385 cc Textured Silicone Implants Under the Muscle. WIll my implants drop to fill out the bottom of my breast? (Photo)
Doctor Answers 3
Position Change with Textured Silicone Implants
In some cases, superior implant displacement may be due to inadequate dissection of the muscle insertions of the inferior portion of the breast pocket. There's no evidence that this has occurred in your case.
With time, assuming adequate pocket dissection, these implants might return to a more normal position. Unfortunately, when textured implants are used, this is less likely to occur than when smooth walled implants are used. Sometimes the use of a bandeau superiorly and massage may facilitate this process, but again this is less likely with textured implants.
It may take 3 to 6 months for these implants to drop into a normal position. If no progress has occurred by then, revisional surgery may be necessary. This would involve recreating the lower portions of the breast pocket.
It's important to have good communication with your plastic surgeon. Make sure he is aware of your concerns. He is familiar with the specifics of your surgery and will be able to give you appropriate direction.
Too early to judge outcome
385 cc Textured Silicone Implants Under the Muscle. WIll my implants drop to fill out the bottom of my breast?
Time is your friend, lets the implants settle ( somewhat less than with smooth implants), let the swelling improve and lets let the scars mature. If you need a little re-lifting down the road, that is ok, remember you can always make the pants shorter, you can't make them longer; meaning you can always re-lift little but bringing a too high nipple down is very difficult. Follow your plastic surgeons post-op instructions carefully and completely, you should do well.
Stephen M. Davis, MD, FACS
Green Hills Plastic Surgery