Concerned my breasts aren't lifted enough/implant is too high. Should the shape improve over time? (photos)

Question

I'm 4 months post bl + ba 350 mod plus submuscular. Worried the implant is too high or my breasts weren't lifted enough. They aren't too hard just feels like a bit of tightness and swelling at the top. Should I be worried or will they continue to drop into a more desirable position? I did ask my surgeon for a tear drop shape..

Payman Danielpour, MD, FACS · Answer

At this point the implants should have fallen into place and the shape of your breasts should be better, therefore I would first discuss this with your surgeon and then seek other board certified plastic surgeons to see you and evaluate you in person.  Good Luck

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. It seems like from the pictures that your lift has been adequate but the implants are still sitting high. This may settle with time and could be aided by wearing a compression strap but you should discuss this with your surgeon. I would advise waiting until at least 6 months to consider discussing revisions with your surgeon.Hope this helps!

Daniel Barrett, MD · Answer

Dear GymJunkie94,Dropping of implants is a 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.Your surgery was four months ago so it is unlikely that there will be significant change in the shape of your breasts. 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

Francesco Campanile, MD · Answer

Thank you for your question and photos. At 4-months post-op, it’s not uncommon for the implants to still be riding a bit high. For some women, it takes up to 1 year for the implants to fully “drop” into place. This is because your muscle, tissue and skin needs to gradually accommodate the implants, which can take some time. However, if your results don’t improve in a couple more months, you may wish to follow up with your plastic surgeon. Best of luck!

Curtis Wong, MD · Answer

and if shaped textured implants were used, they are more challenging to get them to 'drop and fluff' so you should be talking to your surgeon about concerns and your surgeon should be thinking of whether there are interventions that can be started to try to minimize the chances you will have to have a surgical revision.  Your surgeon should be very motivated to help you get the best outcome possible and should be your resource for things you can do to help get the result you want.

Millicent Odunze Geers, MD, MPH · Answer

You are correct in that the implants do appear to be in one place and your breast tissue below the implants. It is still early in your postoperative healing. Implants can take six months to a year to drop. Share your concerns with your plastic surgeon. It is possible that either the "tightness and swelling at the top" is capsular contracture which could be keeping the implants high or that you need more of a lift. An in person examination will give you the best personalized advice. Best of luck.

Robert Caridi, MD · Answer

You are spot on with your assessment--implant too high or breast not lifted enough. In your case it appears that your implants are sitting up high and if you lower them with massage and a breast band this will help. It's easier to achieve this goals withing 6 weeks after your surgery as things heal up on the inside and moving the implant is more difficult. Visit with your doctor to discuss these issues.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You are absolutely right about your breast look; the nipple is either too low or the implants too high; this is what is giving your breasts an eggplant shape; a consultation with a breast specialist will help you determine what the best correction is for you.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum. Congratulations on your recent surgery.
Looking at the photos, the nipple areolar complexes appear to be in the correct position as the distance from the top of the breast bone (suprasternal notch) to the nipples and the distance between the nipples appears to be equal (although photos do not always portray reality). The implants appear to be riding high.
At 4 months, the implants have not fully dropped. If the implants do not fall into position, consider downward massage of the breasts. You may ultimately be a candidate for revision to "drop the pockets".
I would speak with your surgeon regarding this problem.
Best wishes!

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