I am three weeks and 2 days post op under muscle Mentor smooth round moderate profile saline implants of 225 cc filled to 250 cc. I was a full 34B but 41 years old and trying to fight gravity. My left breast implant has been sitting lower since week two and feels almost like it's not there (I mean it's beginning to feel like my own). My right one still looks close to where it was when I came home, and always feels like it's trying to go up further especially when I bend over to pick things up or pet the dog. I was told to only start massage at my two week mark which I have been doing religiously. Why is the implant placed so high in the chest area in the first place when getting sub-muscular implant? I am really concerned that the pocket was not made wide enough on the right and won't drop because it can't. I am constantly wondering if I should use my arm as I normally would or if I should try to use it as little as possible. Should I wear a strap or go braless? I chose my plastic surgeon because all of the pictures on his website looked so natural. I did not want to look like I had implants. At the moment, I look like I have something shoved up into my chest on the right side. It's ugly! I am going to Hawaii with my Mother in Law in two months and can't even go bathing suit shopping. PLEASE HELP!
Answer: Hard to tell this early
Others have suggested that time and massage are needed. I agree. From your picture, your breast tissue and skin appear to be of good quality and the skin envelope appears fairly tight. Presuming that your tissue envelope was not particularly deflated or sagging preoperatively, it is often the case that implants will take many weeks to "drop."
When placing an implant, I set the level of the pocket at a location at the bottom of the breast. From here the implant doesn't so much "drop" in position, but rather the breast tissue relaxes and accommodates the implant. As this happens, the lower pole of the breast rounds-out and the "too high" upper boder of the implant comes down.
It has been my experience that postoperative massage can play a critical role in a case such as yours. Our patients see our massage therapist at their preoperative visit and at a postoperative visit. In a case such as yours, I think it is reasonable to come out of any bra and use a band.
I'd suggest you call your surgeon's office, and see if they can recommend a perioperative massage therapist experienced in such cases. We've found that commonly, patients are much to "light" in their massage and that even one visit with the therapist can recalibrate this pressure and teach a patient and thier partner most effectively.
Bottom Line: Time will tell, but I'd step up the massage and recommend a perioperative massage therapy visit.
Hope this helps.
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CONTACT NOW Answer: Hard to tell this early
Others have suggested that time and massage are needed. I agree. From your picture, your breast tissue and skin appear to be of good quality and the skin envelope appears fairly tight. Presuming that your tissue envelope was not particularly deflated or sagging preoperatively, it is often the case that implants will take many weeks to "drop."
When placing an implant, I set the level of the pocket at a location at the bottom of the breast. From here the implant doesn't so much "drop" in position, but rather the breast tissue relaxes and accommodates the implant. As this happens, the lower pole of the breast rounds-out and the "too high" upper boder of the implant comes down.
It has been my experience that postoperative massage can play a critical role in a case such as yours. Our patients see our massage therapist at their preoperative visit and at a postoperative visit. In a case such as yours, I think it is reasonable to come out of any bra and use a band.
I'd suggest you call your surgeon's office, and see if they can recommend a perioperative massage therapist experienced in such cases. We've found that commonly, patients are much to "light" in their massage and that even one visit with the therapist can recalibrate this pressure and teach a patient and thier partner most effectively.
Bottom Line: Time will tell, but I'd step up the massage and recommend a perioperative massage therapy visit.
Hope this helps.
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CONTACT NOW Answer: Early Evaluation Hi, Thank you for your recent question. I think you are very early in your consideration give it time to settle. Do not worry, 3 weeks post op is too early to determine what your breast will look like. They will settle over time. At this time, what you are describing is very normal. Be patient, you should see final results at 4-6 months. Just follow the instructions and you will see dramatic change! It is important to wear bras that both support and help "push" the breast into the area of your choice. I do like the Caromed bras because they do this quite well. I have provide a link below. Hope this helps Dr. Dillon
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CONTACT NOW Answer: Early Evaluation Hi, Thank you for your recent question. I think you are very early in your consideration give it time to settle. Do not worry, 3 weeks post op is too early to determine what your breast will look like. They will settle over time. At this time, what you are describing is very normal. Be patient, you should see final results at 4-6 months. Just follow the instructions and you will see dramatic change! It is important to wear bras that both support and help "push" the breast into the area of your choice. I do like the Caromed bras because they do this quite well. I have provide a link below. Hope this helps Dr. Dillon
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April 17, 2017
Answer: One Breast Implant taking Longer to Drop Some asymmetry after submuscular breast augmentation is completely normal. If you are right-handed, this is your dominant side. You most likely use your right arm and consequently your right chest muscle more. Your right chest muscle will be tighter and stronger pulling the implant up higher than the left side. I tell my patients to massage the breast to relax the chest muscle. I also have them do chest muscle stretching exercises. Some doctors will have you wear a breast band to apply pressure to the upper breast to push it down. Be patient because it can take a few months for the dominant breast to drop. Good Luck!
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CONTACT NOW April 17, 2017
Answer: One Breast Implant taking Longer to Drop Some asymmetry after submuscular breast augmentation is completely normal. If you are right-handed, this is your dominant side. You most likely use your right arm and consequently your right chest muscle more. Your right chest muscle will be tighter and stronger pulling the implant up higher than the left side. I tell my patients to massage the breast to relax the chest muscle. I also have them do chest muscle stretching exercises. Some doctors will have you wear a breast band to apply pressure to the upper breast to push it down. Be patient because it can take a few months for the dominant breast to drop. Good Luck!
