your left higher breast is a better location for your future breast mound. The right lower breast needs to be pulled up in order for you to have symmetric mounds that are positioned appropriately, with proper medial cleavage and upper pole fullness.

Thank you for your questions and photograph.  Without a preoperative photograph it is difficult to assess what is going on.  It appears to me that the left breast is longer than that of the right.  At 4 months postoperatively, it would be my experience that no further drop of the implant will happen.  Some type of revision with release of the capsule and possibly a little more muscle may be necessary. You could also at that time improve the symmetry with some type of breast lift on that side thereby centering the nipple on the implant.  Hope that is helpful.