Will this soft tissue abnormality/dimple 2 months post-op go away? (Photos)

Question

I had breast lift with 350cc silicone implant on both left and right breast. Two weeks ago I posted about my concern regarding my right breast “dimple”. My plastic surgeon recommended an ultrasound, which we did and verified there were no abnormalities and it looked “normal” in his professional opinion. Will this dimple go away? I am not seeing any changes in the past 2 weeks. I am convinced it is scar tissue as I can feel a prominent bump, but both the ultrasound doctor and plastic surgeon conclude that it’s normal (?). Now what? Wait?

Ted Eisenberg, DO, FACOS, FAACS · Answer

At 2 months you are about 50 percent settled, healed, shaped, softened, dropped and fluffed. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled and softened at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Ozge Ergun, MD · Answer

Thanks for the question. 2 weeks is too early to say something. 6-12 months is enough time to see the permanent results for the breast lift with implants operation. I wish you all the best.

Farbod Esmailian, MD · Answer

I am not certain what the contour deformity is from but given that you are so early in the recovery process, you have to be patient going forward for now and wait and see how things will settle when you are 4-6 months out.  A lot will still change and once you are that far out you can re-evaluate the situation and see how things look.Continue with the scheduled follow ups with your surgeon and see how things shape up in the following months.Hope that helps.

Daniel Barrett, MD · Answer

Dear Cat506,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation and lift surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

can occur and may subside with time... but at this point, no prudent surgeon would get motivated to do something as there is a chance it could go away with time.  So be patient and wait... but it still a depression 6 months later, fat grafting will quickly and reliably smooth it out.

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