10 months post op - Have my implants fully droped and should I consider a revision? (photos)

Thanks for your question. At 10 months post-op, it is likely that your results will be close to your final outcome. If you wish to have less upper pole fullness, to create a more natural appearance, then I would suggest that you need to exchange your implants for an implant with a lower projection and perhaps a softer silicone gel in order to achieve the outcome that you are looking for. This will result in an implant with a lower volume overall and alter the ratio of breast volume above and below the nipple to give you a more natural appearance.

Thanks for your question!
Your breasts look beautiful! It usually takes about 6 months for the implants to drop and settle into position, but it may take longer. Reach out to your surgeon for his/her opinion. Best wishes!

Dear Philosophical6496,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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi, I think you have more upper pole fullness than lower pole fullness due to the size of the implant. It is not likely to change at this point. If you want a more "proportional" outcome, then consider going with a smaller implant. The lower pole will still have the same fullness, but the implant won't be as high or full at the top, so proportionately will look to be more natural and aesthetically pleasing. Do not try to lower the implant to decrease the upper pole since this would then eliminate the support of the implant, and then the implant would get lower over time.

It appears that your nipples are in good position and lowering of the implants may create unpredictable result. Use of bra strap to push implants lower may still be considered. Smaller implants? Hope this may help.

Naturally, your breasts sit somewhat low on your chest and so do your nipples. At your stage, your implants have settled. Going down in profile will probably work better for you since it is pushing under the muscle a fair amount. Please discuss your concerns with your surgeon.

At ten months post op you are seeing your final result. Based on your photos the nipples appear to be in the correct position. If you feel the implants are too large or there is too much upper pole fullness you can consider a revision with smaller implants and/or a lower profile.

There are generally three variables that determine breast implant, augmentation outcomes. Those variables are the patient’s candidacy for the procedure, the choice of implant regarding size and shape, and finally the skill of the provider for placing the pocket correctly.
In your case, you were a good candidate for augmentation surgery. The procedure was done perfectly, but the implants chosen are larger than the natural diameter of your breast. Plastic surgeons should not violate the inframammary fold and need to have fibers of the pectoralis muscle hold the implant against gravity and contraction pressure inferiorly from the pectoralis muscle.
If you lower your implant, you will violate your inframammary fold and will be at high risk for having Implants bottom out over time.
Choosing a smaller implant that fits in the natural diameter of your breast would be a better way to solve your problem.
Once the inframammary fold has been violated and implants bottom out, patients are set for repeat complications with repeat revision surgery, and overall low patient satisfaction.
To make an accurate assessment requires a bit more information, but from the information you’ve included, I would be very careful at lowering your implants and instead consider downsizing if the upper pole volume bothers you.
I think your surgeon did the procedure perfectly, though using smaller implants would’ve given a more natural appearance. That is often the case.
Best,
Mats Hagstrom, MD