Right breast not dropped at 6 months (Photo)

Thanks for sharing! I do think it would be helpful to see before photos to determine how asymmetric you were before the surgery. That being said, you may encapsulated on the right side causing it to sit higher. I would suggest reaching out to your surgeon for further evaluation. Good luck!

Dear nicolioli1984,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello,

Thank you for the question.

Based on your photos, the right breast implant may be slightly higher than the left implant. Depending on the implant location (above or below the muscle), it may take up to 12 months for the implants to settle down into their final position.

I would continue with conservative management, patience and massage.

I would also discuss your questions and concerns with your Plastic Surgeon.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Poor implant position is certainly a risk with augmentation surgery, but happily it can be fixed. At 6 months, you are probably well enough healed to proceed with a revision. The next step would be to sit down with your plastic surgeon and discuss your concerns and perhaps schedule repositioning of your implant.

At this point you’ll probably require revision surgery to resolve this issue. Please speak with your surgeon.

To start, no woman has two identical breasts. Especially when you start uneven. The right implant sits higher causing all the issues you see. The key is a physical exam to see if it is a capsular contraction ( scar tissue around the implant squeezing it) or that it was placed too high. Sometimes a capsule can be resolved with massage and medication. If not, or if the implant is a little displaced superiorly, it will need to adjusted or exchanged.

At six months post op you are seeing your final results. I encourage you to visit with your surgeon to discuss options. If needed your surgeon can go back in and release the implant.

Go back to your surgeon and try oral Accolate, external ultrasound treatments, and continue to wear the breast band. If the implant drops not drop after these treatments, then you will need surgery to release the capsule.

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we need to see a complete set of proper before and after pictures.
Your pictures are labeled left and right.
Are you sure those markings are correct?
On almost all people, the left breast sits higher on the chest wall than the right side.
In your pictures that is reversed.
Most people the left is about half an inch higher than the right side.
If the breast have the same shape then the nipple should be higher on the left side as well.
All women have a certain degree of asymmetry.
you should not assess the outcome of your implant position as your breast being even because they’re never even on the chest wall.
The left breast is supposed to sit higher on the chest wall than the right side. as I said earlier, it’s really important that your pictures are not mislabeled.
Your pictures indicate that your right side sits higher, which would be highly unusual.
Breast augmentation outcomes are generally based on three variables.
The first is patient candidacy. The second is implant selection and the third is the surgeons ability to put the implant in the correct anatomic location.
I don’t see that much of an issue with your implants riding high.
I see you having baseline asymmetry and this is still going to show after you have the procedure.
If anything asymmetry is amplified with the projection of Breast implants.
This has to do with the first variable, which is patient candidacy for the procedure.
To understand your candidacy, we absolutely need to see before pictures.
If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.
Consider reposting with a proper set of before and after pictures.
It’s really important to have a clear understanding of why your results look the way they do before jumping into believing you need revision surgery.
Doing revision surgery to correct baseline asymmetry is only going to set you up for new problems, causing you to increase the chance of needing further revision surgery.
To understand your outcome, we need to see what you look like before the augmentation.
Plastic surgeons should never attempt to make an assessment without seeing proper before and after pictures.
Before pictures tell us your candidacy for the procedure and this is one of the three variables to determine what the outcome is going to look like.
It is also very important to not use mirrors to take pictures because they’ll reverse the image.
You should also not label pictures unless they’re labeled correctly.
We always view the side as the side from the patient’s perspective.
In other words, the left side is the side where your heart is.
The left side is the side that has the higher positioned breast (on almost all people)
You may or may not be a candidate for revision surgery, but your pictures are insufficient to make a quality assessment regarding your outcome.
From your pictures alone, I do not see a clear indication for doing revision surgery.
Best,
Mats Hagstrom MD