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TREATMENT FOR YOU
August 31, 2017
Answer: Why Patients Need To Be Educated On Asymmetric Healing The healing process of breast augmentation is asymmetric. That means it is possible that one breast may look more swollen, have more bruising, or appear higher than the other. This is completely normal and will go away with time. It takes time for the skin to relax. I recently had a patient who had one breast that was still very high 6 weeks post-op. She was very concerned, but I ensured her that her skin would relax and that her implants would drop. They always do. It can take up to 3 months for both implants to fully drop. She just had to give it time. And surely enough, 3 months post-op she had a final result she was very happy with. Patients should be educated about asymmetric healing ahead of time to prevent these unnecessary worries. I hope that answers your question on asymmetric healing. It’s great that you’re doing this research. I always say that the best patients are informed patients. You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you? A term that I use with my patients for the perfect implant is the “Pony Implant”. So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural. Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small. And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!" That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours. This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it. Thank you for reading and best of luck on your journey!
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CONTACT NOW August 31, 2017
Answer: Why Patients Need To Be Educated On Asymmetric Healing The healing process of breast augmentation is asymmetric. That means it is possible that one breast may look more swollen, have more bruising, or appear higher than the other. This is completely normal and will go away with time. It takes time for the skin to relax. I recently had a patient who had one breast that was still very high 6 weeks post-op. She was very concerned, but I ensured her that her skin would relax and that her implants would drop. They always do. It can take up to 3 months for both implants to fully drop. She just had to give it time. And surely enough, 3 months post-op she had a final result she was very happy with. Patients should be educated about asymmetric healing ahead of time to prevent these unnecessary worries. I hope that answers your question on asymmetric healing. It’s great that you’re doing this research. I always say that the best patients are informed patients. You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you? A term that I use with my patients for the perfect implant is the “Pony Implant”. So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural. Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small. And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!" That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours. This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it. Thank you for reading and best of luck on your journey!
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April 23, 2018
Answer: Be patient! It is much too early to judge the final result as it takes at least 2 months for the implants to completely settle. Settling is a normal process where the breast and chest wall tissues stretch to gradually accomodate the implant. Especially with saline implants you can expect that the upper "fake" fullness that you see will change as the lower part of the breast fills out more. You should be able to perform most activities by now with full are motions. You can continue the massaging especially in a downward direction on the right. Wear bra as needed for comfort. Your result will improve!
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CONTACT NOW April 23, 2018
Answer: Be patient! It is much too early to judge the final result as it takes at least 2 months for the implants to completely settle. Settling is a normal process where the breast and chest wall tissues stretch to gradually accomodate the implant. Especially with saline implants you can expect that the upper "fake" fullness that you see will change as the lower part of the breast fills out more. You should be able to perform most activities by now with full are motions. You can continue the massaging especially in a downward direction on the right. Wear bra as needed for comfort. Your result will improve!
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November 12, 2016
Answer: Be patient! Hello kiltcrazy, I am always concerned when I see questions that clearly show patients have not been provided with basic info that sets a realistic expectation of the surgical process! You are only 3 weeks post op and concerned about a why a process that can take months hasn't happened yet! If your breast were low and natural now at 3 weeks, I would be worried what they were going to look like in 3 months!What you are describing is exactly as it should be. You are swollen for at least a week or two after your surgery, even after your swelling goes away, depending on the size and position of the breast implant pockets created, as well as the size of the breast implant used, the muscle and skin can take months to stretch and accommodate the new implant. (And as shown by your example, it rarely happens evenly for both sides in a simultaneous fashion.) This process gives the appearance of the implant "dropping" or " the drop and fluff", as some surgeons say. I urge you to contact your surgeon or someone on his staff to review with you what you can expect during this post procedure process based on your specific case and follow all of their instructions. In 2 months time by your Hawaii trip, you should have seen that they have changed quite a bit from where you were when you wrote this, as you will be post op 3 months. Be patient!
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CONTACT NOW November 12, 2016
Answer: Be patient! Hello kiltcrazy, I am always concerned when I see questions that clearly show patients have not been provided with basic info that sets a realistic expectation of the surgical process! You are only 3 weeks post op and concerned about a why a process that can take months hasn't happened yet! If your breast were low and natural now at 3 weeks, I would be worried what they were going to look like in 3 months!What you are describing is exactly as it should be. You are swollen for at least a week or two after your surgery, even after your swelling goes away, depending on the size and position of the breast implant pockets created, as well as the size of the breast implant used, the muscle and skin can take months to stretch and accommodate the new implant. (And as shown by your example, it rarely happens evenly for both sides in a simultaneous fashion.) This process gives the appearance of the implant "dropping" or " the drop and fluff", as some surgeons say. I urge you to contact your surgeon or someone on his staff to review with you what you can expect during this post procedure process based on your specific case and follow all of their instructions. In 2 months time by your Hawaii trip, you should have seen that they have changed quite a bit from where you were when you wrote this, as you will be post op 3 months. Be patient!
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