Silicone Implants Tightness and High Placement

I had silicone implants with a breast lift one week ago. I had my 15 year old saline implants removed and a small amount of capsular contraction repaired.

The implants are currently placed extremely high and feel tight. I am concerned that they will not drop to a more naturally-looking position. They barely move when I do the implant manipulation exercises (pushing them down and inward) that the doctor told me to do. Is this normal and is it likely that they will drop?

Doctor Answers 5

Breast Implants and a lift

If they are smooth walled implants, and they were placed behind the muscle for the first time, the muscle may be in spasm and it may take a few weeks for the breast to return to the lower position that they started out in after surgery. Massage may help and certainly time should.

New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Maybe you had more contracture than you thought


After 15 years you probably had pretty considerable scarring/contracture in there. Lack of softness at this stage is not a good sign. See your surgeon so you can get better guidance as to what might be done here.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Unfortunately, I don't think they will come down.

To dbo2005,

Hi. You would not believe how common this problem is, based on the RealSelf questions that I answer. It is unfortunately largely a myth that implants somehow "settle". They usually don't. I say this because I have done many hundreds of breast augmentations. Implants need to be low enough, and breasts need to look great RIGHT after surgery. Otherwise, they probably won't later.

What I recommend is putting the operating table into a sitting position BEFORE the end of surgery (you are still asleep, of course). That way, I can see if the size and shape and symmetry are as good as they can be, and I can see if the implant pockets are low enough. If not, we keep working. So there is no guess work.

So I hate to tell you stuff you naturally don't want to hear, but you will probably need a revision in a few months to lower the implant pockets.

My last point is controversial, but, based on my experience, I don't think massage helps.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Too early

Please wait. You just had your surgery and still have a lot of swelling. It may take up to 3-6 months to see the final result.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 122 reviews

Tightness after silicone implants and lift

One week is a very small part of the post-opertive healing and recontouring that will take place over the next 3-6 months. You also have newer implants so be patient and remember that  lift means high.

Barry H. Dolich, MD (Retired)
Bronx Plastic Surgeon
4.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.