I have a dent / flat spot that seems to get better then worse? (photos)

Thanks for the question. Please return to your plastic surgeon for a incomplete muscle release or a capsular contracture.All the best,Dr. ResultsMiami, FL

Hello,Straps don't work. They cant stop a breast that's too low from falling, and they can't coax a breast that's too high to fall faster.  Time, on the other hand, frequently works miracles. Gentle compression with a bra is all that we can do to support the process.You are very early in your recovery, and have no idea about how your breasts will look in three months, so please refrain from criticism regarding cleavage at this point.   As for the size, there's a good reason your doctor didn't give you 450: the 375's were all you could handle, perhaps more than you can handle judging by this issue you are having.  Breast augmentation is not always about getting exactly what you ask for; sometimes it's about compromise for the sake of your well being and to minimize complications.The dent looks like your old inframammary fold.  If it is, it will not improve with time.  This is known as double bubble. Please return to your surgeon and tell him that you will need more time as things are not normal or as expected.Best of luck.  

The left side pocket was likely under dissected. A strap will help out; if not you may need a minor revision after about 6 months since the surgery. 

It looks as though the infra medial origin of the pectoralis muscle needs to be really slightly more. This is something that can be done with a very brief revision.

Thank you for your questions and photographs. I am sorry to hear about your current unhappiness with your breast augmentation. You are still only recently out from surgery, and your results will continue to change over the next several weeks. Your implants will drop, swelling will recede,  and your overlying tissue will relax.  It is very hard to wait for results, but give it a couple of months before judging your final results.  

Hi. You need to relax. It's been a very short period of time since your surgery. It is imperative that doctors tell patients that implants will require 3-6 months in settling,,,,sometime more, during this period of time, it may be that the implants undergo all sorts of odd shapes. Ord of caution do not make conclusions before 3-6 months out

Most often this dent will resolve. Gravity and weight of the implant will stretch out ones skin. After 3 months check with your surgeon to access your progress.

Thank you for your question and providing photos. Based on the photos provided and without an exam, my leading suspicion is that this is swelling that increases and decreases. I tell all my patients it takes 4-5 months for implants to fully settle and all the swelling to resolve. I would discuss your concerns with your PS and ask them to explain to you in layman's terms what is happening. Best of luck.

Hi caligirlife, thanks for sharing your photos and frustrations. You are still very early in your recovery to judge your results. Wait until about the six month mark because that is when you will begin to see your full results. Best to you. -Dr. Coan

From your photo, it appears that you have some issues on the lower aspect of the breast. The question is whether this permanent (always there ) or changes with the strap. This would likely require an in person evaluation since the pictoure show different outcomes. Perhaps get a second opinion, or make time to sit down with your surgeon to discuss this in detail.Continue to follow up with your surgeon to ensure that you progress as planned.
Best of luck,
Vincent Marin, MDSan Diego Plastic Surgeon