One month post op and my implants are still very high, is this normal?

Thank you for your question. Without pictures or details about your operation, it can be hard to give you specific advice. However, I am going to assume that you had implants placed under the muscle. Sometimes if the implants are on the larger side, they can take up to three months to really settle into place. Make sure you are following up with your plastic surgeon and following instructions regarding postop care. As long as you are doing what he or she instructs, I think that with some additional time, you will likely end up being very happy with your results. All you need is time and patience. Hope this helps!

Thank you for your question.

Your nipples point downward because the implants are sitting
high. I humbly request you to not be discouraged. Large number of women experience differences in their
breasts few days to few weeks after surgery and feel awful. After waiting for a
few months, they finally get the results they were hoping for.

Implants initially sit high up because the chest muscles and
surrounding breast tissues have not become accustomed to the implant resulting
in tightness. You have to allow gravity to take effect, and overtime, natural
tissue expansion will allow the implants to fall into place causing your
breasts to appear more natural, softer, and rounder. Once that happens, the
implant will sit directly behind the breast tissue in a natural 45:55 breast
ratio. Currently, there is excessive upper pole fullness (55:45), so in time,
this will change.

It is not uncommon for breasts to heal and adapt to implants
at different rates. In fact, the process I described above can occur quicker in
one breast over another.

You may have to wait 3-6 months for the final results. If
the breasts still appear different at that point in time, then you may share
your concerns with your surgeon and they should be able to fix the problem. It
could be that your muscle attachments or the inframammary fold attachments are
really strong and they may be preventing the implant from dropping completely.

Please note that for some of my patients with smooth
implants, the implants had not settled until 5-12 months. So inward and
downward breast massaging along with pole wraps above the breast do
significantly help. Patience is key!

For now, maintain strict follow-up with your surgeon and
share your concerns. Their recovery instructions should take precedence over
all else you read here as they are better informed about your surgical details.

Hope this helps.

I appreciate your question.





Right now, you are  early on in the post op recovery period. It will take 3-6 months for you to feel comfortable having implants in your body and for them to settle. This time allows for you to physically and psychologically adapt to your new body image. There are many variables that contribute to a breast augmentation's final result. Preop size and shape, IMF location, location of the implants and type of implant. Patients heal at different rates and each breast will sometimes heal at a different rate. Rest, relax, recover and heal. Please Express your concerns to your surgeon so he/she can examine you at this time. Then reassess final result at 6 months.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon



#RealSelfCORESurgeon

Hello,Depending on your pre op size, your tissue, size of implants, etc. the implants can sit high for a few months before settling down and softening into a more natural breast shape. when implants drop, this helps to make the nipples appear higher on the breast mound. I recommend that you let your Plastic Surgeon know about any ongoing concerns. All the best

Thank you for your question. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. The implants may swell asymmetrically, but usually settle evenly. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Without photos it's hard to comment, but I'm always a bit concerned when the lower pole of the breast feels empty and the nipples are pointed down. Massage and wearing a bandeau is all that can be done at this point. Wait and consult with your PS. If a revision is required, you will have to wait several months to allow the wounds to heal and settle  

You are still early in the recovery process, which varies from patient to patient.  Your implants will settle gradually over the course of approximately 3 months, though some women take longer.  Continue to follow the advice of your surgeon and inform him/her of any concerns you have so that adjustments can be made if necessary.  Best wishes.

Thank you for your question.  The best solution at this point is, time.  It can take several months for the implant to settle in the breast pocket .  Once the implants are in position, you will achieve the fullness at the bottom of your breasts and the upper pole will appear more natural.  

Congratulations on having undergone the breast augmentation procedure. Generally speaking, breast implants will "drop" into the pocket that was created during surgery and massaging the implants downward may assist in the dropping of the implants after surgery (for those patients who want to help with the settling of the implants). The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result. It is very common for one side to settle faster than the other.

 As breast implants "settle", they tend to round out the lower breast poles. As this occurs, the nipple/areola complexes seem higher on each breast mound.



Again, best to follow your plastic surgeon for more specifics. Best wishes for an outcome that you will be pleased with long-term.





 



 

In spite of what I have read from other surgeons, in over 35 years of doing and teaching this procedure, I have never found that implants "drop." They need to be placed where they belong at the time of surgery. If this is done, the nipples should face normally forward from the first. Not dissecting low enough is a common problem that has to be carefully avoided. With what you describe, I would definitely discuss this with your surgeon.